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This qualitative study addressed the research question, what are the perspectives and experiences related to breast cancer and breast cancer screening of African American women residing in rural eastern North Carolina? A literature review indicated little research related to the perceptions and experiences of rural African American women about breast cancer and breast cancer screening. In a previously conducted unpublished larger study (Burke, Barrett, & Cherry, 2009), the perspectives of women from rural North Carolina about breast cancer and breast cancer screening were collected by means of focus group interviews. The researcher in the present study conducted a qualitative analysis of data from a sub-set of focus group interviews that involved African American women. A qualitative approach in this study afforded an opportunity to gain insight into African American women's experiences and views regarding breast cancer and breast cancer screening. The researcher analyzed transcripts from three focus group interviews that involved 17 African American women residing in rural eastern North Carolina. Five themes that emerged from the data were: knowledge and beliefs about breast cancer, influences on breast cancer screening behaviors, personal experience with screening, emotional reactions to discussing breast cancer and breast cancer screening, and promoting breast cancer screening. Key findings related to these emergent themes included a self-perceived low level of knowledge about breast cancer, cultural views about various causes of breast cancer, perspectives about mammograms, perceived barriers to breast cancer screening, the influence of faith on breast cancer and breast cancer screening, personal experiences with breast cancer screening, fear as a commonly shared reaction to breast cancer and breast cancer screening, and best practices for promoting breast cancer awareness and education. The researcher identified a need for future research on the topic of minority health in rural populations, specifically around breast cancer screenings and preventive health. An analysis of a sub-set of qualitative data provided by African American women and a comparison of findings with the research literature led the researcher to recommend that tailored health education be provided African American women on the topic of breast cancer and breast cancer screening.
Breast cancer is the most commonly diagnosed cancer in women; however, African American women have the lowest survival rates compared to other ethnic groups and the lowest rate of mammogram screening. To increase awareness for breast cancer screenings in underserved populations, researchers partnered with Carin' and Sharin' Breast Cancer Education and Support Group, to enhance an existing health promotion and outreach program to include a complimentary "Lunch and Play" in Memphis, Tennessee. The expansion of the program was a 45-min skit, Hats off to Cancer, which used storytelling to honor and incorporate five different cultural experiences with breast cancer prevention and diagnosis.To ensure the success of this project, community-based participatory research (CBPR) was the research methodology chosen. The choice to utilize CBPR was in large part because the goal of the project was to ensure that the importance of shared cultural backgrounds, beliefs, and experiences unique to underserved African American women was included in the planning, design, and implementation of a community-based cancer screening and prevention program.
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Breast cancer is one of the most common cancers among African American (AA) women. While breast cancer is most prevalent in Caucasian women, AA women have a higher rate of mortality and are more likely to be diagnosed at an advanced stage. AA women tend to have decreased access to quality care and may receive health care services at lower resourced facilities. They are also less likely to adhere to the recommended breast cancer screening guidelines and lack timely follow-up for abnormal findings. Due to these disparities, early detection and breast cancer screening through mammography are critical for African American women. This grant-supported research proposal is to study AA women's levels of knowledge and self-efficacy regarding the breast cancer screening practice of mammography. Understanding the impact of these variables can help predict screening behavior and health promotion outcomes among this group of women.
130 AND 136 African-American Women with and without a family history, respectively, were given educational brochures that framed messages about mammography as gains (i.e., how a woman benefits by getting mammograms), losses (i.e., the costs of not getting mammograms), or as neither (control), to assess their effects on intentions to get mammograms and screening. At three and seven month post-intervention follow-ups, message framing did not affect intentions or mammography screening. The majority of women in both groups were on schedule (e.g.,> 68%). Nor did the educational brochures affect knowledge of breast cancer risk factors, perceptions of risk, or concerns about getting breast cancer. Though well-received, the lack of significant findings is likely due to failure of the gain, loss, and control brochures to be viewed as intended. Women with a family history consistently expressed higher perceptions of risk and breast cancer concerns than women without a family history. Moreover, both groups expressed equally favorable attitudes towards mammography screening. Overall, knowledge of breast cancer risk factors was poor and did not improve. These results suggest that continued efforts are needed to create persuasively framed messages as well as education materials targeting African-American women with and without a family history of breast cancer.
This is our third annual report regarding our intervention study that aims to improve the breast screening behavior among single African-American women ages 65 and older. During the period, we (1) finished post-intervention interviews, (2) conducted most follow-up interviews, and (3) entered post-intervention interview data and are entering follow-up interview data. We also finished and submitted two manuscripts based on our pre-intervention data. The completed. Program will be evaluated as soon as the collection and editing of data are.