Beliefs and perceptions of African American women who have had hysterectomy.

This study used a qualitative, ethno-nursing, ethnographic design to identify cultural beliefs within the African American community related to hysterectomy. Three themes were derived from interviews with 30 women: African American cultural myths, fears, and sexual symbolism related to hysterectomy; benefits of hysterectomy that included freedom from pain and public embarrassment and freedom from risk of pregnancy; and improved self-esteem and sexuality. Results of this study indicate that there are negative connotations of hysterectomy in the African American community, which may cause some African American women to delay the procedure until they have no choice. Education and knowledge of cultural beliefs will enable health care providers to provide culturally sensitive and comprehensive care to African American women; it also will enable health care providers to instruct African American women to avoid unnecessary delay of hysterectomy.