| Factors associated with delays in screening of self-detected breast changes in African-American women. | |
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MedLine Citation:
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PMID: 17004426 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Breast cancer mortality is higher among African-American women than among White women. African-American women are 25% more likely to present with late stage breast cancer and 20% more likely to die from breast cancer than White women. Treatment delay of 3 months is a significant factor in breast cancer mortality The purpose of this integrative review is to explore factors that impact delays in screening The most common patient-controlled delays were lack of education and knowledge about the perceived seriousness of breast symptoms, the associated risk factors, limited knowledge regarding the potential benefits of early detection in improving breast cancer survival, and expressed fatalistic perspectives about breast cancer. Other variables related to delays included factors such as advancing age, low socioeconomic status, fear of diagnosis, consequences of cancer treatments, shame and embarrassment, misconceptions about the etiology of breast cancer, family priorites, denial, and spirituality including faith-influenced delays. |
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Authors:
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Mary Magee Gullatte; Janice M Phillips; Lynette M Gibson |
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Publication Detail:
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Type: Journal Article; Research Support, N.I.H., Extramural; Review |
Journal Detail:
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Title: Journal of National Black Nurses' Association : JNBNA Volume: 17 ISSN: 0885-6028 ISO Abbreviation: J Natl Black Nurses Assoc Publication Date: 2006 Jul |
Date Detail:
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Created Date: 2006-09-28 Completed Date: 2006-10-26 Revised Date: 2007-11-14 |
Medline Journal Info:
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Nlm Unique ID: 8703519 Medline TA: J Natl Black Nurses Assoc Country: United States |
Other Details:
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Languages: eng Pagination: 45-50 Citation Subset: N |
Affiliation:
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Inpatient Oncology and Transplant Services, Emory University Hospital, Crawford Long Hospital, Atlanta, GA 30308, USA. mary.gullatte@emory.healthcare.org |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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African Americans
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education,
ethnology* Breast Neoplasms / diagnosis, ethnology* Breast Self-Examination / psychology Denial (Psychology) Educational Status Fear Female Health Knowledge, Attitudes, Practice Humans Mass Screening / utilization* Nursing Methodology Research Patient Acceptance of Health Care / ethnology*, statistics & numerical data Qualitative Research Questionnaires Research Design Risk Factors Shame Socioeconomic Factors Spirituality Time Factors United States Women / education, psychology* |
| Grant Support | |
ID/Acronym/Agency:
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R25 CA093831/CA/NCI NIH HHS |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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