Knowledge, Cancer Fatalism and Spirituality as Predictors of Breast Cancer Screening Practices for A - PowerPoint PPT Presentation

Loading...

PPT – Knowledge, Cancer Fatalism and Spirituality as Predictors of Breast Cancer Screening Practices for A PowerPoint presentation | free to view - id: 51527-ZDc1Z



Loading


The Adobe Flash plugin is needed to view this content

Get the plugin now

View by Category
About This Presentation
Title:

Knowledge, Cancer Fatalism and Spirituality as Predictors of Breast Cancer Screening Practices for A

Description:

Knowledge, Cancer Fatalism and Spirituality as Predictors of ... Breast Cancer Incidence. Age-Adjusted (per 100,000) (National Center for Health Statistics, 2006) ... – PowerPoint PPT presentation

Number of Views:98
Avg rating:3.0/5.0
Slides: 30
Provided by: jeffreyd9
Category:

less

Write a Comment
User Comments (0)
Transcript and Presenter's Notes

Title: Knowledge, Cancer Fatalism and Spirituality as Predictors of Breast Cancer Screening Practices for A


1
Knowledge, Cancer Fatalism and Spirituality as
Predictors ofBreast Cancer Screening Practices
forAfrican American and Caucasian Women
  • Staci T. Anderson, PhD, RN
  • April 11, 2008

2
Background
  • Breast cancer is the 2nd most frequently
    diagnosed cancer in women.
  • In 2007, an estimated 178,480 new cases of breast
    cancer will be diagnosed
  • African American (AA) women die from breast
    cancer more than any other racial group
  • Use of breast cancer screening practices
    influences mortality and survival rates

3
Breast Cancer IncidenceAge-Adjusted (per 100,000)
(National Center for Health Statistics, 2006)
4
Survival Rates
5-Year Relative Survival Rates
  • (National Center for Health Statistics, 2006)

Percentage of Women
5
Trends in Mortality Rates
Age-Adjusted Rates
Per 100,000
(National Center for Health Statistics, 2006)
6
Louisiana Trends
(per 100,000)
Per 100,000
(NCI SEER State Cancer Profile, 2006)
7
Mammography Screening Trends
  • (Centers for Disease Control and Prevention, 2005)

8
Breast Cancer Screening
  • Barriers
  • Structural Barriers
  • Organizational
  • Psychological
  • Facilitators
  • Health Insurance
  • Source of Health Care
  • Physician Recommendation

9
Problem Statement
  • Despite improvements in mammography screening
    rates, differences in breast cancer mortality and
    survival rates persist between AA and Caucasian
    women. Differences in utilization of breast
    cancer screening practices has been identified as
    a contributing factor to this phenomenon. Various
    complex and interrelated factors influence
    participation in breast cancer screening
    practices.

10
Purpose
  • To explore relationships between knowledge
    related to breast cancer screening and detection,
    cancer fatalism, spirituality and breast cancer
    screening practices in African American and
    Caucasian women.
  • To determine the ability of these variables to
    predict breast cancer screening practices in
    African American and Caucasian women.

11
Significance
  • Findings could be used to develop more culturally
    specific educational interventions.
  • Health care providers need to be aware of an
    individuals knowledge, perceptions, beliefs, and
    attitudes about breast cancer.

12
Study Variables
  • Breast Cancer Knowledge
  • Cognitive information about breast cancer and
    breast cancer detection and screening practices
  • Breast Cancer Screening Practices
  • Methods used to detect breast cancer in persons
    who are asymptomatic.
  • BSE
  • CBE
  • Mammogram

13
Research Hypotheses
  • H1 There is a positive relationship between
    breast cancer knowledge and breast cancer
    screening practices in AA women.
  • H2 There is a positive relationship between
    breast cancer knowledge and breast cancer
    screening practices in Caucasian women.

14
Research Hypotheses
  • H3 Breast cancer knowledge is a predictor of
    breast cancer screening practices in AA women.
  • H4 Breast cancer knowledge is a predictor of
    breast cancer screening practices in Caucasian
    women.

15
Methodology
  • Study Design
  • Multicorrelational cross-sectional research
    design
  • Sampling
  • Non-probability convenience sample
  • Inclusion/exclusion criteria
  • Instruments

16
Measurements
  • Breast Cancer Knowledge Test (BCK) (McCance et
    al., 1990)
  • Measures knowledge of detection and screening
    practices
  • Higher scores associated with greater knowledge
  • Demographic Questionnaire

17
Demographic Characteristics
  • Race 53.7 AA 46.3 Caucasian
  • Age 44.7 12.8
  • Marital Status 48.8 Married
  • 63.6 Annual Income 50,000
  • Education
  • 37.7 College Graduate
  • 18.5 Completed Graduate School

18
Demographic Characteristics
  • Health Resource Variables
  • Health Insurance Coverage - 94.4
  • Usual Source of Care 90.1
  • Health History
  • Family history of BC diagnosis (n 58)
  • 43.1 Participates in BCSP
  • Family history of BC death (n 28)
  • 46.4 Participates in BCSP

19
Breast Cancer Screening Practices
20
Breast Cancer Knowledge
21
H1 There is a positive relationship between
breast cancer knowledge and breast cancer
screening practices in AA women.
X2 1.816 df 1 p .178
22
H2 There is a positive relationship between
breast cancer knowledge and breast cancer
screening practices in Caucasian women.
X2 .065 df 1 p .799
23
H3 Breast cancer knowledge is a predictor of
breast cancer screening practices in AA women.
Total variance explained 6.0 variance
unexplained 94.0.
24
H4 Breast cancer knowledge is a predictor of
breast cancer screening practices in Caucasian
women.
Total variance explained 0.0 variance
unexplained 100.0.
25
Discussion/Conclusions
  • Breast Cancer Screening Practices
  • Breast Cancer Knowledge
  • No significant relationship found
  • Caucasian women had higher mean scores
  • Demographics
  • Income
  • Education
  • Health Resources

26
Implications
  • Nursing Research
  • Nursing Practice
  • Nursing Education
  • Health Wellness Model
  • Health Policy
  • Policy Initiatives
  • Funding for Research

27
Limitations
  • Use of self-report data
  • Non-probability convenience sample
  • Recruitment settings
  • Variability of study participants

28
Recommendations
  • Study designed to determine breast cancer
    screening practices over time utilizing a larger
    and ethnically diverse sample
  • Secondary analysis to determine if there are
    relationships between demographic variables,
    spirituality, and each method of breast cancer
    early detection
  • Develop and test culturally specific
    interventions that focus on increasing breast
    health and breast cancer screening practices

29
  • THANK YOU!
  • QUESTIONS?
About PowerShow.com