PURPOSE/ OBJECTIVES: To examine the relationship between beliefs about God as a controlling force in health and adherence to breast cancer screening among high-risk African American women. DESIGN: Cross-sectional cohort. SETTING: In-person interviews in rural, southeastern Louisiana and telephone interviews conducted at the University of Utah. SAMPLE: 52 females who were members of a large kindred with a BRCA1 mutation; no subjects had breast cancer. METHODS: Survey through in-person or telephone interviews. MAIN RESEARCH VARIABLES: Belief in God as a controlling agent over health measured by the God Locus of Health Control (GLHC) scale; screening behaviors measured by self-report. Adherence was based on consensus-approved recommendations for BRCA1 carriers or women at risk of being carriers. FINDINGS: Bivariate analysis indicated that presence of a primary care provider and low GLHC scores were associated with seeking clinical breast examination (CBE) and mammography. With the variable "presence of a primary care provider" excluded, GLHC scores were inversely associated with seeking CBE and mammography. CONCLUSIONS: African American women at increased risk for breast cancer and with high GLHC scores may have a decreased inclination to adhere to CBE and mammography recommendations. IMPLICATIONS FOR NURSING: Assessing religious and spiritual beliefs and incorporating belief systems into education and counseling sessions may improve understanding and acceptance of presented material.
PURPOSE/ OBJECTIVES: To examine the relationship between beliefs about God as a controlling force in health and adherence to breast cancer screening among high-risk African American women. DESIGN: Cross-sectional cohort. SETTING: In-person interviews in rural, southeastern Louisiana and telephone interviews conducted at the University of Utah. SAMPLE: 52 females who were members of a large kindred with a BRCA1 mutation; no subjects had breast cancer. METHODS: Survey through in-person or telephone interviews. MAIN RESEARCH VARIABLES: Belief in God as a controlling agent over health measured by the God Locus of Health Control (GLHC) scale; screening behaviors measured by self-report. Adherence was based on consensus-approved recommendations for BRCA1 carriers or women at risk of being carriers. FINDINGS: Bivariate analysis indicated that presence of a primary care provider and low GLHC scores were associated with seeking clinical breast examination (CBE) and mammography. With the variable "presence of a primary care provider" excluded, GLHC scores were inversely associated with seeking CBE and mammography. CONCLUSIONS: African American women at increased risk for breast cancer and with high GLHC scores may have a decreased inclination to adhere to CBE and mammography recommendations. IMPLICATIONS FOR NURSING: Assessing religious and spiritual beliefs and incorporating belief systems into education and counseling sessions may improve understanding and acceptance of presented material.
Authors: Anita Yeomans Kinney; Sara Ellis Simonsen; Bonnie Jeanne Baty; Diptasri Mandal; Susan L Neuhausen; Kate Seggar; Rich Holubkov; Ken Smith Journal: Am J Med Genet A Date: 2006-04-15 Impact factor: 2.802
Authors: Vanessa B Sheppard; Robin Walker; Winifred Phillips; Victoria Hudson; Hanfei Xu; Mark L Cabling; Jun He; Arnethea L Sutton; Jill Hamilton Journal: J Relig Health Date: 2018-10
Authors: Anita Y Kinney; James E Coxworth; Sara E Simonson; Joseph B Fanning Journal: Am J Med Genet C Semin Med Genet Date: 2009-02-15 Impact factor: 3.908