2.50
Hdl Handle:
http://hdl.handle.net/10755/163184
Category:
Abstract
Type:
Presentation
Title:
Breast Cancer and Older African American Women
Author(s):
Swinney, Jean Elizabeth; Dobal, May T.
Author Details:
Jean Elizabeth Swinney, PhD, RN, University of Massachusetts Amherst, Amherst, Massachusetts, USA, email: jswinney@nursing.umass.edu; May T. Dobal, PhD, RN, New York University
Abstract:
Purpose: The purpose of this study was to utilize focus group interviews to examine social, cultural, behavioral, religious and age-related factors that are facilitators or barriers to regular breast cancer screening and breast cancer risk-reduction behaviors in African American women 65 years of age and older. This study sought to also identify older African American women's knowledge of breast cancer and breast cancer risk-reduction behaviors; explore factors associated with regular breast cancer risk-reduction behaviors; and examine health beliefs related to regular breast cancer risk-reduction behaviors. Theoretical Framework: The Health Belief Model (HBM; Rosenstock, Strecher, & Becker, 1988) was used to explain and predict use of breast cancer screening and risk-reduction behaviors in older African American women by examining factors that directly affected their participation in these breast health behaviors. Methods (Design, Sample, Setting, Measures, Analysis): Fifty-Eight African American women, ages 65 - 96, participated in eight focus groups conducted in their community. Semi-structured interview guides were used to explore health beliefs, knowledge about cancer, current health practices, perceived susceptibility to cancer, and facilitators and barriers to regular breast cancer risk-reduction behaviors. Discussions were audiotaped, transcribed verbatim, and analyzed using thematic content analysis. Results: Among the major themes discovered were "being blessed," cancer as a death sentence, fear of disfigurement, "finding out," taking care of oneself, tending to one's family, and perceived barriers to seeking breast health care. Conclusions and Implications: Beliefs about the causes of cancer included environmental (e.g., blow to the breast) and spiritual (e.g., God's will) factors. Barriers to risk-reduction behaviors included perceived substandard care from physicians (e.g., inexperienced residents, experiences with disrespectful health care practitioner). To ensure the success of breast cancer preventive programs for older African American women, barriers to care and mistrust of the health care system must be addressed. Screening programs and care should be offered in the community and delivered by culturally competent and African American providers.
Repository Posting Date:
27-Oct-2011
Date of Publication:
27-Oct-2011
Conference Date:
2007
Conference Name:
19th Annual Scientific Sessions
Conference Host:
Eastern Nursing Research Society
Conference Location:
Providence, Rhode Island, USA
Description:
Conference theme: Building Communities of Scholarship and Research, held April 12-14, 2007 at The Westin Providence.
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.

Full metadata record

DC FieldValue Language
dc.type.categoryAbstracten_US
dc.typePresentationen_GB
dc.titleBreast Cancer and Older African American Womenen_GB
dc.contributor.authorSwinney, Jean Elizabethen_US
dc.contributor.authorDobal, May T.en_US
dc.author.detailsJean Elizabeth Swinney, PhD, RN, University of Massachusetts Amherst, Amherst, Massachusetts, USA, email: jswinney@nursing.umass.edu; May T. Dobal, PhD, RN, New York Universityen_US
dc.identifier.urihttp://hdl.handle.net/10755/163184-
dc.description.abstractPurpose: The purpose of this study was to utilize focus group interviews to examine social, cultural, behavioral, religious and age-related factors that are facilitators or barriers to regular breast cancer screening and breast cancer risk-reduction behaviors in African American women 65 years of age and older. This study sought to also identify older African American women's knowledge of breast cancer and breast cancer risk-reduction behaviors; explore factors associated with regular breast cancer risk-reduction behaviors; and examine health beliefs related to regular breast cancer risk-reduction behaviors. Theoretical Framework: The Health Belief Model (HBM; Rosenstock, Strecher, & Becker, 1988) was used to explain and predict use of breast cancer screening and risk-reduction behaviors in older African American women by examining factors that directly affected their participation in these breast health behaviors. Methods (Design, Sample, Setting, Measures, Analysis): Fifty-Eight African American women, ages 65 - 96, participated in eight focus groups conducted in their community. Semi-structured interview guides were used to explore health beliefs, knowledge about cancer, current health practices, perceived susceptibility to cancer, and facilitators and barriers to regular breast cancer risk-reduction behaviors. Discussions were audiotaped, transcribed verbatim, and analyzed using thematic content analysis. Results: Among the major themes discovered were "being blessed," cancer as a death sentence, fear of disfigurement, "finding out," taking care of oneself, tending to one's family, and perceived barriers to seeking breast health care. Conclusions and Implications: Beliefs about the causes of cancer included environmental (e.g., blow to the breast) and spiritual (e.g., God's will) factors. Barriers to risk-reduction behaviors included perceived substandard care from physicians (e.g., inexperienced residents, experiences with disrespectful health care practitioner). To ensure the success of breast cancer preventive programs for older African American women, barriers to care and mistrust of the health care system must be addressed. Screening programs and care should be offered in the community and delivered by culturally competent and African American providers.en_GB
dc.date.available2011-10-27T11:02:53Z-
dc.date.issued2011-10-27en_GB
dc.date.accessioned2011-10-27T11:02:53Z-
dc.conference.date2007en_US
dc.conference.name19th Annual Scientific Sessionsen_US
dc.conference.hostEastern Nursing Research Societyen_US
dc.conference.locationProvidence, Rhode Island, USAen_US
dc.descriptionConference theme: Building Communities of Scholarship and Research, held April 12-14, 2007 at The Westin Providence.en_US
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.-
All Items in this repository are protected by copyright, with all rights reserved, unless otherwise indicated.