A Culturally Targeted Intervention to Promote Breast Cancer Screening among Low-Income Women in East Baltimore, Maryland

2005 ◽  
Vol 12 (4_suppl) ◽  
pp. 34-41 ◽  
Author(s):  
Mary A. Garza ◽  
Jingyu Luan ◽  
Marcela Blinka ◽  
Reverend Iris Farabee-Lewis ◽  
Charlotte E. Neuhaus ◽  
...  

In Maryland, outreach initiatives have been unsuccessful in engaging low-income African American women in mammography screening. This study aimed to identify factors influencing screening rates for low-income African American women. Based on the Health Belief Model, a modified time series design was used to implement a culturally targeted intervention to promote a no-cost mammography-screening program. Data were collected from women 40 years of age and older on their history of mammography use and their knowledge and beliefs about breast cancer. A 50% screening rate was achieved among 119 eligible participants. Significant predictors of screening behaviors were perceived barriers, lack of insurance, and limited knowledge. This culturally targeted intervention resulted in an unprecedented screening rate among low-income African American women in Baltimore, Maryland.

2003 ◽  
Vol 12 (8) ◽  
pp. 779-787 ◽  
Author(s):  
Delia Smith West ◽  
Paul G. Greene ◽  
Polly P. Kratt ◽  
Leavonne Pulley ◽  
Heidi L. Weiss ◽  
...  

2006 ◽  
Vol 30 (6) ◽  
pp. 535-544 ◽  
Author(s):  
Victoria L. Champion ◽  
Jeffrey K. Springston ◽  
Terry W. Zollinger ◽  
Robert M. Saywell ◽  
Patrick O. Monahan ◽  
...  

2009 ◽  
Vol 7 (2) ◽  
pp. 143-152 ◽  
Author(s):  
Margaret Quinn Rosenzweig ◽  
Theresa Wiehagen ◽  
Adam Brufsky ◽  
Robert Arnold

ABSTRACTObjective:Disparities in breast cancer survival and treatment for African American and low income women are well documented, yet poorly understood. As care for women with metastatic breast cancer (MBC) evolves to a chronic care model, any inequities in optimal treatment and management of symptoms must also be identified and eliminated. The purpose of this study was to explore how race and income status influence women's experiences with MBC, particularly the management of symptoms, by describing the perceived challenges and barriers to achieving optimal symptom management among women with MBC and exploring whether the perceived challenges and barriers differed according to race or income.Method:Quantitative techniques were used to assess demographics, clinical characteristics, symptom distress, and quality of life and to classify women into groups according to race and income. Qualitative techniques were used to explore the perceived challenges, barriers, and potential influences of race and income on management of symptoms in a prospective sample of 48 women with MBC.Results:Commonalities of themes across all groups were faith, hope, and progressive loss. Low-income African American women uniquely experienced greater physical and social distress and more uncertainty about treatment and treatment goals than the other delineated racial and economic groups.Significance of results:There are many commonalities to the challenges of illness presented to women with MBC. There are also interesting, emerging thematic racial and economic differences, most compelling among the low income African American women with resultant practice and research implications.


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