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Descriptive statistics were used to analyze demographic data, and independent t-test were used to compare the two groups in their perceived barriers. Results revealed that both groups perceived barriers to breast cancer, there were more similarities than differences. However, African American women were significantly more likely to indicate that having a mammogram would make them worry about breast cancer (p= 0.39). Although previous research has shown differences African American and Caucasian women, this study did not support those results. The two groups of women were similar in age, education, and marital status and all were active in their churches. Perhaps these similarities led to the lack of differences in perceived barriers scores between the two groups. This finding lends support to the idea that socioeconomic status more than race leads to disparities in breast screening.
Breast cancer affects one of every eight women. Early detection of breast cancer leads to a better prognosis for those affected. Mammography screening is considered the best way to detect breast cancer in its early and most treatable stages. Despite the media's attention to breast cancer and the importance of regular screening, women are still being screened at suboptimal rates. The purpose of this descriptive quantitative study was to identify women's perceived barriers to mammography screening. This study used the Health Belief Model (HBM) as its framework. According to the HBM, people weigh benefits of screening against barriers before choosing to participate in health screening. A survey to identify women's perceived barriers to mammography in relation to their screening practices was distributed to 100 women over the age of 40 with no prior history of breast cancer. This study has established a list of barriers that healthcare providers can work towards eliminating. The researcher found women of low socioeconomic status and with low education levels are less likely to participate in annual mammography. It was also found that women with a knowledge deficit of screening protocol are less compliant towards screening recommendations. Finally, it found that women who identified time constraints, memory lapse, and fear as barriers to mammography were less likely to participate in annual mammography. Healthcare providers can eliminate barriers through education and encouragement of women to participate in the mammography screening process. Eliminating barriers has the potential to increase participation in annual mammography screening.
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.
Cancer ranks second only to heart disease as a leading cause of death in the United States, making it a tremendous burden in years of life lost, patient suffering, and economic costs. Fulfilling the Potential for Cancer Prevention and Early Detection reviews the proof that we can dramatically reduce cancer rates. The National Cancer Policy Board, part of the Institute of Medicine, outlines a national strategy to realize the promise of cancer prevention and early detection, including specific and wide-ranging recommendations. Offering a wealth of information and directly addressing major controversies, the book includes: A detailed look at how significantly cancer could be reduced through lifestyle changes, evaluating approaches used to alter eating, smoking, and exercise habits. An analysis of the intuitive notion that screening for cancer leads to improved health outcomes, including a discussion of screening methods, potential risks, and current recommendations. An examination of cancer prevention and control opportunities in primary health care delivery settings, including a review of interventions aimed at improving provider performance. Reviews of professional education and training programs, research trends and opportunities, and federal programs that support cancer prevention and early detection. This in-depth volume will be of interest to policy analysts, cancer and public health specialists, health care administrators and providers, researchers, insurers, medical journalists, and patient advocates.
One of every eight women in the United States will be diagnosed with breast cancer in her lifetime. Although early detection of breast cancer is the most effective method of assuring survival, many women throughout the country do not avail themselves of this advantage. This study examined mammography screening practices of women age 55 and older who attended senior citizen centers in rural, non-metro, and metro counties in the areas designated by the Tennessee Department of Health as the Eastern Grand Division of Tennessee. Data were collected from four hundred women from fourteen counties in East Tennessee using the Champion Health Belief Survey instrument. Data analysis was done using SPSS software. Descriptive analyses were presented consisting of the percentage or mean responses for each of the survey items. Chi Square and ANOVA were used to test whether the observed proportions for mammography screening differed from the hypothesized proportions. Results from this study revealed that health beliefs and demographic characteristics were associated with a higher likelihood of having recent mammography. The health beliefs of participants concerning the perceived benefits of mammograms and the perceived barriers to obtaining mammograms significantly impact one's willingness to engage in breast cancer screening practices. Also, the woman's perceived susceptibility to the disease of breast cancer and her perceived seriousness of the disease of breast cancer have a significant impact on breast cancer screening practices. Additionally, a significant difference was found in the screening practices of women based on whether they had health insurance and if their physician recommended a mammogram.
This handbook examines health and medical care in the Arab world from a systems biology approach. It features comprehensive coverage that includes details of key social, environmental, and cultural determinants. In addition, the contributors also investigate the developed infrastructure that manages and delivers health care and medical solutions throughout the region.More than 25 sections consider all aspects of health, from cancer to hormone replacement therapy, from the use of medications to vitamin deficiency in emergency medical care. Chapters highlight essential areas in the wellbeing and care of this population. These topics include women’s health care, displaced and refugee women’s health needs, childhood health, social and environmental causes of disease, health systems and health management, and a wide range of diseases of various body systems. This resource also explores issues related to access and barriers to health delivery throughout the region.Health in the Arab world is complex and rapidly changing. The health burden in the region is distributed unevenly based on gender, location, as well as other factors. In addition, crises such as armed conflicts and an expanding migrant population place additional stress on systems and providers at all levels. This timely resource will help readers better understand all these major issues and more. It will serve as an ideal guide for researchers in various biological disciplines, public health, and regulatory agencies.