title: Barriers to breast cancer control for African-American women: the interdependence of culture and psychosocial issues.
abstract: BACKGROUND
  This study evaluates the cultural context of the behaviors and beliefs of African-American women to determine the success or failure of breast cancer prevention and control interventions. Cultural and psychologic reactions, such as fear, distrust, fatalism, and other "historic rooted" factors, are major determinants to participation in these interventions by African-American women.
  
  
  METHODS
  Psychosocial and cultural issues were delineated through a literature review in the areas of cancer prevention, breast cancer control, and African-American women. Assessments were conducted to document key successful models and activities that increased the participation of African-American women in breast cancer prevention and control interventions. Current community-based intervention strategies and activities were assessed.
  
  
  RESULTS
  Effective breast cancer prevention and control programs must address and develop cultural competent models that promote behavioral change in this population of women.
  
  
  CONCLUSIONS
  Studying the relationship between culture and psychosocial issues is integral to our understanding of how African-American women participate and respond to cancer prevention and control interventions. Cultural competent models that reduce and eliminate cancer disparities in this population must be developed.
authors.affiliation: Department of Health and Kinesiology, Texas A&M University, College Station, Texas 77843-4243, USA. j-guidry@hlkn.tamu.edu
authors.forename: Jeffrey J
authors.initials: JJ
authors.lastname: Guidry
authors.forename: Patricia
authors.initials: P
authors.lastname: Matthews-Juarez
authors.forename: Valerie A
authors.initials: VA
authors.lastname: Copeland
mesh_terms: D001741:Black or African American; D001294:Attitude to Health / Q000208:ethnology*; D001943:Breast Neoplasms / Q000208:ethnology* / Q000517:prevention & control* / Q000523:psychology; D003469:Culture; D005260:Female; D015438:Health Behavior / Q000208:ethnology*; D006266:Health Education; D006801:Humans; D008913:Minority Groups; D012959:Socioeconomic Factors; D014481:United States; D016387:Women's Health