Fatalism among elderly African Americans: Effects on colorectal cancer screening

Powe, Barbara D.

doi:10.1097/00002820-199510000-00008

Cited by 288 publications

(248 citation statements)

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“…Fatalistic beliefs have been clearly identified in the cancer screening literature as reasons why African Americans do not pursue cancer screening. 36,37 Study participants also mentioned that CRC is not discussed among family and friends, suggesting that little or no social support is offered for CRC screening. Efforts are needed to make CRC screening normative to help facilitate open discussions about screening.…”

Section: Discussionmentioning

confidence: 99%

Colorectal Cancer Screening and African Americans: Findings from a Qualitative Study

2008

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Section: Discussionmentioning

confidence: 99%

Colorectal Cancer Screening and African Americans: Findings from a Qualitative Study

2008

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“…Fatalistic beliefs about cancer were measured with the Powe Fatalism Inventory, a 15-item validated instrument that measures fear, predetermination, pessimism and inevitability of death (Cronbach's alpha 5 0.84) [65]. Possible answers for each item were 'Yes' or 'No'.…”

Section: Cancer-specific Fatalismmentioning

confidence: 99%

Social‐cognitive aspects of underserved Latinas preparing to undergo genetic cancer risk assessment for hereditary breast and ovarian cancer

et al. 2008

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Objectives: As Latinos are a growing ethnic group in the United States, it is important to understand the socio-cultural factors that may be associated with cancer screening and prevention in this population. The socio-cultural factors that may affect preparedness to undergo genetic cancer risk assessment (GCRA) deserve particular attention. The pre-GCRA period can provide insight into variables that may influence how medically underserved Latinas, with limited health resources and access, understand hereditary cancer information and subsequently implement cancer risk management recommendations. This study explores social, cognitive and cultural variables in Latinas prior to undergoing GCRA.Methods: The study sample consisted of low-income, underserved Latinas referred for GCRA because of a personal and/or family history of breast or ovarian cancer. Acculturation, cancer-specific fatalism, self-efficacy and social support were assessed prior to GCRA.Results: Fifty Latinas (mean age 5 40.177.7) completed instruments; 86% had invasive cancer, 78% spoke primarily Spanish and 61% were of Mexican ancestry. Low levels of acculturation (n 5 50, mean 5 9.075.8) and cancer-specific fatalism (n 5 43, mean 5 5.673.2), but relatively high self-efficacy (n 5 49, mean 5 40.977.8) and social support (n 5 49, mean 5 37.378.7) were reported. Cancer-specific fatalism and self-efficacy were inversely correlated (r 5 À0.47, p 5 0.002). Those over age 38 at the time of cancer diagnosis reported higher acculturation (mean 5 11.477.2, p 5 0.02) and social support (mean 5 40.571.2, p 5 0.05).Conclusions: These findings suggest that medically underserved Latinas may already possess some of the necessary skills to successfully approach the GCRA process, but that special attention should be given to cultural factors.

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“…Fatalism The Powe fatalism inventory 18 was used to assess fatalism about cancer. This 15-item scale consisted of dichotomous items that assess characteristics of cancer fatalism including: fear, pessimism, inevitability of death, and predetermination (a=0.85).…”

Section: Medical Historymentioning

confidence: 99%

Colorectal Cancer Screening among Low-Income African Americans in East Harlem: A Theoretical Approach to Understanding Barriers and Promoters to Screening

Lawsin

DuHamel²,

Weiss³

et al. 2006

J Urban Health

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African Americans (AAs) have the highest incidence rates of colorectal cancer (CRC) among all races in the US. These disparities may be attributed to lower participation in CRC prevention and control activities [e.g., flexible sigmoidoscopy (FS), fecal occult blood testing (FOBT)]. This is a current issue in East Harlem where less than half the residents in this area participate in CRC screening and mortality rates due to CRC are higher than the national average. We examined correlates of FS and FOBT screening among AAs based on the transtheoretical model (TTM) of behavior change. One hundred and eleven AA men and women, 50 years and older (51-92), low-income, and at average risk for CRC were recruited at an ambulatory care center in East Harlem. Assessments focused on sociodemographic, medical, psychosocial and TTM variables. The first logistic regression model showed that higher levels of education (pG0.05), greater knowledge of FS (pG0.05), and greater endorsements of Thinking Beyond Oneself (pG0.05) were associated with adherence to FS screening guidelines. The second model showed that only greater knowledge of FOBT (pG0.05) and receiving a physician_s recommendation (pG0.01) were significant correlates of adherence to FOBT screening guidelines. This study supported the application of components of the TTM for FS and FOBT screening among low-income AAs receiving care in an urban medical center and illustrated the need for interventions targeting both patients and their providers.

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Fatalism among elderly African Americans: Effects on colorectal cancer screening

Cited by 288 publications

References 0 publications

Colorectal Cancer Screening and African Americans: Findings from a Qualitative Study

Colorectal Cancer Screening and African Americans: Findings from a Qualitative Study

Social‐cognitive aspects of underserved Latinas preparing to undergo genetic cancer risk assessment for hereditary breast and ovarian cancer

Colorectal Cancer Screening among Low-Income African Americans in East Harlem: A Theoretical Approach to Understanding Barriers and Promoters to Screening

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