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The purpose of this study was to investigate the relationship between African American women's health beliefs in regard to breast cancer and screening behaviors, knowledge and attitudes that may serve as incentives or barriers to their adherence to routine BSE practices. For the purpose of this research study, reference to African American women encompassed all women whose ancestors were brought from the continent of Africa to the Americas, Europe, and the Caribbean, involuntarily. The Health Belief Model (HBM), one of the most widely recognized conceptual frameworks of health behavior, served as the theoretical framework. The Breast Cancer Screening Beliefs Instrument Scale (HBMS) was the instrument used in this study. This instrument explores ethnic differences in attitudes toward health practices, health beliefs, risk estimates, and knowledge about breast cancer and breast cancer screenings.
"This study examines the relationships among attitudes toward breast cancer, knowledge about the disease, religious beliefs, and use of various news media channels in Caucasian (n=240) and African American (n=206) women randomly selected in eleven metropolitan areas in the U.S." --abstract.
Black women of low-socioeconomic status (SES) demonstrate a higher incidence of breast cancer mortality associated with late-stage diagnosis than White women. Breast cancer screening, including mammography, breast self-examination, and clinical breast examination, remains the most effective route to early detection. Studies indicate poor adherence to breast cancer screening regimens among low-income minority women. An overall objective of the study is the construction of a theoretical model that can explain screening practices in low-SES black women. This will be accomplished in two separate waves. In the first wave, facilitators and barriers to breast cancer-screening participation among low-SES women of African-American and Caribbean descent will be determined through qualitative interview. This approach allows a voice for the concerns and experiences guiding these women in their screening choices. The current study incorporates an approach-avoidance theoretical framework that considers preventive screening behaviors to be both desirable and aversive. Based on the factors provided by respondents on the first wave of the study, a culturally sensitive Q-Sort instrument will be designed that will allow participants to rank order these factors as facilitators or barriers to screening, and therefore, provide a powerful approach to testing the theoretical paradigm. Finally innovative modeling techniques will be applied to determine the strength of emergent models to explain breast health care practices among low-SES Black women, either as idiopathic to the general population or specific to African-American or Caribbean cultural groups.
Health Communication and Breast Cancer among Black Women: Culture, Identity, Spirituality, and Strength addresses how the discourse of strength constructs the identity of Black women even during times of chronic illness through the lens of Black feminist thought and womanist ideology. In doing so, Madlock Gatison explores how the narratives surrounding pink ribbon awareness and survivorship culture, religion and spirituality, and the myth of the strong Black woman impact Black female breast cancer survivors’ self-perceptions, views others had of them, and their ability to express their needs and concerns including those involving their healthcare. This book will be of interest to scholars of public health, health communication, and sociology.