Health Beliefs and Breast Cancer Screening Practices Among African American Women in California

Davis, Cindy

doi:10.1177/0272684x20942084

Cited by 11 publications

(7 citation statements)

References 35 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Health care providers must facilitate open communication with Black patients and use strategies that are targeted specifically for Black women to improve the disproportionate mammogram screening and breast cancer morbidity for this population. Strategies that include the promotion of breast cancer detection practices, such as breast self-examination, was associated with the likelihood of having an annual clinical breast examination and annual mammography in Black women (C. M. Davis, 2020). Further, addressing health care systemic racism and perceived differential treatment based on race experienced by Black women may alleviate the distrust in providers, facilitate open communication, and promote preventive care (Henderson et al., 2020).…”

Section: Discussionmentioning

confidence: 99%

Access to Care as a Barrier to Mammography for Black Women

Aleshire

Adegboyega

Escontrías

et al. 2020

Policy, Politics, & Nursing Practice

View full text Add to dashboard Cite

Racial disparities in breast cancer screening, morbidity, and mortality persist for Black women. This study examines Black women’s mammography beliefs and experiences with specific focus on barriers to mammography access in an urban city in the South East, United States. This retrospective, qualitative study used Penchansky and Thomas’ conceptualization of health care access as the framework for the data analysis. In-depth, semistructured interviews were conducted with 39 Black women. Structural and personal factors continue to create barriers to mammography among Black women. Barriers to mammography were identified for each of the Penchansky and Thomas five dimensions of access to care: accessibility, affordability, availability, accommodation, and acceptability. Clinical practice strategies to increase mammography screening in Black women must be multifactorial, patient-centered, and culturally congruent. Policy development must address the structural barriers to mammography screening through expansion of health insurance coverage and increased accessibility to health care.

show abstract

Section: Discussionmentioning

confidence: 99%

Access to Care as a Barrier to Mammography for Black Women

Aleshire

Adegboyega

Escontrías

et al. 2020

Policy, Politics, & Nursing Practice

View full text Add to dashboard Cite

show abstract

“…31 The model has been expanded over the years and our study is guided by Dr. Victoria Champion's Health Belief Model Scale (CHBMS), an instrument that is guided by the HBM constructs. 32 The revised Champion's Health Belief Model posits that health behaviors and screening behaviors are influenced by health beliefs such as perceived susceptibility, perceived seriousness, perceived benefits, perceived barriers to action, self-efficacy, and health motivation. 31,33 This scale was developed by Dr. Champion in 1984, revised in 1993, 1997 and finalized in 1999 to focus on health beliefs about mammography screening.…”

Section: Methods: Theoretical Frameworkmentioning

confidence: 99%

Barriers to Mammography Screening among Black Women at a Community Health Center in South Florida, USA

Jones

Wisdom-Chambers

Freeman

et al. 2023

MRAJ

View full text Add to dashboard Cite

Background: In the United States (US), Black/African American women suffer disproportionately from breast cancer health disparities with a 40% higher death rate compared to White women. Mammography screening is considered a critical tool in mitigating disparities, yet Black women experience barriers to screening and are more likely to be diagnosed with advanced-stage breast cancer. The purpose of this study was to assess the relative frequency of mammography screening and to examine perceived and actual barriers to screening among women who receive care in our nurse-led community health center. Methods: We conducted a survey examining frequency of mammography screening and beliefs about breast cancer including perceived susceptibility, perceived benefits, and perceived barriers to mammography screening, guided by the Champion Health Belief Model. Results: A total of 30 Black/African American women completed the survey. The mean age of the participants was 54.3 years ± 9.17 (SD); 43.3% had a high school education or less; 50% had incomes below $60,000 per year; 26.7% were uninsured; 10% were on Medicaid; and only 50% were working full-time. We found that only half of the participants reported having annual mammograms 16 (53.3%), 1 (3.3%) every 6 months, 8 (26.6%) every 2-3 years, and 5 (16.7%) never had a mammogram in their lifetime. Frequently cited barriers included: ‘getting a mammogram would be inconvenient for me’; ‘getting a mammogram could cause breast cancer’; ‘the treatment I would get for breast cancer would be worse than the cancer itself’; ‘being treated for breast cancer would cause me a lot of problems’; ‘other health problems would keep me from having a mammogram’; concern about pain with having a mammogram would keep me from having one; and not being able to afford a mammogram would keep me from having one’. Having no health insurance was also a barrier. Conclusion: This study found suboptimal utilization of annual screening mammograms among low-income Black women at a community health center in Florida and women reported several barriers. Given the high mortality rate of breast cancer among Black/African American women, we have integrated a Patient Navigator in our health system to reduce barriers to breast cancer screening, follow-up care, and to facilitate timely access to treatment, thus ultimately reducing breast cancer health disparities and promoting health equity.

show abstract

“…Early diaglnosis and treatment are effective in reducing BC-related death rates [6]. Mammography, BSE, CBE, and breast ultrasonography are recommended for the early diagnosis of BC [7][8][9]. Mammography is an effective method of choice for the early detection of breast cancer.…”

Section: Introductionmentioning

confidence: 99%

Determine knowledge and belief of Somalian young women about breast cancer and breast self-examination with champion health belief model: a cross-sectional study

Altunkurek

Mohamed²

2022

BMC Med Inform Decis Mak

View full text Add to dashboard Cite

Background Breast cancer (BC) is an important reason for mortality rates in Somalian women. In Somalia, many women are late in applying to the hospital for the diagnosis of BC. Breast self-examination (BSE) is considered an important early detection method for BC in encouraging women to learn to practice BSE, especially for women in developing countries. This study purposed to determine knowledge, and belief of BC and BSE and BSE practice among women in Mogadishu, Somalia using the champion health belief model (CHBM). Methods This cross-sectional study was conducted on 413 women who were between 18 and 49 years of age. The data were collected by using sociodemographic variables (age, marital status, education level, income status), Champion’s Health Belief Model Scale (CHBMS), and an introductory questionnaire with questions about BC and BSE and between October 2020 and January 2021 in Mogadishu, Somalia. Further descriptive statistics, the Mann–Whitney U test, and Kruskal–Wallis analysis test were used to assess data that were not normally distributed. Results Average age of participants was 22 ± 11.21 years. Only 35.4% of participants had information about BC, 37.8% had heard about BSE before, 25.2% knew BSE, and only 17.2% had done it. Income status, marital status, and age of first birth family were significantly associated with perceived sensitivity, health motivation, convenience, perceived benefits, and self-efficacy for BSE. Overall, the total scores of CHBMS were significantly higher among those who had heard and knowledge about BSE and practiced clinical breast examination (CBE). For the sub-dimensions of perceived sensitivity, health motivation, perceived benefits, barrier, and self-efficacy BSE with hearing about BSE, practicing BSE, knowing to practice BSE, knowing early detection methods of BC and practice CBE significant differences were observed (P < 0.005). Conclusion This study showed that BSE practice among Somalian women was very low, and they don’t have sufficient knowledge about BSE and BC. Furthermore, this study revealed that many CHBMS significantly related to BSE practice in Somalian women, suggesting that BSE health education programs with CHBMS.

show abstract

Health Beliefs and Breast Cancer Screening Practices Among African American Women in California

Cited by 11 publications

References 35 publications

Access to Care as a Barrier to Mammography for Black Women

Access to Care as a Barrier to Mammography for Black Women

Barriers to Mammography Screening among Black Women at a Community Health Center in South Florida, USA

Determine knowledge and belief of Somalian young women about breast cancer and breast self-examination with champion health belief model: a cross-sectional study

Contact Info

Product

Resources

About