Perceptions of cancer fatalism and cancer knowledge: A comparison of older and younger African American women

Behavioral Research Center, American Cancer Society, Atlanta, GA 30329, USA.
Journal of Psychosocial Oncology (Impact Factor: 1.04). 02/2006; 24(4):1-13. DOI: 10.1300/J077v24n04_01
Source: PubMed


Cancer fatalism (the belief that death is inevitable when cancer is present) may influence cancer screening practices among older African American women. Little is known about cancer fatalism among younger women. Guided by the Patient/Provider/System Model, this descriptive study compares cancer fatalism and cancer knowledge among African American college students (n = 353) and women from primary care centers (n = 361). Their average age was 29 years. Data were collected using the Powe Fatalism Inventory and breast and cervical cancer knowledge scales. Women at health centers had higher cancer fatalism and lower cancer knowledge. Differences in life experiences may help explain these findings.

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    • "According to the health beliefs model (HBM), women who believe that they are susceptible to breast cancer and that breast cancer is a serious condition are more likely to perform BSE (Gözüm & Aydın, 2004). In addition, Powe et al.&apos;s (2006) study showed that at higher levels, death from cancer influences the decision to participate in cancer screening for some persons. Also this research shows that as long as breast cancer risk perception increases, the rate of having CBE and mammography and total knowledge points increase (p < .001) "
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    ABSTRACT: This study's objective is to identify women's breast cancer risk perceptions and their attitudes and knowledge on screening tests. The cross-sectional research. Gulhane Military Medical Academy, Ankara, Turkey. The population of 188 females who applied for gynecological examination. The study employed a semistructured questionnaire form. Questions such as female's demographic data, attitudes based on screening tests of breast cancer, family history, perceived risk breast cancer, and questions with regard to patients' fear of breast cancer were included in the survey. In this study, it is determined that the rates of the women, who conduct breast self-examination (BSE), clinical breast examination (CBE) and mammography at least once, are very low. The reason for not performing the BSE was declared with a rate of 50.8% as "Do not know how to perform." Of the women 20.2% were fully acknowledged about BSE. Nearly half of the women perceived 50% or more risk of developing breast cancer, and this rate increases as they get older. The risk perception and educational status increased CBE and mammography rates and BSE knowledge positively, but because of insufficient BSE application abilities BSE rate cannot increase as expected. It is recommended that nurses put forward the initiatives in training programs to increase women's BSE abilities. In planning such an education program risk perception and information of women about breast cancer should be considered.
    Journal of Psychosocial Oncology 03/2010; 28(2):189-201. DOI:10.1080/07347330903570453 · 1.04 Impact Factor
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    ABSTRACT: The aim of this study was to understand barriers to mammography among women attending obstetric and gynecologic outpatient clinics. Women at 4 obstetric and gynecologic clinics affiliated to Tehran University of Medical Sciences in Tehran were invited to participate in a cross-sectional survey with self-administered questionnaire and divided into two groups. The participant group consisted of women who had mammogram in the last two years and the non-participant group of women who had never had mammogram or for whom it had been over 2 years since their last mammogram. A total of 400 women aged 35 to 69 years, were randomly selected using random cluster sampling: 86(21.5%) were evaluated as the participant group and 314(78.5%) as the non-participant group. The result showed that lack of doctors' advice, for the participant group, and embarrassment, for the non-participant group, are the most salient barriers. Mammography screening remains a health challenge for women and results suggest a comprehensive approach to focus on the attitudinal and logistic barriers.
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