Health Beliefs and Breast Cancer Screening Practices Among African American Women in California
Health Beliefs and Breast Cancer Screening Practices Among African American Women in California
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DOI：
10.1177/0272684x20942084
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发表时间：
2020-07-13
影响因子：
1.3
通讯作者：
Davis, Claudia M.
中科院分区：
文献类型：
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作者：
Davis, Claudia M.
背景:与其他妇女相比，非裔美国妇女的乳腺癌死亡率仍然较高，有证据表明，早期发现乳腺癌可以带来有利的结果，但关于健康信念和三种筛查做法的利用的文献仍然缺乏，即在加利福尼亚州，乳房自我检查、临床乳房检查和乳房x光检查。该州目前是非裔美国妇女乳腺癌死亡率最高的州之一。目的：探讨非裔美国妇女健康信念与乳房自检、临床乳房检查和乳房x光检查三种乳腺癌检测方式的关系。方法：采用描述性相关设计，从加利福尼亚州一个全国性黑人妇女政治组织的六个地区分会中选取282名（n = 282）自认为是女性的方便样本，完成人口统计数据问卷和Champion健康信念模型量表，评估健康信念与乳腺癌检测实践的假设关系。结果：在这个文化多样化的妇女群体中（49.8%的美国人，28.8%的非洲人，21.4%的西印度人），健康动机与疯牛病的实践和每年的医生就诊次数呈正相关。健康控制点与疯牛病实践呈正相关。如果有亲戚和朋友被诊断患有乳腺癌，那么接受乳房x光检查和每年去医生那里进行临床乳房检查的几率就会很大。结论：这些发现可用于针对这些不同女性的独特特征制定针对性的干预措施。
Background: African American women continue to have higher mortality rates of breast cancer when compared to other women, and evidence suggests that early detection of breast cancer can lead to favorable outcomes, yet there remains a paucity of literature about health beliefs and the utilization of three screening practices, namely breast self-examination, clinical breast examination and mammography in California, a state that currently has one of the highest breast cancer mortality rates among African American women.Purpose: To investigate the relationship between health beliefs and three breast cancer detection practices, e.g. breast self-examination, clinical breast examination, and mammography in a cohort of African American women.Methods: Using a descriptive correlational design, a convenience sample of two hundred and eighty-two (n = 282) self-identified women from six regional chapters of a national Black women's political organization in California, completed a Demographic Data Questionnaire and Champion's Health Belief Model Scale which assessed the hypothesized relationships of health beliefs and breast cancer detection practices.Results: Among this culturally diverse group of women (49.8% American, 28.8% African, 21.4% West Indian), health motivation was positively related to the practice of BSE and annual physician visitation for clinical breast examinations. Health locus of control was positively related to the practice of BSE. Having relatives and friends who were diagnosed with breast cancer was strongly associated with having a mammogram and annual physician visitation for clinical breast examinations.Conclusion: These findings may be used to target and develop interventions that are tailored to the unique characteristics of these diverse women.