Factors Associated with Adherence to Preventive Breast Cancer Screenings among Middle-aged African American Women

Yuqi Guo, Tyrone Cheng, Hee Yun Lee

Research output: Contribution to journalArticle

Abstract

Medical and other health professionals recommend biyearly screening for breast cancer for women 40–74 years of age. However, the breast cancer screening rate of African American women aged 45 and up is lower than that of other ethnicities. The present study intended to identify factors impacting African American women’s participation in breast cancer screening. This study is a longitudinal secondary data analysis of 3,911 African American participants of the Study of Women’s Health Across the Nation. By using Systems Model of Clinical Preventive Care, multinomial logistic regression was applied to explore the likelihood of having breast cancer screenings (breast exam and/or mammogram) associating with predisposing factors, enabling factors, referencing factors, and situational factors. Participants with older age, with higher education, having a healthcare provider for female health, in far distance, and with a cancer(s) were significantly more likely to adhere to the recommendations of breast cancer screenings. However, participants who did not have time to visit doctors, did not trust the physicians, and who smoked regularly were significantly less likely to adhere to the recommendations of breast cancer screenings. Implications for policy and practice are discussed.

Original languageEnglish
Pages (from-to)646-656
Number of pages11
JournalSocial Work in Public Health
Volume34
Issue number7
DOIs
StatePublished - 3 Oct 2019

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Early Detection of Cancer
African Americans
cancer
Breast Neoplasms
Causality
Preventive Medicine
Health
secondary analysis
Women's Health
system model
American
health
Health Personnel
health professionals
data analysis
ethnicity
Logistic Models
logistics
physician
Physicians

Keywords

  • African American
  • Breast cancer screening
  • mammogram

Cite this

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abstract = "Medical and other health professionals recommend biyearly screening for breast cancer for women 40–74 years of age. However, the breast cancer screening rate of African American women aged 45 and up is lower than that of other ethnicities. The present study intended to identify factors impacting African American women’s participation in breast cancer screening. This study is a longitudinal secondary data analysis of 3,911 African American participants of the Study of Women’s Health Across the Nation. By using Systems Model of Clinical Preventive Care, multinomial logistic regression was applied to explore the likelihood of having breast cancer screenings (breast exam and/or mammogram) associating with predisposing factors, enabling factors, referencing factors, and situational factors. Participants with older age, with higher education, having a healthcare provider for female health, in far distance, and with a cancer(s) were significantly more likely to adhere to the recommendations of breast cancer screenings. However, participants who did not have time to visit doctors, did not trust the physicians, and who smoked regularly were significantly less likely to adhere to the recommendations of breast cancer screenings. Implications for policy and practice are discussed.",
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Factors Associated with Adherence to Preventive Breast Cancer Screenings among Middle-aged African American Women. / Guo, Yuqi; Cheng, Tyrone; Yun Lee, Hee.

In: Social Work in Public Health, Vol. 34, No. 7, 03.10.2019, p. 646-656.

Research output: Contribution to journalArticle

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