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Older African American Women's Beliefs, Attitudes, and Behaviors About Breast Cancer

TitleOlder African American Women's Beliefs, Attitudes, and Behaviors About Breast Cancer
Publication TypeJournal Article
Year of Publication2011
AuthorsSwinney, JE, Dobal, MT
JournalResearch in Gerontological NursingResearch in Gerontological Nursing
Volume4
Pagination9-18
ISBN Number1940-4921
KeywordsAged, Aged, 80 and Over, Attitude to Health, Audiorecording, Blacks, Breast Neoplasms -- Prevention and Control, Breast Neoplasms -- Psychosocial Factors -- In Old Age, Cancer Screening -- Utilization, Conceptual Framework, Data Analysis Software, Female, Focus Groups, Health Behavior, Health Beliefs -- In Old Age, Human, Purposive Sample, Thematic Analysis
AbstractBreast cancer poses a greater risk for African American than Caucasian women due to persistent health disparities. To reduce mortality risk, culturally specific knowledge is needed to support and encourage regular breast cancer screening and risk-reduction behaviors in older African American women. The specific aims of this study were to identify social, cultural, and behavioral factors associated with regular participation in breast cancer screening and risk-reduction behaviors; examine health beliefs that may influence regular participation in breast cancer screening and risk-reduction behaviors; and identify perceived facilitators and barriers to regular breast cancer screening and risk-reduction behaviors. African American women older than 65 [N = 57) participated in six focus groups. Analysis of focus group data revealed six major themes: Being Blessed, Canceras á Death Sentence, Feär/Fear of Disfigurement, Avoiding Finding Out, Beliefs About Breast Cancer, ändTending to One's Family.These themes could be used by health care providers to develop culturally relevant educational initiatives to promote breast health practices and risk-reduction behaviors in this vulnerable population, thus helping reduce breast cancer disparities.
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