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Health Education Research Advance Access originally published online on March 23, 2009
Health Education Research 2009 24(5):735-747; doi:10.1093/her/cyp008
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© The Author 2009. Published by Oxford University Press. All rights reserved. For permissions, please email: journals.permissions@oxfordjournals.org

African-American caregivers’ breast health behavior

Megumi Inoue1,*, Joseph G. Pickard2, Patricia Welch-Saleeby2 and Sharon Johnson2

1 Graduate School of Social Work, Boston College, 140 Commonwealth Avenue, Chestnut Hill, MA 02467, USA
2 School of Social Work, University of Missouri-Saint Louis, 590 Lucas Hall, One University Boulevard, St Louis, MO 63121-4499, USA

* Correspondence to: M. Inoue. E-mail: inouem{at}mail.bc.edu

This study utilizes a stress and coping framework which includes cognitive appraisal, personal and environmental resources, coping and stress to examine factors related to African-American caregivers’ breast cancer screenings, including mammograms, clinical examinations and self-examinations. Using data from the Black Rural and Urban Caregivers Mental Health and Functioning Study, we performed separate logistic regressions for each type of breast cancer screening. Results reveal that having a regular doctor checkup (coping), care recipients having a cancer diagnosis (cognitive appraisal, and living in urban areas (environment resources) are associated with receiving a mammogram. Having greater income, having at least a high school degree (both personal resources) and having a regular doctor checkup (coping) are associated with receiving a clinical examination. Increased caregiver strain (stress), being 40 years old or older, social support (coping) and living in rural areas are associated with performing a self-examination. Targeting African-American caregivers, particularly in rural areas, for increased education on the importance of receiving breast cancer screenings is crucial to addressing health disparities. Making resources available, encouraging caregivers to get a clinical examination and a mammogram and directing public education toward caregivers are important points of intervention.

Received on July 3, 2008; accepted on January 16, 2009


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