title: Comparing perceptions of cancer fatalism among African American patients and their providers.
abstract: OBJECTIVE
  To describe perceptions of cancer fatalism and identify demographic correlates; to explore whether providers believe their patients are fatalistic about cancer and compare these views to the patients' views.
  
  
  METHODS
  Both patients (n= 52) and providers (n= 35) were recruited at federally funded, community primary care centers. Data were collected using the Powe Fatalism Inventory, the Perceived Patient Fatalism Inventory, and a demographic data questionnaire. Data were analyzed using descriptive statistics, Pearson correlations, and t-test.
  
  
  CONCLUSIONS
  The majority of patients were African American women. The majority of providers were physicians and nurses. Patients indicated low perceptions of cancer fatalism, but providers believed patients were highly fatalistic. As the patients' educational level increased, perceptions of cancer fatalism decreased.
  
  
  CONCLUSIONS
  The providers' belief that patients are fatalistic about cancer may influence patient-provider communication. They may be less likely to recommend screening, and patients may be less likely to initiate a discussion about cancer. Strategies are needed that target providers and their patients to address actual and/or perceived perceptions and their influence on cancer screening.
authors.affiliation: Special Populations Research, American Cancer Society, Atlanta, GA 30329, USA. barbara.powe@cancer.org
authors.forename: Barbara D
authors.initials: BD
authors.lastname: Powe
authors.forename: Elvan C
authors.initials: EC
authors.lastname: Daniels
authors.forename: Ramona
authors.initials: R
authors.lastname: Finnie
mesh_terms: D000328:Adult; D001741:Black or African American / Q000523:psychology*; D001291:Attitude of Health Personnel; D001293:Attitude to Death; D004522:Educational Status; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D008297:Male; D008875:Middle Aged; D009369:Neoplasms / Q000175:diagnosis / Q000523:psychology* / Q000628:therapy; D012959:Socioeconomic Factors