title: Cultural sensitivity and health promotion: assessing breast cancer education pamphlets designed for African American women.
abstract: This study discusses the implications for cultural sensitivity of the rhetorical choices in breast cancer education materials developed specifically for African American audiences by national organizations. Using the PEN-3 model of cultural sensitivity as an analytic framework for a generative rhetorical criticism, this study revealed that adaptations have been made in some pamphlets to acknowledge African American cultural values related to community, self-reliance, spirituality, and distrust of the Western medical establishment, but many messages could be revised to achieve a more comprehensive, balanced, accurate, and audience-specific discussion of the breast cancer issue. Achieving cultural sensitivity in health promotion materials necessitates attention to nuanced meanings in messages, revision of questionable arguments and evidence, and avoidance of ambiguity.
authors.affiliation: Department of Speech Communication, Southern Illinois University, Carbondale, IL 62901, USA. kkline@siu.edu
authors.forename: Kimberly N
authors.initials: KN
authors.lastname: Kline
mesh_terms: D001741:Black or African American / Q000193:education* / Q000523:psychology; D015706:Bibliometrics; D001943:Breast Neoplasms / Q000000981:diagnostic imaging / Q000208:ethnology*; D018864:Cultural Diversity; D005260:Female; D006266:Health Education / Q000379:methods*; D006801:Humans; D008327:Mammography / Q000523:psychology / Q000706:statistics & numerical data*; D010174:Pamphlets; D010342:Patient Acceptance of Health Care / Q000208:ethnology*; D012111:Residence Characteristics; D020377:Self Efficacy; D012933:Social Identification; D012938:Social Perception; D014481:United States