African-American women's perceptions of their most serious health problems.
African Americans experience a disproportionate burden of illness. According to the Centers for Disease Control and Prevention (CDC), heart disease, cancer, cerebrovascular disease and diabetes are the most common causes of mortality among African Americans. Data were gathered from 1,055 African-American women to gain their perspectives of the most serious health problems affecting African-American women and their related knowledge, attitudes and health promoting behaviors. Women listed CDC's top four causes of mortality as their top four most serious health threats. Cancer was reported as a serious health threat by 81% of the participants, whereas heart disease, the most common cause of mortality and a disease amenable to prevention and early intervention, was mentioned by only 31% of the women. Diabetes was reported by 59% of the women and cerebrovascular disease by 52%. As the Health Belief and other theoretical models would predict, awareness of the seriousness of these four disease groups among African-American women was associated with a greater likelihood of adherence for several of the recommended behaviors. Many opportunities exist for raising women's awareness of these four diseases and linking women's growing health awareness with those health promoting behaviors known to reduce morbidity and mortality.
Sadler
Georgia Robins
GR
Rebecca and John Moores UCSD, Cancer Center and UCSD School of Medicine, La Jolla, CA 92093-0658, USA. gsadler@ucsd.edu
Escobar
Rita Paola
RP
Ko
Celine Marie
CM
White
Monique
M
Lee
Shianti
S
Neal
Tiffany
T
Gilpin
Elizabeth A
EA
D000328:Adult; D001741:Black or African American / Q000523:psychology*; D001294:Attitude to Health; D001364:Awareness; D002561:Cerebrovascular Disorders; D003920:Diabetes Mellitus; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006293:Health Promotion; D006331:Heart Diseases; D006801:Humans; D009369:Neoplasms; D010808:Physical Examination / Q000706:statistics & numerical data; D016387:Women's Health
Psychooncology. 1999 Jan-Feb;8(1):36-45
10202781
Res Nurs Health. 1998 Aug;21(4):285-95
9679806
Mo Med. 1998 Dec;95(12):654-62
9863342
Oncol Nurs Forum. 1999 Apr;26(3):561-71
10214597
Neurology. 1999 May 12;52(8):1617-21
10331687
Ethn Dis. 1999 Winter;9(1):81-93
10355477
Arch Intern Med. 1999 Jul 26;159(14):1613-9
10421285
Diabetes Educ. 2004 Jul-Aug;30(4):676-85
15669783
Cancer. 2000 Mar 1;88(5 Suppl):1256-64
10705364
J Cancer Educ. 2000 Spring;15(1):33-7
10730801
Am J Med Sci. 2000 Mar;319(3):131-7
10746822
Med Care. 2000 Apr;38(4):392-403
10752971
Arch Fam Med. 2000 Jun;9(6):506-15
10862212
Am J Health Promot. 2000 May-Jun;14(5):301-5, iii
11009856
Cancer Nurs. 2000 Aug;23(4):268-76
10939174
Am J Public Health. 2001 Jan;91(1):76-83
11189829
Ophthalmology. 2001 Mar;108(3):563-71
11237912
Appl Nurs Res. 2001 May;14(2):72-80
11319702
Gynecol Oncol. 2002 Jan;84(1):72-80
11748980
J Mark. 1971 July;35(3):3-12
12276120
Psychol Rev. 1977 Mar;84(2):191-215
847061
Health Educ. 1979 Jul-Aug;10(4):17-9
119744
J Consult Clin Psychol. 1980 Apr;48(2):150-8
7365052
Health Educ Q. 1980 Spring;7(1):56-89
7275637
Prev Med. 1982 Jan;11(1):43-55
7079246
Can J Public Health. 1984 Nov-Dec;75(6):414-8
6525584
Cardiovasc Nurs. 1988 Nov-Dec;24(6):41-3
3203354
Tijdschr Gerontol Geriatr. 1988 Dec;19(6):289-95
3217969
Cancer Nurs. 1995 Oct;18(5):385-92
7585493
Ann Epidemiol. 1996 Jan;6(1):67-73
8680628
Bull Med Libr Assoc. 1997 Apr;85(2):141-6
9160150
Health Educ Behav. 1997 Aug;24(4):432-51
9247823
Control Clin Trials. 1997 Aug;18(4):328-52
9257072
Ethn Dis. 1997 Autumn;7(3):175-83
9467699
Diabetes Care. 1998 Apr;21(4):475-6
9571326
Diabetes Educ. 1998 May-Jun;24(3):319-24
9677949
J Health Care Poor Underserved. 1998 Aug;9(3):236-47
10073206