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Social Processes Used by African American Women in Making Decisions About Mammography Screening
Author(s) -
Fowler Barbara Ann
Publication year - 2006
Publication title -
journal of nursing scholarship
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.009
H-Index - 80
eISSN - 1547-5069
pISSN - 1527-6546
DOI - 10.1111/j.1547-5069.2006.00110.x
Subject(s) - fatalism , socioeconomic status , mammography , grounded theory , psychology , social psychology , family medicine , african american , medicine , qualitative research , breast cancer , sociology , population , cancer , social science , philosophy , ethnology , theology , environmental health
Purpose : To describe the social processes used by African American (AA) women ages ≥50 years in making decisions about mammography screening.Design : Grounded theory methodology.Methods : Tape‐recorded interviews with a researcher‐designed, semi‐structured interview guide with an initial and theoretical sample of 30 AA women ages 52 to 71 of diverse socioeconomic status. Interviews occurred in various settings such as the church rectory, women's homes, and work settings. Extensive written field notes and tapes were transcribed verbatim immediately after the interviews by an experienced transcriptionist.Findings : The women's decisions about mammography screening were associated with five social processes: (a) acknowledging prior experiences with healthcare providers and systems; (b) reporting fears and fatalistic beliefs of breast cancer and related treatment; (c) valuing the opinions of significant others; (d) relying on religious beliefs and supports; and (e) caregiving responsibilities of significant others. The processes were further differentiated by three distinct decision‐making styles: taking charge, enduring, and protesting.Conclusions : Each of the social processes was reported equally and emphasized by the diverse sample of AA women in decisions related to mammography screening. Mammography screening decisions were heavily influenced by caregiving responsibilities. Further research is needed to explain and understand this social process on the health and well‐being of AA women over time.