Original CommunicationBreaking the Silence Barrier: Opportunities to Address Breast Cancer in African-Born Women
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Initiation of Adjuvant Endocrine Therapy in Black and White Women With Breast Cancer
2018, Clinical Breast CancerThe role of knowledge, language, and insurance in endorsement of cancer screening in women of African origin
2015, Preventive Medicine ReportsCitation Excerpt :Additionally, the use of a single-item outcome hindered the possibility of assessing internal consistency. Despite these limitations, this study has several strengths including the use of a community-based survey designed and delivered in partnership with a community-based organization and informed by previous focus groups with African immigrant women (Sheppard et al., 2010). Other strengths include the recruitment of an underrepresented sample of African women from diverse nationalities, the inclusion of items from validated studies, and the assessment of psychosocial factors (breast cancer knowledge and screening attitudes) not previously described in this population.
Addressing cancer control needs of African-born immigrants in the US: A systematic literature review
2014, Preventive MedicineCitation Excerpt :Bantu Somali immigrants who lived longer in refugee camps and had arrived more recently to the US lacked terms in their native languages to express cancer and were less familiar with screening practices and the notion of preventive health than their non-Bantu Somali counterparts. Barriers to screening noted in qualitative studies included limited knowledge and awareness about screening practices (Carroll et al., 2007; Ndukwe et al., 2013; Piwowarczyk et al., 2013; Sheppard et al., 2010), emotions (e.g. shame, modesty, fear of screening procedures) (Carroll et al., 2007; Ndukwe et al., 2013; Sheppard et al., 2010), access and pragmatic barriers (e.g. lack of insurance, financial barriers, transportation, language difficulties) (Carroll et al., 2007; Ndukwe et al., 2013; Sheppard et al., 2010), sociodemographic factors (e.g. age, education) (Ndukwe et al., 2013), and cultural values perceived to be at odds with medical practices. For instance, breast self-examination or mammograms challenged Muslim women's notions of modesty (Sheppard et al., 2010) and spousal consent for screening was often necessary (Ndukwe et al., 2013).
Funding/support: This work was supported by the American Cancer Society Career Development grant MRSGT-06-132-01-CPPB.