247206 Attitudes, knowledge, and self-efficacy of mammography procedures among African American women: A qualitative analysis

Tuesday, November 1, 2011

Marla B. Hall, PhD(c) , Department of Health and Kinesiology; Division of Health Education, Texas A&M University, College Station, TX
Jeffrey Guidry, PhD , Department of Health and Kinesiology; Division of Health Education, Texas A&M University, College Station, TX
Overall use of mammography has increased over decades, yet minority women consistently have lower screening rates compared to their Caucasian peers. Female breast cancer is the most commonly diagnosed cancer in North Carolina. It also accounts for the second highest number of cancer-related deaths among women. Researchers utilized a qualitative approach conducted around breast health and mammogram usage at the interpersonal level and formulated by the Social Cognitive Theory (SCT). Thirteen African American women, residing in North Carolina shared their views generated in open ended questions, conveyed within data collection guides. Interveiws were used to develop an understanding of attitudes, knowledge and confidence of this group related to adhering to mammography guidelines. Data analysis revealed a consensus on the importance of early detection and high levels of confidence to adhere, as well as knowledge of the recommended intervals. Some interveiwees were more knowledgeable than others related to signs and symptoms, with family history and breast changes being the common themes. On average, participants had high levels of behavioral capability and self efficacy of breast health behaviors. This suggests that further research should seek to better understand the influence of Primary Care Physicians on the decision to obtain regular mammograms, in an effort to explain the health disparity.

Learning Areas:
Chronic disease management and prevention
Communication and informatics
Diversity and culture
Implementation of health education strategies, interventions and programs
Planning of health education strategies, interventions, and programs
Public health or related education

Learning Objectives:
1) Describe the racial morbidity and mortality trends of breast cancer and mammogram adherence among females in the United States. 2) Discuss the results of the qualitative research as it relates to capacity building and health services delivery for African American women to increase mammography utilization.

Keywords: Breast Cancer Screening, Minorities

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am qualified to present because I am a Doctoral Scholar in Health Education, and implemented various interventions and research endeavors within the minority health paradigm.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.