Oncology nursing forum · 2002
Screening behaviors among African American women at high risk for breast cancer: do beliefs about god matter?
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Kinney Anita Yeomans, Emery Gwyn, Dudley William N, Croyle Robert T
Аннотация
PURPOSE/OBJECTIVES: To examine the relationship between beliefs about God as a controlling force in health and adherence to breast cancer screening among high-risk African American women.
DESIGN: Cross-sectional cohort.
SETTING: In-person interviews in rural, southeastern Louisiana and telephone interviews conducted at the University of Utah.
SAMPLE: 52 females who were members of a large kindred with a BRCA1 mutation; no subjects had breast cancer.
METHODS: Survey through in-person or telephone interviews.
MAIN RESEARCH VARIABLES: Belief in God as a controlling agent over health measured by the God Locus of Health Control (GLHC) scale; screening behaviors measured by self-report. Adherence was based on consensus-approved recommendations for BRCA1 carriers or women at risk of being carriers.
FINDINGS: Bivariate analysis indicated that presence of a primary care provider and low GLHC scores were associated with seeking clinical breast examination (CBE) and mammography. With the variable "presence of a primary care provider" excluded, GLHC scores were inversely associated with seeking CBE and mammography.
CONCLUSIONS: African American women at increased risk for breast cancer and with high GLHC scores may have a decreased inclination to adhere to CBE and mammography recommendations.
IMPLICATIONS FOR NURSING: Assessing religious and spiritual beliefs and incorporating belief systems into education and counseling sessions may improve understanding and acceptance of presented material.
DESIGN: Cross-sectional cohort.
SETTING: In-person interviews in rural, southeastern Louisiana and telephone interviews conducted at the University of Utah.
SAMPLE: 52 females who were members of a large kindred with a BRCA1 mutation; no subjects had breast cancer.
METHODS: Survey through in-person or telephone interviews.
MAIN RESEARCH VARIABLES: Belief in God as a controlling agent over health measured by the God Locus of Health Control (GLHC) scale; screening behaviors measured by self-report. Adherence was based on consensus-approved recommendations for BRCA1 carriers or women at risk of being carriers.
FINDINGS: Bivariate analysis indicated that presence of a primary care provider and low GLHC scores were associated with seeking clinical breast examination (CBE) and mammography. With the variable "presence of a primary care provider" excluded, GLHC scores were inversely associated with seeking CBE and mammography.
CONCLUSIONS: African American women at increased risk for breast cancer and with high GLHC scores may have a decreased inclination to adhere to CBE and mammography recommendations.
IMPLICATIONS FOR NURSING: Assessing religious and spiritual beliefs and incorporating belief systems into education and counseling sessions may improve understanding and acceptance of presented material.