Advancing Social Workers' Responsiveness to Health Disparities: The Case of Breast Cancer Screening
This study provides the basis for customizing culturally responsive social work health promotion programs aimed at eliminating breast cancer screening and mortality disparities between white and African American women. Survey data collected from a random sample of 853 women in rural North Carolina w...
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| Veröffentlicht in: | Health & social work 2005-08, Vol.30 (3), p.221-232 |
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| description | This study provides the basis for customizing culturally responsive social work health promotion programs aimed at eliminating breast cancer screening and mortality disparities between white and African American women. Survey data collected from a random sample of 853 women in rural North Carolina were used to explore the impact of psychosocial factors, including cultural beliefs, on differences by race and age in behavioral intentions if a breast lump was found. Multivariate logistic regression analysis revealed that age and past mammography screening predicted the intention to get a mammogram, whereas physician communication about breast cancer risk, never having a mammogram, breast cancer worry, and religious beliefs about God's role in curing cancer influenced women's intentions to watch the lump for changes. Factors in both models did not account for racial differences. The findings can help social workers tailor more culturally respectful breast health interventions and have implications for the development of other efforts to eliminate health disparities. |
| doi_str_mv | 10.1093/hsw/30.3.221 |
| format | Article |
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Survey data collected from a random sample of 853 women in rural North Carolina were used to explore the impact of psychosocial factors, including cultural beliefs, on differences by race and age in behavioral intentions if a breast lump was found. Multivariate logistic regression analysis revealed that age and past mammography screening predicted the intention to get a mammogram, whereas physician communication about breast cancer risk, never having a mammogram, breast cancer worry, and religious beliefs about God's role in curing cancer influenced women's intentions to watch the lump for changes. Factors in both models did not account for racial differences. The findings can help social workers tailor more culturally respectful breast health interventions and have implications for the development of other efforts to eliminate health disparities.</description><identifier>ISSN: 0360-7283</identifier><identifier>EISSN: 1545-6854</identifier><identifier>DOI: 10.1093/hsw/30.3.221</identifier><identifier>PMID: 16190298</identifier><identifier>CODEN: HSWOEL</identifier><language>eng</language><publisher>United States: Oxford University Press</publisher><subject>Access to Health Care ; Adult ; African American women ; African Americans ; African Americans - psychology ; Age Differences ; Aged ; Analysis ; Attitude to Health ; Attrition (Research Studies) ; Beliefs ; Breast Cancer ; breast cancer screening ; Breast Neoplasms - diagnosis ; Breast Neoplasms - psychology ; Cancer ; Caseworkers ; Company business management ; Counties ; Cultural Awareness ; Cultural Influences ; cultural responsiveness ; Cultural Sensitivity ; Culture ; Diagnosis ; Empirical research ; Ethnicity ; European Continental Ancestry Group - psychology ; Female ; Females ; Health care ; health disparities ; Health Promotion ; Health Promotion - methods ; Humans ; Inequality ; Intention ; Logistic Models ; Management ; Mass Screening ; Medical examination ; Medical screening ; Medical Services ; Middle Aged ; Mortality Rate ; North Carolina ; Predictor Variables ; Professional Training ; Psychological Patterns ; Psychosocial Factors ; Public Health ; Race ; Racial Differences ; Racial discrimination ; Religion ; Rural Areas ; Rural Health ; Sample surveys ; Screening Tests ; Social Class ; Social Influences ; Social Networks ; Social Work ; Social workers ; Socioeconomic Status ; Statistics ; U.S.A ; Wellness programs ; Whites ; Women ; Women's studies</subject><ispartof>Health & social work, 2005-08, Vol.30 (3), p.221-232</ispartof><rights>COPYRIGHT 2005 Oxford University Press</rights><rights>COPYRIGHT 2005 Oxford University Press</rights><rights>Copyright National Association of Social Workers, Incorporated Aug 2005</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c620t-1a925e367d53fc017d606aabc99cef5b105dce669f0bbb5d3e858d42f0bddb7e3</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27344,27924,27925,33774,33775</link.rule.ids><backlink>$$Uhttp://eric.ed.gov/ERICWebPortal/detail?accno=EJ725657$$DView record in ERIC$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/16190298$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Altpeter, Mary</creatorcontrib><creatorcontrib>Mitchell, James</creatorcontrib><creatorcontrib>Pennell, Joan</creatorcontrib><title>Advancing Social Workers' Responsiveness to Health Disparities: The Case of Breast Cancer Screening</title><title>Health & social work</title><addtitle>Health & Social Work</addtitle><description>This study provides the basis for customizing culturally responsive social work health promotion programs aimed at eliminating breast cancer screening and mortality disparities between white and African American women. Survey data collected from a random sample of 853 women in rural North Carolina were used to explore the impact of psychosocial factors, including cultural beliefs, on differences by race and age in behavioral intentions if a breast lump was found. Multivariate logistic regression analysis revealed that age and past mammography screening predicted the intention to get a mammogram, whereas physician communication about breast cancer risk, never having a mammogram, breast cancer worry, and religious beliefs about God's role in curing cancer influenced women's intentions to watch the lump for changes. Factors in both models did not account for racial differences. The findings can help social workers tailor more culturally respectful breast health interventions and have implications for the development of other efforts to eliminate health disparities.</description><subject>Access to Health Care</subject><subject>Adult</subject><subject>African American women</subject><subject>African Americans</subject><subject>African Americans - psychology</subject><subject>Age Differences</subject><subject>Aged</subject><subject>Analysis</subject><subject>Attitude to Health</subject><subject>Attrition (Research Studies)</subject><subject>Beliefs</subject><subject>Breast Cancer</subject><subject>breast cancer screening</subject><subject>Breast Neoplasms - diagnosis</subject><subject>Breast Neoplasms - psychology</subject><subject>Cancer</subject><subject>Caseworkers</subject><subject>Company business management</subject><subject>Counties</subject><subject>Cultural Awareness</subject><subject>Cultural Influences</subject><subject>cultural responsiveness</subject><subject>Cultural Sensitivity</subject><subject>Culture</subject><subject>Diagnosis</subject><subject>Empirical research</subject><subject>Ethnicity</subject><subject>European Continental Ancestry Group - psychology</subject><subject>Female</subject><subject>Females</subject><subject>Health care</subject><subject>health disparities</subject><subject>Health Promotion</subject><subject>Health Promotion - methods</subject><subject>Humans</subject><subject>Inequality</subject><subject>Intention</subject><subject>Logistic Models</subject><subject>Management</subject><subject>Mass Screening</subject><subject>Medical examination</subject><subject>Medical screening</subject><subject>Medical Services</subject><subject>Middle Aged</subject><subject>Mortality Rate</subject><subject>North Carolina</subject><subject>Predictor Variables</subject><subject>Professional Training</subject><subject>Psychological Patterns</subject><subject>Psychosocial Factors</subject><subject>Public Health</subject><subject>Race</subject><subject>Racial Differences</subject><subject>Racial discrimination</subject><subject>Religion</subject><subject>Rural Areas</subject><subject>Rural Health</subject><subject>Sample surveys</subject><subject>Screening Tests</subject><subject>Social Class</subject><subject>Social Influences</subject><subject>Social Networks</subject><subject>Social Work</subject><subject>Social workers</subject><subject>Socioeconomic Status</subject><subject>Statistics</subject><subject>U.S.A</subject><subject>Wellness programs</subject><subject>Whites</subject><subject>Women</subject><subject>Women's 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Joan</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><ericid>EJ725657</ericid><atitle>Advancing Social Workers' Responsiveness to Health Disparities: The Case of Breast Cancer Screening</atitle><jtitle>Health & social work</jtitle><addtitle>Health & Social Work</addtitle><date>2005-08-01</date><risdate>2005</risdate><volume>30</volume><issue>3</issue><spage>221</spage><epage>232</epage><pages>221-232</pages><issn>0360-7283</issn><eissn>1545-6854</eissn><coden>HSWOEL</coden><abstract>This study provides the basis for customizing culturally responsive social work health promotion programs aimed at eliminating breast cancer screening and mortality disparities between white and African American women. Survey data collected from a random sample of 853 women in rural North Carolina were used to explore the impact of psychosocial factors, including cultural beliefs, on differences by race and age in behavioral intentions if a breast lump was found. Multivariate logistic regression analysis revealed that age and past mammography screening predicted the intention to get a mammogram, whereas physician communication about breast cancer risk, never having a mammogram, breast cancer worry, and religious beliefs about God's role in curing cancer influenced women's intentions to watch the lump for changes. Factors in both models did not account for racial differences. The findings can help social workers tailor more culturally respectful breast health interventions and have implications for the development of other efforts to eliminate health disparities.</abstract><cop>United States</cop><pub>Oxford University Press</pub><pmid>16190298</pmid><doi>10.1093/hsw/30.3.221</doi><tpages>12</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0360-7283 |
| ispartof | Health & social work, 2005-08, Vol.30 (3), p.221-232 |
| issn | 0360-7283 1545-6854 |
| language | eng |
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| source | MEDLINE; Sociological Abstracts; Oxford University Press Journals All Titles (1996-Current); EBSCOhost Education Source |
| subjects | Access to Health Care Adult African American women African Americans African Americans - psychology Age Differences Aged Analysis Attitude to Health Attrition (Research Studies) Beliefs Breast Cancer breast cancer screening Breast Neoplasms - diagnosis Breast Neoplasms - psychology Cancer Caseworkers Company business management Counties Cultural Awareness Cultural Influences cultural responsiveness Cultural Sensitivity Culture Diagnosis Empirical research Ethnicity European Continental Ancestry Group - psychology Female Females Health care health disparities Health Promotion Health Promotion - methods Humans Inequality Intention Logistic Models Management Mass Screening Medical examination Medical screening Medical Services Middle Aged Mortality Rate North Carolina Predictor Variables Professional Training Psychological Patterns Psychosocial Factors Public Health Race Racial Differences Racial discrimination Religion Rural Areas Rural Health Sample surveys Screening Tests Social Class Social Influences Social Networks Social Work Social workers Socioeconomic Status Statistics U.S.A Wellness programs Whites Women Women's studies |
| title | Advancing Social Workers' Responsiveness to Health Disparities: The Case of Breast Cancer Screening |
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