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The study described perceived breast cancer risk compared subjective and objective risk estimates and examined the influence of heuristic reasoning in women's narratives. The survey used three probability scales (Verbal Comparative Numerical) and the Gail model to measure perceived and objective risk. Aim 3 was addressed with argument and heuristic reasoning analysis. We recruited a multicultural educated sample of 184 English-speaking women from community settings. Fifty four provided an in-depth interview. Participants held an optimistic bias regarding their breast cancer risk (comparative optimism and better-than-average) and underestimated their objective risk calculated with the Gail model. Breast cancer worry was a significant predictor of breast cancer risk. Better-educated and higher-income women reported lower levels of worry while Black women were more likely than Asian and White women to report higher levels of worry but not higher levels of perceived risk. Most participants did not know that older age is a breast cancer risk factor and older women did not perceive higher risk. These findings imply that women's knowledge of breast cancer risk factors was incomplete despite their high educational level. Age and family history are independent predictors of sporadic and hereditary/familial breast cancer risk; yet women could not distinguish between the two forms of the disease. Most participants (70%) were adherent to mammography and clinical breast exam (CBE) screening guidelines which can be attributed to high access to screening services and efforts from health care providers. Age having health insurance and higher 5-year Gail scores were significant predictors of frequency of screening mammograms and CBEs. Distrust of the health system was the single most important predictor of predisposition to use health services which in turn was another significant predictor of screening mammograms and CBEs.
Background and Purpose. Early detection of breast cancer has saved countless lives annually. Nationally, women of color experience higher rates of invasive breast cancer and mortality. The purpose of this study was to explore the perceptions of breast cancer screening among women of color (African American, Hispanic, and Pacific Islander) in order to promote preventive and supportive measures. Puget Sound Affiliates of Susan G. Komen explored breast cancer and breast cancer screening habits among 16 counties in Washington State through focus groups and semi-structured interviews in a community needs assessment in 2011. Findings from the community needs assessment identified counties with disproportionately high occurrence of newly invasive breast cancer diagnosis or invasive breast cancer, and worse outcomes among women of color. Methods. Using qualitative data provided by Puget Sound Affiliates of Susan G. Komen, this study explored the perceptions of 68 women of color ranging in age from 25 to 74. The data was analyzed using content analysis in Microsoft Excel and Nvivo 10. Evaluation. Finding contributed to a greater understanding of the perceptions of breast cancer among women of color to improve breast health outcomes within the community. Clinical Implication and Recommendation. The analysis of the qualitative data provided an informative guide to improve breast health care and implement new measures within communities among women of color through education and outreach.
Breast cancer screening is currently the most reasonable strategy for reducing the impact of breast cancer on women. However, increased perceived risk and psychological distress have been associated with lower screening rates. The specific aims for this study were to: (1) assess the psychological distress of women ages 50 to 85 who receive breast cancer risk appraisal and randomization to immediate or delayed group psychosocial counseling; (2) assess their breast cancer screening behaviors over 2 years from the time of enrollment; (3) evaluate the degree of association between perceived and estimated risk of breast cancer; (4) describe short-term psychological reactions to breast cancer risk appraisal; and (5) describe their sense of coherence, coping style, other health-related behaviors, social support, and perceived quality of life. This study was conducted to provide important information about women's reactions to breast cancer risk appraisal and ways to enhance positive health behaviors. A total of 343 women participated in the study (mean age, 62 years). Each participant completed a breast cancer risk assessment form and received an estimate of their risk. Participants were randomized to either an immediate or delayed psychosocial counseling intervention on breast health. Results of the intervention showed largely non-significant changes in psychological distress and breast cancer screening behaviors (p>O.05). Further analyses will be conducted to provide more detail about these unexpected findings.
Social Psychological Foundations of Health and Illness is a summary of current research in social-health psychology. The chapters, written by distinguished leaders in the field, provide brief surveys of classic developments in each area of study followed by extended discussion of the authors’ research programs. Includes state-of-the-art descriptions of new findings and theories concerning social aspects of physical health and illness. Discusses virtually all of the major topics studied in the contemporary field of social-health psychology. Contains chapters written by leading figures in the field that discuss their own research within the context of classic efforts.