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Predicting Adherence to Mammography Screening Practices Among African American Women
| Content Provider | Semantic Scholar |
|---|---|
| Author | Couts, Teresa L. |
| Copyright Year | 2014 |
| Abstract | Predicting Adherence to Mammography Screening Practices Among African-American Women by Teresa L. Couts MS, Indiana University-Purdue University Indianapolis, 2009 BA, Indiana University Southeast, 2005 Doctoral Study Submitted in Partial Fulfillment of the Requirements for the Degree of Doctor of Education Walden University August 2014 Abstract African-American women are disproportionately dying from breast cancer at a higher rate than other ethnic groups. The study site was a diverse metropolitan city challenged with major health issues. The purpose of this study was to determine what constructs of the health belief model adapted by Champion predict that African-American women age 40 and over will obtain mammograms. The research design was a nonexperimental quantitative survey design using a convenience sample of 344 African-American women living in Louisville, Kentucky. Excluded from the study were women with a previous diagnosis of breast cancer. The variables from the health belief model survey were analyzed using descriptive statistics and logistic regression. The data indicated that perceived benefits, perceived barriers, and self-efficacy were significant (p < .05) predictors of women obtaining mammograms. The project developed from these results was a policy recommendation for the advancement of Digital Breast Tomosynthesis. With the continued increase of breast cancer rates in African-American women in Louisville, Kentucky, recommendations for future research should include ways to eliminate barriers to early diagnosis. The information gained about African-American women’s perceptions and belief about mammography has implications for positive social change within this ethnic group. Perceiving early breast screening as a benefit could narrow the gap of delayed diagnosis and impact mortality rates helping African-African-American women are disproportionately dying from breast cancer at a higher rate than other ethnic groups. The study site was a diverse metropolitan city challenged with major health issues. The purpose of this study was to determine what constructs of the health belief model adapted by Champion predict that African-American women age 40 and over will obtain mammograms. The research design was a nonexperimental quantitative survey design using a convenience sample of 344 African-American women living in Louisville, Kentucky. Excluded from the study were women with a previous diagnosis of breast cancer. The variables from the health belief model survey were analyzed using descriptive statistics and logistic regression. The data indicated that perceived benefits, perceived barriers, and self-efficacy were significant (p < .05) predictors of women obtaining mammograms. The project developed from these results was a policy recommendation for the advancement of Digital Breast Tomosynthesis. With the continued increase of breast cancer rates in African-American women in Louisville, Kentucky, recommendations for future research should include ways to eliminate barriers to early diagnosis. The information gained about African-American women’s perceptions and belief about mammography has implications for positive social change within this ethnic group. Perceiving early breast screening as a benefit could narrow the gap of delayed diagnosis and impact mortality rates helping AfricanAmerican women to live longer. Predicting Adherence to Mammography Screening Practices Among African-American Women by Teresa L. Couts MS, Indiana University-Purdue University Indianapolis, 2009 BA, Indiana University Southeast, 2005 Doctoral Study Submitted in Partial Fulfillment of the Requirements for the Degree of Doctor of Education Walden University August 2014 Dedication I dedicate this work to my family and friends. A special thanks to my ex-husband who supported me unwaveringly in the early days of my educational journey. My children, Justin and Marisha, cheered for me to be all that I can be. When I needed a break, my grandchildren were always there to entertain me. I dedicate this work to my mentor, Dr. Sharon Moore, and thank her for her guidance and encouragement. To my best friends, Kimula Jackson and Gina McDaniel, I am grateful for your prayers, support, and listening to me talk about my dissertation. I also dedicate this study in remembrance of my son, Terry, who went home to be with the Lord on July 6, 2009, 2 months after I graduated with my Master’s Degree. He was the official photographer at my graduation ceremony, and he’ll be remembered fondly by the entire family for the blurry pictures. We treasure them! Acknowledgments I thank my committee members for sharing their expertise and time. Special thank you to my committee chair Dr. Marianne Borja for her countless hours of reading, reflecting, conversations, and encouragement throughout the dissertation process. Also, thank you to Dr. Kathleen McKee, who realized the scope of my original dissertation topic was too broad and advised me to narrow my focus. Your excellent advice saved me valuable time and brought my focus to a life-changing preventive service. I say thank you to all the professors at Walden University who gave me advice, guidance, and support during my doctoral journey. I appreciate the word of Dr. Hollywood. “Onward” was such an encouragement for the 2 semesters I was in her class. I say thank you to Christina Pinkston, the biostatistician from the University of Louisville, for her guidance during the analysis of my data. |
| File Format | PDF HTM / HTML |
| Alternate Webpage(s) | https://www.khcollaborative.org/wp-content/uploads/2018/04/Predicting-Adherence-to-Mammography-Screening-Practices-among-African-American-Women.pdf |
| Language | English |
| Access Restriction | Open |
| Content Type | Text |
| Resource Type | Article |
