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Examining Associations between Source of Cancer Information and Mammography Behavior among Black Church-Going Women

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  • Brian J. Carter

    (Department of Health Disparities Research, The University of Texas MD Anderson Cancer Center, Houston, TX 77030, USA
    Department of Psychological, Health, and Learning Sciences, University of Houston, 491 Farish Hall, Houston, TX 77204, USA)

  • Tzuan A. Chen

    (Department of Psychological, Health, and Learning Sciences, University of Houston, 491 Farish Hall, Houston, TX 77204, USA
    HEALTH Research Institute, University of Houston, 4349 Martin Luther King Boulevard, Houston, TX 77204, USA)

  • Dalnim Cho

    (Department of Health Disparities Research, The University of Texas MD Anderson Cancer Center, Houston, TX 77030, USA)

  • Shahnjayla K. Connors

    (Department of Psychological, Health, and Learning Sciences, University of Houston, 491 Farish Hall, Houston, TX 77204, USA
    Department of Social Sciences, University of Houston-Downtown, Houston, TX 77002, USA)

  • Ammar D. Siddiqi

    (Department of Health Disparities Research, The University of Texas MD Anderson Cancer Center, Houston, TX 77030, USA
    Department of Biosciences, Rice University, 6100 Main St., Houston, TX 77005, USA)

  • Lorna H. McNeill

    (Department of Health Disparities Research, The University of Texas MD Anderson Cancer Center, Houston, TX 77030, USA)

  • Lorraine R. Reitzel

    (Department of Health Disparities Research, The University of Texas MD Anderson Cancer Center, Houston, TX 77030, USA
    Department of Psychological, Health, and Learning Sciences, University of Houston, 491 Farish Hall, Houston, TX 77204, USA)

Abstract

Black women have a slightly lower breast cancer incidence rate than White women, but breast cancer mortality is approximately 40% higher among Black women than among White women. Early detection by mammography may improve survival outcomes. Outlets providing information on cancer and cancer screening often present data, including mammography recommendations, that are unreliable, accessible, and/or inconsistent. We examined associations between sources of cancer information and mammography behavior among Black church-going women. A logistic regression model was used to examine associations between self-reported preferred source of cancer information (provider, cancer organization, social network, internet, or other media (e.g., books, magazines)) and self-reported most recent source of cancer information (same categories as preferred sources), respectively, and having received a mammogram within the prior 12 months. Participants were 832 Black women over 40 years old, recruited from three churches in Houston, Texas. Data were collected in 2012. Overall, 55.41% of participants indicated their preferred source of cancer information was a provider, 21.88% the internet, 11.54% other media, 10.22% a cancer organization, and 0.96% their social network. In contrast, 17.88% of participants indicated their most recent source of cancer information was a provider, 63.02% the internet, 12.04% other media, 4.50% a cancer organization, and 2.55% their social network. About 70% of participants indicated receiving a mammogram in the prior 12 months. Results indicated that women who most recently sought information from the internet had lower odds of having a mammogram than those who most recently sought information from a provider (aOR: 0.546, CI 95% : 0.336–0.886, p = 0.014). These results reveal an opportunity to advance health equity by encouraging Black church-going women to obtain cancer information from providers rather than from the internet as a method to enhance mammography use. These results also reveal an opportunity to investigate what modifiable social determinants or other factors prevent Black church-going women from seeking cancer information from their preferred source, which was a provider for the majority of the sample, and designing interventions to better actualize this preference.

Suggested Citation

  • Brian J. Carter & Tzuan A. Chen & Dalnim Cho & Shahnjayla K. Connors & Ammar D. Siddiqi & Lorna H. McNeill & Lorraine R. Reitzel, 2022. "Examining Associations between Source of Cancer Information and Mammography Behavior among Black Church-Going Women," IJERPH, MDPI, vol. 19(20), pages 1-19, October.
  • Handle: RePEc:gam:jijerp:v:19:y:2022:i:20:p:13004-:d:939146
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    References listed on IDEAS

    as
    1. Leslie W. Ross & Julie S. Townsend & Elizabeth A. Rohan, 2022. "Still Lost in Transition? Perspectives of Ongoing Cancer Survivorship Care Needs from Comprehensive Cancer Control Programs, Survivors, and Health Care Providers," IJERPH, MDPI, vol. 19(5), pages 1-15, March.
    2. Maria Magdalena Bujnowska-Fedak & Paulina Węgierek, 2020. "The Impact of Online Health Information on Patient Health Behaviours and Making Decisions Concerning Health," IJERPH, MDPI, vol. 17(3), pages 1-13, January.
    3. Pooja Agrawal & Tzuan A. Chen & Lorna H. McNeill & Chiara Acquati & Shahnjayla K. Connors & Vijay Nitturi & Angelica S. Robinson & Isabel Martinez Leal & Lorraine R. Reitzel, 2021. "Factors Associated with Breast Cancer Screening Adherence among Church-Going African American Women," IJERPH, MDPI, vol. 18(16), pages 1-16, August.
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