Social support and breast cancer screening in rural Appalachia

Autor:	Brittany L. Smalls, Jennifer Hatcher, Adebola Adegboyega, Kristen McQuerry, Adaeze Aroh, Nancy E. Schoenberg
Rok vydání:	2018
Předmět:	Adult Rural Population Health Behavior Population Breast Neoplasms Experimental and Cognitive Psychology Article 03 medical and health sciences Breast cancer screening Social support 0302 clinical medicine Surveys and Questionnaires Cancer screening medicine Humans Mass Screening 030212 general & internal medicine education Early Detection of Cancer Aged Appalachian Region education.field_of_study 030505 public health medicine.diagnostic_test Social network business.industry Incidence Mortality rate Social Support Cancer Middle Aged medicine.disease Psychiatry and Mental health Cross-Sectional Studies Oncology Female 0305 other medical science business Appalachia Mammography Demography
Zdroj:	Psychooncology
ISSN:	1057-9249
DOI:	10.1002/pon.4828
Popis:	PURPOSE: Women in the Appalachian region have a high mortality rate attributable to cancer in spite of lower incidence of cancer compared with the general US population. Empirical evidence suggests that social support influences cancer outcomes, including adherence to screening guidelines and treatment recommendations. The purpose of this study is to examine the impact of social support on breast cancer screening patterns in a sample of rural Appalachian women. METHODS: This paper reports the results of analyses of baseline cross-sectional data on breast cancer screening collected during a community-based group-randomized trial. We used the 2010 National Health Institute Survey questionnaires and the Medical Outcomes Study Social Support Survey to assess screening behavior and perceived social support, respectively. Data were analyzed using ANCOVA and ANOVA to assess the mean social support on breast cancer screening patterns (frequently, irregularly, and rarely/never) and relevant sociodemographic variables. FINDINGS: Of the eligible participant records analyzed (N = 289), 50% were married, 36% were employed, 20% attended college, 40% had no mammogram in 6 years, and 20% never had mammograms. Overall social support score was high at 73.1 (SD = 18.2). Association between breast cancer screening patterns and social support scores was not statistically significant at α < 0.05 (P value = 0.09). CONCLUSIONS: Although social support as it measured in this study does not show significant associations with screening patterns, it is important to understand how social network structures may influence screening patterns. Familial and social roles/responsibilities that result in reported social support may also be the barrier to cancer screening and other prevention health behaviors.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_dedup___::d0ff7ce6e6c8c2b9d5f05961eb68eb87 https://doi.org/10.1002/pon.4828 Zobrazit plný text záznamu Plný text ve formátu PDF Plný text ve formátu HTML
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