The Influence of Demographics, Functional Status & Comorbidity on the Breast Self-Examination Proficiency of Older Black Women

2.50
Hdl Handle:
http://hdl.handle.net/10755/163721
Category:
Abstract
Type:
Presentation
Title:
The Influence of Demographics, Functional Status & Comorbidity on the Breast Self-Examination Proficiency of Older Black Women
Author(s):
Duffy, Mary
Author Details:
Mary Duffy, PhD, Professor, Boston College, School of Nursing Center for Nursing Research, Chestnut Hill, Massachusetts, USA, email: duffy@bc.edu
Abstract:
Despite a lower incidence of breast cancer, mortality rates are higher in Black women than in White counterparts. Abundant research suggests lower screening rates related to socioeconomic factors among Black women are more influential than biological factors in producing death from breast cancer. This purpose of the study, using a health belief model framework, was to determine if demographics, functional status and comorbidity significantly influence BSE proficiency in older Black women. Methods. Sample. In this descriptive-correlational study, the sample, a subset of a larger federally-funded study, consisted of 246 Black women whose age averaged 71 +/- 8.8 years. The majority were widowed (54%), with < 11 years of education (50%) & an annual income between $7,000 & $9,900. Results. The purpose was achieved by canonical correlational analysis. The demo-graphics (age, education, income, marital status, cognitive status, health status), functional status & comorbidity formed the predictor set. Breast cancer screening knowledge, BSE inspection/palpation skills & detection of breast lumps in simulated models formed the dependent set. Two significant canonical variate pairs emerged. CANVAR 1, with 39% redundancy, indicated that older, not currently married Black women with less education & income, lower cognitive functioning & functional status were more likely to have lower breast cancer screening knowledge, BSE inspection/palpation & lump detection scores than their counterparts. CANVAR 2, with 15% redundancy, suggested that older Black women with less education but better health status, functional status & less comorbidity were more likely to have higher BSE inspection/palpation scores but lower breast cancer screening knowledge & lump detection scores than their counterparts. The total amount of explained variance for the two canonical variate pairs was 54%. Conclusions & Implications. Study findings provide new information about the interrelated factors that influence BSE proficiency in older Black women. In addition to providing support for findings in several earlier studies, study results point to the need for more research on the BSE proficiency of underrepresented & socioeconomically-disadvantaged groups in American society. Future studies are needed to improve our understanding of breast cancer screening practices in older age groups.
Repository Posting Date:
27-Oct-2011
Date of Publication:
27-Oct-2011
Conference Date:
2001
Conference Name:
ENRS 13th Annual Scientific Sessions
Conference Host:
Eastern Nursing Research Society
Conference Location:
Atlantic City, New Jersey, USA
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.titleThe Influence of Demographics, Functional Status & Comorbidity on the Breast Self-Examination Proficiency of Older Black Womenen_GB
dc.contributor.authorDuffy, Maryen_US
dc.author.detailsMary Duffy, PhD, Professor, Boston College, School of Nursing Center for Nursing Research, Chestnut Hill, Massachusetts, USA, email: duffy@bc.eduen_US
dc.identifier.urihttp://hdl.handle.net/10755/163721-
dc.description.abstractDespite a lower incidence of breast cancer, mortality rates are higher in Black women than in White counterparts. Abundant research suggests lower screening rates related to socioeconomic factors among Black women are more influential than biological factors in producing death from breast cancer. This purpose of the study, using a health belief model framework, was to determine if demographics, functional status and comorbidity significantly influence BSE proficiency in older Black women. Methods. Sample. In this descriptive-correlational study, the sample, a subset of a larger federally-funded study, consisted of 246 Black women whose age averaged 71 +/- 8.8 years. The majority were widowed (54%), with < 11 years of education (50%) & an annual income between $7,000 & $9,900. Results. The purpose was achieved by canonical correlational analysis. The demo-graphics (age, education, income, marital status, cognitive status, health status), functional status & comorbidity formed the predictor set. Breast cancer screening knowledge, BSE inspection/palpation skills & detection of breast lumps in simulated models formed the dependent set. Two significant canonical variate pairs emerged. CANVAR 1, with 39% redundancy, indicated that older, not currently married Black women with less education & income, lower cognitive functioning & functional status were more likely to have lower breast cancer screening knowledge, BSE inspection/palpation & lump detection scores than their counterparts. CANVAR 2, with 15% redundancy, suggested that older Black women with less education but better health status, functional status & less comorbidity were more likely to have higher BSE inspection/palpation scores but lower breast cancer screening knowledge & lump detection scores than their counterparts. The total amount of explained variance for the two canonical variate pairs was 54%. Conclusions & Implications. Study findings provide new information about the interrelated factors that influence BSE proficiency in older Black women. In addition to providing support for findings in several earlier studies, study results point to the need for more research on the BSE proficiency of underrepresented & socioeconomically-disadvantaged groups in American society. Future studies are needed to improve our understanding of breast cancer screening practices in older age groups.en_GB
dc.date.available2011-10-27T11:12:39Z-
dc.date.issued2011-10-27en_GB
dc.date.accessioned2011-10-27T11:12:39Z-
dc.conference.date2001en_US
dc.conference.nameENRS 13th Annual Scientific Sessionsen_US
dc.conference.hostEastern Nursing Research Societyen_US
dc.conference.locationAtlantic City, New Jersey, USAen_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.-
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