Does a bite cause cancer? Misperceptions of breast cancer etiology among low-income urban women in Miami, Florida.

Abstract:

OBJECTIVES:To explore breast cancer beliefs among a cohort of low-income, urban, English-speaking women in Miami, Florida, who had undergone screening mammography. METHODS:Four focus groups of 34 women were conducted. Discussions were transcribed verbatim and transcripts were analyzed separately by two investigators using an immersion-and-crystallization approach. Common risk factors were identified by consensus. RESULTS:Participants were predominantly African American (82%) women of low income (77% with a household income <$20,000/year). Common risk factors included family history, environmental factors, trauma, and sexual activity. There also was a perception that breast cancer grows rapidly and causes detectable symptoms. CONCLUSIONS:Women voiced some accurate and numerous inaccurate beliefs regarding the causes of breast cancer, suggesting a lack of knowledge about the potential benefits and harms of screening mammography before undergoing examination. These findings highlight the importance of identifying women's underlying beliefs when initiating a discussion of breast cancer screening and prevention to ensure that messages are mutually understood.

journal_name

South Med J

journal_title

Southern medical journal

authors

Marcus EN,Drummond DK,Dietz N,Kenya S

doi

10.1097/SMJ.0000000000000022

subject

Has Abstract

pub_date

2013-12-01 00:00:00

pages

649-54

issue

12

eissn

0038-4348

issn

1541-8243

pii

00007611-201312000-00001

journal_volume

106

pub_type

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