Increasing Mammography Practice by African American Women

Erwin, Deborah O.; Spatz, Thea; Stotts, R. Craig; Hollenberg, Jan

doi:10.1046/j.1523-5394.1999.07204.x

Cited by 140 publications

(95 citation statements)

References 30 publications

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“…46 Previous studies examining intervention efficacy, primarily among minority populations in urban settings but also (in one study) among rural African American women, have shown increased rates of mammography use. [25][26][27][28][29][30][31][32]47,48 Although the term efficacy is used in various ways, 38,49 community-based efficacy trials generally measure behavior change among individuals recruited to the study and exposed to the intervention. Community-based effectiveness trials, in contrast, measure behavior change in the community, regardless of exposure to the intervention.…”

Section: Discussionmentioning

confidence: 99%

Increasing Use of Mammography Among Older, Rural African American Women: Results From a Community Trial

Earp

Eng²,

O’Malley³

et al. 2002

Am J Public Health

192

172

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Objectives. A community trial was undertaken to evaluate the effectiveness of the North Carolina Breast Cancer Screening Program, a lay health advisor network intervention intended to increase screening among rural African American women 50 years and older.Methods. A stratified random sample of 801 African American women completed baseline (1993-1994) and follow-up (1996-1997) surveys.The primary outcome was self-reported mammography use in the previous 2 years.Results. The intervention was associated with an overall 6 percentage point increase (95% confidence interval [CI] = −1, 14) in communitywide mammography use. Low-income women in intervention counties showed an 11 percentage point increase (95% CI = 2, 21) in use above that exhibited by lowincome women in comparison counties. Adjustment for potentially confounding characteristics did not change the results.Conclusions. A lay health advisor intervention appears to be an effective public health approach to increasing use of screening mammography among low-income, rural populations.

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Section: Discussionmentioning

confidence: 99%

Increasing Use of Mammography Among Older, Rural African American Women: Results From a Community Trial

Earp

Eng²,

O’Malley³

et al. 2002

Am J Public Health

192

172

View full text Add to dashboard Cite

show abstract

“…Demonstrating both triangulation and the translation of theory into practice is one of the most widely replicated mammography interventions, the Witness Project ® (91), which was based on a combination of the HBM, SLT, TTM, and locus of control targeting African American women in the South (36,38). In addition to principles and constructs from these theories, Erwin (an anthropologist) and colleagues conducted key informant interviews, participant observations, and focus groups (37) to develop this church-based intervention in which "witness role models" (breast and cervical cancer survivors) presented their personal experiences in a spiritual context emphasizing early detection.…”

Section: Triangulation Exemplarsmentioning

confidence: 99%

A Critical Review of Theory in Breast Cancer Screening Promotion across Cultures

Pasick

Burke

2008

Annu. Rev. Public Health

112

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This article reviews the contribution and potential of widely used health behavior theories in research designed to understand and redress the disproportionate burden of breast cancer borne by diverse race/ethnic, immigrant, and low-income groups associated with unequal use of mammography. We review the strengths and limitations of widely used theories and the extent to which theory contributes to the understanding of screening disparities and informs effective intervention. The dominant focus of most theories on individual cognition is critically assessed as the abstraction of behavior from its social context. Proposed alternatives emphasize multilevel ecological approaches and the use of anthropologic theory and methods for more culturally grounded understandings of screening behavior. Common and alternative treatments of fatalism exemplify this approach, and descriptive and intervention research exemplars further highlight the integration of screening behavior and sociocultural context.

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“…In a Witness Project pilot study, self-reported BSE and mammography rates increased significantly from baseline to 6-month follow-up among women who had attended a Witness session (Erwin, Spatz, Stotts, & Hollenberg, 1999). In a recent qualitative evaluation of the Witness Project, the sessions were reported to be well-received by attendees largely because the Witness role models were seen as coming from their own social and cultural network, and were trusted (Bailey, Erwin, & Belin, 2000).…”

Section: Church-based Health Education Programsmentioning

confidence: 99%

A Spiritually Based Approach to Breast Cancer Awareness: Cognitive Response Analysis of Communication Effectiveness

Holt

Lee

Wright

2008

Health Communication

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The purpose of this study was to compare the communication effectiveness of a spiritually-based approach to breast cancer early detection education with a secular approach, among African American women, by conducting a cognitive response analysis. A total of 108 women from six Alabama churches were randomly assigned by church to receive a spiritually-based or secular educational booklet discussing breast cancer early detection. Based on the Elaboration Likelihood Model , after reading the booklets participants were asked to complete a thought-listing task writing down any thoughts they experienced and rating them as positive, negative, or neutral. Two independent coders then used five dimensions to code participants thoughts. Compared with the secular booklet, the spiritually-based booklet resulted in significantly more thoughts involving personal connection, self-assessment, and spiritually-based responses. These results suggest that a spiritually-based approach to breast cancer awareness may be more effective than the secular because it caused women to more actively process the message, stimulating central route processing. The incorporation of spiritually-based content into churchbased breast cancer education could be a promising health communication approach for African American women.The American Cancer Society (2005 a ) estimates that there will be 1,372,910 new cancer cases in the United States in 2005 and 570,280 cancer deaths, or about 1,500 per day. Breast cancer is the most common type of cancer among all women in the United States (SEER, 2005). Among the many cancer disparities that impact the African American community, breast cancer is the number one cancer killer among African American women (ACS 2005 b ). Although breast cancer is more common in European American women over age 40 years, African American women with breast cancer are more likely to die from the disease (ACS 2005 b ).Address all correspondence and requests for reprints to: Dr. Holt, University of Alabama at Birmingham, School of Medicine, Division of Preventive Medicine, 1717 11 th Avenue South, Medical Towers Suite 641, Birmingham, 934-2816. Fax: (205) . " cholt@uab.edu". HHS Public AccessAuthor manuscript Health Commun. Author manuscript; available in PMC 2017 August 28. Importance of early detectionTreatment is available for breast cancer; however, successful treatment depends heavily upon early diagnosis. Regular mammography screenings play a vital role in early detection and treatment of breast cancer. Unfortunately, African American women with low access to health information through the mass media have lower likelihood of getting a mammogram than other women (Danigelis, Worden, Flynn, Skelly, & Vacek, 2005). In a sample of African American, Latina, and European American women, perceived access to healthcare services was predicted by perception of prejudicial treatment in health service delivery, language spoken, and financial capability (Facione, 1999). In addition, low perceived access predicted low rates of ...

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Increasing Mammography Practice by African American Women

Cited by 140 publications

References 30 publications

Increasing Use of Mammography Among Older, Rural African American Women: Results From a Community Trial

Increasing Use of Mammography Among Older, Rural African American Women: Results From a Community Trial

A Critical Review of Theory in Breast Cancer Screening Promotion across Cultures

A Spiritually Based Approach to Breast Cancer Awareness: Cognitive Response Analysis of Communication Effectiveness

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