title: Knowledge and perspectives of breast and cervical cancer screening among female African immigrants in the Washington D.C. metropolitan area.
abstract: Black women in the USA have both a higher percentage of late-stage diagnoses as well as the highest rates of mortality from breast cancer when compared to women of other ethnic subgroups. Additionally, Black women have the second highest prevalence of cervical cancer. Many reports evaluating the cancer outcomes of Black women combine data on African-born immigrants and US-born Blacks. This categorization ignores subtle yet important cultural differences between the two groups, which may ultimately affect breast and cervical cancer screening practices. Therefore, this study investigated knowledge and awareness levels of breast and cervical cancer screening practices among female African-born immigrants to the USA residing in the Washington D.C. metropolitan area. Data were collected from 38 participants through key informant interviews, focus group sessions, and a sociodemographic questionnaire over a 3-month study period. Results suggest that fatalism, stigma, and privacy are among the major factors that affect the decision to seek preventative screening measures for breast and cervical cancer among this population. Additionally, the study implies that cervical cancer awareness is significantly lower among this population when compared to breast cancer. This study highlights differences between women of African descent residing in the USA and the need for continued research to increase understanding of the manner in which immigrant status affects health-seeking behavior. This information is critical for researchers, physicians, and public health educators aiming to design culturally appropriate interventions to effectively reduce the prevalence of breast and cervical cancer among female African immigrants living in the USA.
authors.affiliation: University of Michigan School of Public Health, Ann Arbor, MI, USA.
authors.forename: Ezinne Grace
authors.initials: EG
authors.lastname: Ndukwe
authors.forename: Karen Patricia
authors.initials: KP
authors.lastname: Williams
authors.forename: Vanessa
authors.initials: V
authors.lastname: Sheppard
mesh_terms: D000328:Adult; D001741:Black or African American / Q000523:psychology / Q000706:statistics & numerical data*; D000368:Aged; D001943:Breast Neoplasms / Q000175:diagnosis* / Q000208:ethnology / Q000517:prevention & control; D004219:District of Columbia; D055088:Early Detection of Cancer / Q000706:statistics & numerical data*; D054242:Emigrants and Immigrants / Q000523:psychology*; D005260:Female; D017144:Focus Groups; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D008875:Middle Aged; D011795:Surveys and Questionnaires; D002583:Uterine Cervical Neoplasms / Q000175:diagnosis* / Q000208:ethnology / Q000517:prevention & control; D055815:Young Adult
references.citation: Oncologist. 2005 Jan;10(1):1-14
references.pmid: 15632248
references.citation: J Womens Health (Larchmt). 2003 Apr;12(3):277-86
references.pmid: 12804358
references.citation: ABNF J. 2006 Spring;17(2):89-94
references.pmid: 18402350
references.citation: CA Cancer J Clin. 2004 Mar-Apr;54(2):78-93
references.pmid: 15061598
references.citation: J Natl Med Assoc. 2010 Jun;102(6):461-8
references.pmid: 20575210
references.citation: Cancer Nurs. 2009 Sep-Oct;32(5):418-25
references.pmid: 19661792
references.citation: Cancer. 2003 Mar 15;97(6):1528-40
references.pmid: 12627518
references.citation: J Community Health Nurs. 2010 Jan;27(1):32-45
references.pmid: 20131135
references.citation: J Urban Health. 2006 Mar;83(2):211-20
references.pmid: 16736370
references.citation: Br J Cancer. 2000 Feb;82(3):742-8
references.pmid: 10682692
references.citation: Cancer Detect Prev. 2006;30(6):535-44
references.pmid: 17110056
references.citation: Oncol Nurs Forum. 1999 Apr;26(3):561-71
references.pmid: 10214597