title: Breast cancer fatalism: the role of women's perceptions of the health care system.
abstract: Cancer fatalism, which can be understood as the belief that cancer is a death sentence, has been found to be a deterrent to preventive cancer screening participation. This study examines factors associated with breast cancer fatalism among women. We analyzed data from a 2003 survey of women 40 years of age. The survey collected information about respondents' knowledge and attitudes regarding breast health. Analyses compared the characteristics of women who reported and those who did not report a fatalistic attitude. Women with a fatalistic attitude were more likely to be African American, to have a family history of breast cancer, to rate their quality of care as fair or poor, to believe that not much could be done to prevent breast cancer, to believe that breast cancer could not be cured if found early, and to believe that treatment could be worse than the disease.
authors.affiliation: Department of Health Services Research, Management, and Policy, University of Florida, 101 S. Newell Drive, Gainesville, FL 32611, USA. hallag@phhp.ufl.edu
authors.forename: Allyson G
authors.initials: AG
authors.lastname: Hall
authors.forename: Amal J
authors.initials: AJ
authors.lastname: Khoury
authors.forename: Ellen D S
authors.initials: ED
authors.lastname: Lopez
authors.forename: Nedra
authors.initials: N
authors.lastname: Lisovicz
authors.forename: Amanda
authors.initials: A
authors.lastname: Avis-Williams
authors.forename: Amal
authors.initials: A
authors.lastname: Mitra
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001943:Breast Neoplasms / Q000208:ethnology / Q000523:psychology*; D005006:Ethnicity / Q000523:psychology; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006304:Health Status; D054625:Healthcare Disparities; D006801:Humans; D008875:Middle Aged; D011203:Poverty; D012959:Socioeconomic Factors; D035502:Trust