scholarly journals The Role of Spiritual Health Locus of Control in Breast Cancer Information Processing between African American and Caucasian Women

2006 ◽  
Vol 1 ◽  
pp. 117863370600100
Author(s):  
Glenn Leshner ◽  
I-Huei Cheng ◽  
Hyun Joo Song ◽  
Yoonhyueng Choi ◽  
Cynthia Frisby

Spirituality seems to be an important cultural factor for African American women when thinking about their health. It is, however, not clear how spiritual health locus of control (SLOC) impacts health-related outcomes in the context of health message processing models, such as the Extended Parallel Process and the Risk Perception Attitude framework. Using a survey of African American and Caucasian women in the context of breast cancer, the role of SLOC and its interactions with perceived efficacy and risk was examined on four health outcomes–-message acceptance, talking about breast cancer, information seeking, and behavioral intentions. For African American women, SLOC had a positive impact for talking about breast cancer through an interaction with risk and efficacy such that women high in both SLOC and perceived efficacy, but low in perceived risk were more likely to talk about breast cancer than when efficacy was low. However, high SLOC exacerbated the negative effects of efficacy on talking about breast cancer regardless of the risk level for Caucasian women. SLOC also had a positive influence on attending to breast cancer information in the media for African American women. SLOC played no role in attending to breast cancer information for Caucasian women. Interestingly, SLOC played no role for African American women on behavioral intentions, however, it worked to decrease behavioral intentions for Caucasian women when risk was high.

2017 ◽  
Author(s):  
Aline S. Fonseca ◽  
Selene Elifio-Esposito ◽  
Marilesia F. Souza ◽  
Akanksha Mahajan ◽  
Yara R. Zabala ◽  
...  

2017 ◽  
Vol 35 (15_suppl) ◽  
pp. e18074-e18074
Author(s):  
Daniel Fellows Pease ◽  
David T. Gilbertson ◽  
Andres Wiernik

e18074 Background: Approximately 12% of breast cancer cases occur in women younger than 50 years, per SEER data from 2012. Hispanic women are known to present at a younger age and African American women with more advanced stage disease. In this study, we describe the impact of age and race on the initial presentation of breast cancer among minority women treated at the Hennepin Healthcare System (HHS) in the state of Minnesota. Methods: A single-institution retrospective analysis of data from our electronic health record of all breast cancer diagnoses from 2010-2015. Cases were compared by age ( < 50 or > 50 years), race (Caucasian, African American, Hispanic, other), stage (AJCC 7th edition), and method of diagnosis (self-reported mass or screening mammography). Results: A total of 315 breast cancer diagnoses occurred at HHS from 2010-2015. In our cohort, 29% of all breast cancer cases were diagnosed in women < 50yrs. Hispanic and African American women had higher rates of diagnosis at < 50yrs compared to Caucasian women (38.9% vs 37.1% vs 18.1 respectively, p < 0.05). Early stage cancer (stage 0 or I) accounted for most diagnoses in those > 50yrs (54.8%), while advanced stage (stage II-IV) was more prevalent in the < 50yrs age group (59.5%) (p < 0.05). Of all women diagnosed with breast cancer, 63% presented with a self-reported mass and 37% were diagnosed by screening mammography. Hispanics and African American women had a higher rate of presentation with a self-reported mass (74% and 66% respectively) compared to Caucasian women (55%). Women with breast cancer < 50yrs were more likely to present with a self-reported mass than women > 50yrs (80% vs 55%, p < 0.05). 92% of Hispanic and 80% of African American women < 50yrs presented with a self-reported mass, compared to 62% of Caucasian women (p = 0.095). Conclusions: At our institution, Hispanic and African American women are diagnosed at a significantly younger age than Caucasian women, and those diagnosed at a younger age have more advanced disease. Presenting with a self-reported mass is very common for young non-Caucasian women. Whether screening mammography can be better utilized to change these trends requires further study.


2011 ◽  
Vol 29 (27_suppl) ◽  
pp. 189-189
Author(s):  
M. Omaira ◽  
M. Mozayen ◽  
R. Mushtaq ◽  
K. Katato

189 Background: Despite the major advances in early detection and treatment of breast cancer (BC), African American women, continued to have a higher mortality rates than Caucasians. Many studies have failed to identify a key factor to explain racial disparities in breast cancer outcome. These disparities persist even after controlling for insurance and socioeconomic settings. Data about delays in treatment initiation are limited and inconclusive. We intend to compare the time from diagnosis to the initiation of treatment between African American and Caucasian women diagnosed with BC in a single community-based cancer registry. Methods: Women aged 18 to 64 years with breast cancer were identified, between 1993 and 2009, using data from the Tumor Registry at Hurley Medical Center in Flint, Michigan. Patient’s characteristics obtained include age at diagnosis, race, stage, date of diagnosis, and date of treatment initiation. All patients were previously insured or became insured after diagnosis. Time from diagnosis to the initiation of treatment was calculated in days and compared between African American and Caucasian women using t-test. Results: A total of 1016 patients have been identified with diagnosis of BC. 23 patients were excluded due to missing data. 993 patients were analyzed. African Americans were 355 (36%), Caucasians 617 (62%), and other ethnicities 21 (2%). Mean age at diagnosis was (48.9) for African Americans versus (51.45) for Caucasians (p = 0.005). African American women were more likely to present with advanced stage (III, IV) than Caucasians (18% versus 12%, p = 0.009). African American women had significant delay in the treatment initiation of BC compared to Caucasians (31.11 versus 21.52 days, p < 0.0001). Conclusions: African American women were diagnosed with breast cancer at younger age and more advanced disease than Caucasians. African American women experienced significant delay in the initiation of therapy after diagnosis compared to Caucasians. However, the impact of an average delay of 10 days in treatment on overall survival is unknown. The exact explanation of this disparity is yet to be determined.


2003 ◽  
Vol 22 (3) ◽  
pp. 294-299 ◽  
Author(s):  
Cheryl L. Holt ◽  
Eddie M. Clark ◽  
Matthew W. Kreuter ◽  
Doris M. Rubio

Author(s):  
Christine B. Ambrosone ◽  
Gary Zirpoli ◽  
Chi-Chen Hong ◽  
Song Yao ◽  
Melissa A. Troester ◽  
...  

2012 ◽  
Vol 105 (6) ◽  
pp. 294-299
Author(s):  
Charkarra Anderson-Lewis ◽  
Levi Ross ◽  
Jarrett Johnson ◽  
Janice L. Hastrup ◽  
B. Lee Green ◽  
...  

2002 ◽  
Author(s):  
Christina M. Mentes ◽  
Janice S. Emerson ◽  
Baqar A. Husaini ◽  
Van A. Cain ◽  
Clinton E. Craun ◽  
...  

2011 ◽  
Vol 15 (4) ◽  
pp. 738-748 ◽  
Author(s):  
Urmila Chandran ◽  
Kim M Hirshfield ◽  
Elisa V Bandera

AbstractObjectiveWhile the role of nutrition, physical activity and body size on breast cancer risk has been extensively investigated, most of these studies were conducted in Caucasian populations. However, there are well-known differences in tumour biology and the prevalence of these factors between African-American and Caucasian women. The objective of the present paper was to conduct a review of the role of dietary factors, anthropometry and physical activity on breast cancer risk in African-American women.DesignTwenty-six research articles that presented risk estimates on these factors in African-American women and five articles involving non-US black women were included in the current review.SettingRacial disparities in the impact of anthropometric and nutritional factors on breast cancer risk.SubjectsAfrican-American and non-US black women.ResultsBased on the few studies that presented findings in African-American women, an inverse association with physical activity was found for pre- and postmenopausal African-American women, while the association for anthropometric and other dietary factors, such as alcohol, was unclear. Studies assessing the effect by molecular subtypes in African-American women were too few and based on sample sizes too small to provide definitive conclusions.ConclusionsThe effect of certain nutrition and lifestyle factors on breast cancer in African-American women is not starkly distinct from those observed in white women. However, there is an enormous need for further research on this minority group to obtain more confirmatory findings.


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