title: Breast cancer knowledge, beliefs, and screening behaviors among low-income, elderly black women.
abstract: This cross-sectional study explored whether there are age-specific differences in breast cancer-related knowledge, beliefs, and screening behaviors among low-income, elderly black women. Data were collected at senior citizen facilities from 214 black women aged 65 and older. Differences in knowledge, beliefs, and screening practices across three age groups were assessed by chi-square tests. Logistic regression modeling was used to determine the effect of these factors on compliance with American Cancer Society (ACS) screening guidelines. Age was inversely associated with knowledge and screening practices. The youngest group (65-74) was about twice as likely as the oldest group (85 and over) to correctly recognize breast cancer risk factors. About 50% of the oldest women compared to about 20% of the youngest women believed their risk for breast cancer was nil. The oldest group was also least likely to have had a mammogram or clinical breast examination within the past year, as recommended by the ACS. Our results suggest that educating elderly women, especially those 85 and over, about breast cancer and screening may lead to higher compliance with ACS recommendations.
authors.affiliation: Department of Community Health and Preventive Medicine, Morehouse School of Medicine, 720 Westview Drive SW, Atlanta, GA 30310-1495, USA. JonesA@msm.edu
authors.forename: Alma R
authors.initials: AR
authors.lastname: Jones
authors.forename: Corleen J
authors.initials: CJ
authors.lastname: Thompson
authors.forename: Robert A
authors.initials: RA
authors.lastname: Oster
authors.forename: Aziz
authors.initials: A
authors.lastname: Samadi
authors.forename: Mary Kidd
authors.initials: MK
authors.lastname: Davis
authors.forename: Robert M
authors.initials: RM
authors.lastname: Mayberry
authors.forename: Lee S
authors.initials: LS
authors.lastname: Caplan
mesh_terms: D001741:Black or African American / Q000706:statistics & numerical data; D017677:Age Distribution; D000367:Age Factors; D000368:Aged; D000369:Aged, 80 and over; D044383:Black People; D001943:Breast Neoplasms / Q000208:ethnology* / Q000517:prevention & control*; D003430:Cross-Sectional Studies; D004522:Educational Status; D005260:Female; D005845:Georgia / Q000453:epidemiology; D015438:Health Behavior / Q000208:ethnology; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D008327:Mammography / Q000706:statistics & numerical data; D017533:Marital Status / Q000208:ethnology; D008403:Mass Screening / Q000706:statistics & numerical data*; D011203:Poverty / Q000208:ethnology*; D012307:Risk Factors