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Racial differences in knowledge, attitudes, and cancer screening practices among a triracial rural population†
Article first published online: 25 OCT 2004
Copyright © 2004 American Cancer Society
Volume 101, Issue 11, pages 2650–2659, 1 December 2004
How to Cite
Paskett, E. D., Tatum, C., Rushing, J., Michielutte, R., Bell, R., Foley, K. L., Bittoni, M. and Dickinson, S. (2004), Racial differences in knowledge, attitudes, and cancer screening practices among a triracial rural population. Cancer, 101: 2650–2659. doi: 10.1002/cncr.20671
The views expressed herein do not necessarily reflect the opinions of the National Cancer Institute or the U.S. Government.
- Issue published online: 16 NOV 2004
- Article first published online: 25 OCT 2004
- Manuscript Accepted: 18 AUG 2004
- Manuscript Revised: 15 JUL 2004
- Manuscript Received: 1 APR 2004
- National Cancer Institute. Grant Numbers: CA72022-04, CA57707-08
- racial differences;
- cancer screening;
- rural population;
Low-income, minority, and rural women face a greater burden with regard to cancer-related morbidity and mortality and are usually underrepresented in cancer control research. The Robeson County Outreach, Screening and Education Project sought to increase mammography use among low-income, minority, and rural women age > 40 years. The current article reports on racial disparities and barriers to screening, especially those related to knowledge, attitudes, and behaviors.
A baseline survey was administered to 897 women age > 40 years who lived in rural Robeson County in North Carolina. The sample consisted of three principal racial groups: whites, African Americans, and Native Americans. Survey comparisons were made among racial groups with respect to knowledge, attitudes, and behaviors regarding breast and cervical carcinoma screening.
Overall, Native American and African-American women had lower levels of knowledge, more inaccurate beliefs, and more barriers to screening compared with white women. Among the notable findings were that 43% of the patient population did not mention mammograms and 53% did not mention Pap smears as breast and cervical carcinoma screening tests, respectively; furthermore, compared with white women, significantly fewer African-American and Native American women mentioned these tests (P < 0.001). Sixty-seven percent of all women reported that a physician had never encouraged them to receive a mammogram, although 75% reported having received a regular checkup in the preceding year.
Although all low-income rural women experienced significant barriers to receiving cancer screening tests, these barriers were more common for minority women compared with white women. More research is needed to identify ways to overcome such barriers, especially among Native American women. The results of the current study have important implications with respect to the designing of interventions aimed at improving cancer screening for all women. Cancer 2004. © 2004 American Cancer Society.