alexa Breast and Cervical Cancer Screening Behaviors of Afric
ISSN: 2329-9126

Journal of General Practice
Open Access

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Research Article

Breast and Cervical Cancer Screening Behaviors of African American Sexual Minority Women

Alicia K Matthews1,2*Chien-Ching Li1,3Natalie Ross2Jodi Ram BA4Rebecca Ramsey MPH5Frances Aranda1
1University of Illinois at Chicago, College of Nursing, Chicago, Illinois, USA
2Howard Brown Health Center, Chicago, Illinois, USA
3College of Health Sciences, Department of Health Systems Management, Rush University Medical Center, Chicago, Illinois, USA
4George Washington University, School of Medicine, Washington DC, USA
5University of Nebraska Medical Center (UNMC), Omaha, NE, USA
Corresponding Author : Alicia K. Matthews, Ph.D.
Associate Professor
University of Illinois at Chicago
College of Nursing, Chicago
Illinois 60612, USA
Tel: 312-996-7885
Fax: 312-996-9049
E-mail: [email protected]
Received April 16, 2013; Accepted May 10, 2013; Published May 15, 2013
Citation: Matthews AK, Li CC, Ross N, Jodi Ram BA, Rebecca Ramsey MPH, et al. (2013) Breast and Cervical Cancer Screening Behaviors of African American Sexual Minority Women. J Gen Pract 1:107. doi:10.4172/2329-9126.1000107
Copyright: © 2013 Matthews AK, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
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Abstract

Background: African American women experience elevated risk for breast and cervical cancer compared to White women. Health risk behaviors and cancer screening practices are known to contribute to cancer disparities; however, little is known about the relationship between race, sexual orientation, and cancer risk. The objective of this paper is to report on engagement in a range of health risk behaviors associated with cancer and adherence to cancer screening guidelines among African American Women sexual minority women. Methods: This was a cross sectional descriptive study. Data were collected using a self-administered survey instrument. Participants (N=226) were a convenience sample of urban African American sexual minority women recruited as part of a community health needs assessment study. Results: Cancer risk behaviors were prevalent including high rates of obesity, physical inactivity, tobacco and alcohol use. Despite these health risk behaviors, perceptions of cancer risk were low. Eight-five percent of women over the age of forty reported ever having a mammogram and 69% reported having the screening examine in the previous year. The majority of participants reported ever having a Pap test but reports of past year screening were low (68%). Predictors of ever having a mammogram were older age and having a physician recommendation to screen. Past year mammography was associated with perceived cancer risk with those reporting higher perceived risk less likely to have been screened in the past year. None of our study variables were associated with adherence to cervical cancer screening guidelines. Conclusions: Study findings suggest the need for increased efforts to reduce cancer risk behaviors and to encourage adherence to routine cancer screening among African American sexual minority women. Provider recommendations play an important role in breast cancer screening adherence. Additional research is needed to better understand barriers and facilitators to adherence to cervical cancer screening in this population.

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