Social and Psychological Aspects of Breast Cancer in African‐American Women

Powell, Dionne R.

doi:10.1111/j.1749-6632.1994.tb12825.x

Cited by 22 publications

(11 citation statements)

References 28 publications

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“…As in the Andersen et al work (69), too little or too much fear was associated with poorer screening, whereas moderate levels of fear predicted the highest rates of screening. It has been suggested that this effect may result from fear motivating health behavior at moderate levels but potentially promoting avoidance or denial at high levels (69); denial has been linked to delays in responding to breast symptoms (61,66,67). However, the fact that the quadratic trends remained evident in both DRE and PSA screening frequency even when controlling for tendencies in monitoring/blunting, inhibition, and expressiveness suggests more work is needed to understand this effect.…”

Section: Subpopulation Differences In Prostate Cancer Screeningmentioning

confidence: 84%

“…In addition, however, the means by which people regulate anxiety or threat more generally are likely to have implications for their screening behavior. In breast screening research, a restrictive style of regulating emotion (denial) has been linked to delays in responding to symptoms (61,66,67), perhaps suggesting that avoidance of anxiety will negatively affect screening. However, a closely related style involving dissociation from felt anxiety (repression) has been linked to greater screening (48,68), creating the possibility that a degree of avoidance may promote screening when it brings anxiety within manageable limits.…”

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confidence: 99%

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Prostate Cancer Screening Behavior in Men from Seven Ethnic Groups: the Fear Factor

Consedine

Morgenstern²,

Kudadjie-Gyamfi

et al. 2006

Cancer Epidemiology, Biomarkers &Amp; Prevention

108

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Rates of prostate cancer screening are known to vary among the major ethnic groups. However, likely variations in screening behavior among ethnic subpopulations and the likely role of psychological characteristics remain understudied. We examined differences in prostate cancer screening among samples of 44 men from each of seven ethnic groups (N = 308; U.S.-born European Americans, U.S.-born African Americans, men from the English-speaking Caribbean, Haitians, Dominicans, Puerto Ricans, and Eastern Europeans) and the associations among trait fear, emotion regulatory characteristics, and screening. As expected, there were differences in the frequency of both digital rectal exam (DRE) and prostate-specific antigen (PSA) tests among the groups, even when demographic factors and access were controlled. Haitian men reported fewer DRE and PSA tests than either U.S.-born European American or Dominican men, and immigrant Eastern European men reported fewer tests than U.S.-born European Americans; consistent with prior research, U.S.-born African Americans differed from U.S.-born European Americans for DRE but not PSA frequency. Second, the addition of trait fear significantly improved model fit, as did the inclusion of a quadratic, inverted U, trait fear term, even where demographics, access, and ethnicity were controlled. Trait fear did not interact with ethnicity, suggesting its effect may operate equally across groups, and adding patterns of information processing and emotion regulation to the model did not improve model fit. Overall, our data suggest that fear is among the key psychological determinants of male screening behavior and would be usefully considered in models designed to increase male screening frequency. (Cancer Epidemiol Biomarkers Prev 2006;15(2):228 -37) Prostate cancer is the second leading cause of cancer death among American men (1); there are striking ethnic differences in both its incidence and mortality (2). Compared with both European American (172.9 of 100,000) and Hispanic men (127.6 of 100,000), African American men (275.3 of 100,000) have the highest incidence of prostate cancer in the United States (3) and more than twice the mortality rate of European Americans (2). Conversely, although the incidence rates between 1995 and 1999 were f20% lower among Hispanic men, prostate cancer remains the most commonly diagnosed cancer and the second leading cause of cancer death within this group (4).Scientists know almost nothing about prostate cancer in Caribbean subpopulations. Research has, however, indicated that Jamaican men (who are often classified as ''African American'') may have an incidence rate that exceeds that of U.S.-born African Americans. One study of 2,484 men in Trinidad and Tobago, a major source of English-speaking Caribbean immigrants to the United States, suggested that the rate of prostate cancer may be as high as 10% (5), with a high number of abnormal screening findings (6). Research in Kingston, Jamaica likewise suggests that the incidence may be as high as 304...

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Section: Subpopulation Differences In Prostate Cancer Screeningmentioning

confidence: 84%

mentioning

confidence: 99%

Prostate Cancer Screening Behavior in Men from Seven Ethnic Groups: the Fear Factor

Consedine

Morgenstern²,

Kudadjie-Gyamfi

et al. 2006

Cancer Epidemiology, Biomarkers &Amp; Prevention

108

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“…Studies with African American BCS report lack of trust in the medical system, doctor-patient [36,37], social and emotional support [38][39][40] concerns, high reliance on religious beliefs, and greater attribution of control to external factors (e.g., health care system, doctors) in describing their cancer experience [39,41]. They were less likely to report negative sexual effects than Whites [42], and more likely to report weight, psychosocial, physical functioning, medical care, marital functioning, stress, and socio-economic concerns [21].…”

Section: African Americansmentioning

confidence: 99%

Examining predictive models of HRQOL in a population-based, multiethnic sample of women with breast carcinoma

et al. 2007

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HRQOL among this multiethnic sample ranged from fair to good. Bivariate analysis suggests that ethnic differences in HRQOL exist. However, regression analyses demonstrated that socio-ecological factors in conjunction with medical characteristics are more salient to HRQOL outcomes, and that ethnic group membership may be a proxy for socio-ecological context. Furthermore, the influence of ethnicity, culture, and social-ecology are complex; research with large, population-based samples are necessary to disentangle the impact of contextual factors on HRQOL.

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“…The studies that have addressed the issue of breast cancer in AA women have focused primarily on early detection and epidemiological variables such a screening, mortality and staging at diagnosis [6][7][8][9]. The few studies from the 1990s that addressed psychosocial issues among breast cancer patients found that AA women experience a high degree of fatalism, lack of knowledge, lack of trust in the medical system and concerns about social and emotional support [10,11]. A study by Ashing-Giwa and Ganz [12] used three qualitative methods to obtain more information about the breast cancer experiences of AA women finding a lack of adequate social support and a need of AA women for advocacy and support during their breast cancer diagnosis and treatment.…”

Section: Introductionmentioning

confidence: 99%

The Unmet Needs of African American Women with Breast Cancer

Friederichs-Fitzwater

Denyse

2012

ABCR

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Breast cancer is the most common cancer in women and treatment includes various combinations of surgery, chemotherapy, and/or hormone therapy. The multimodal treatment of breast cancer improves survival outcomes, but it also contributes to a prolonged period of medical intervention with associated physical and emotional consequences. However, we know less about the specific clinical experiences of African American (AA) women during treatment for breast cancer and in survivorship. The studies that have addressed the issue of breast cancer in AA women have focused primarily on early detection and epidemiological variables such a screening, mortality and staging at diagnosis. In our study, in-depth semi-structured phone interviews were conducted to explore the clinical experiences, concerns and needs of AA women who had survived breast cancer. The AA women reported that their physicians did not provide adequate disease and treatment information; did not discuss clinical trials with them; and did not offer access to support services.

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Social and Psychological Aspects of Breast Cancer in African‐American Women

Cited by 22 publications

References 28 publications

Prostate Cancer Screening Behavior in Men from Seven Ethnic Groups: the Fear Factor

Prostate Cancer Screening Behavior in Men from Seven Ethnic Groups: the Fear Factor

Examining predictive models of HRQOL in a population-based, multiethnic sample of women with breast carcinoma

The Unmet Needs of African American Women with Breast Cancer

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