Abstract A38: High levels of breast cancer mortality: Social determinants of health impact rural African American women and how they conceptualize health in the Arkansas Delta
We know that certain components including demographics, cultural background, lifestyle choices and lack of access to health care contribute strongly to health disparities in rural regions of the United States. This paper explores perceptions of health, the environment, and the relationships between...
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| Published in: | Cancer epidemiology, biomarkers & prevention Vol. 23; no. 11_Supplement; p. A38 |
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| Main Authors: | , , , , , , |
| Format: | Journal Article |
| Language: | English |
| Published: |
01-11-2014
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| Online Access: | Get full text |
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| Summary: | We know that certain components including demographics, cultural background, lifestyle choices and lack of access to health care contribute strongly to health disparities in rural regions of the United States. This paper explores perceptions of health, the environment, and the relationships between them that impact breast cancer mortality in the Arkansas Delta. The social-ecological model provides a conceptual approach to relate social determinates to health disparities. This exploratory study blended a community-based, qualitative approach with ecological theory. Our objective was to identify potential social determinants of health which impact these women's ability to seek medical advice or engage in breast cancer prevention in a timely manner. Methods: Qualitative data were gathered with (n=79) women, ranging in age from 18 to 84, who were residents of 3 rural Arkansas Delta communities. Respondents poignantly described issues that affect health disparities in their communities. Conclusions: The study identified potential social determinants of health, at multiple ecological levels, among African American women in three communities in the Arkansas Delta. The social determinants identified had the ability to impact a variety of health behaviors and health outcomes. Our findings show the value of qualitative approaches for exploring the complexities of rural breast cancer mortality.
Citation Format: Nancy J. Greer-Williams, Kimberely S. Enoch, Athena Starlard-Davenport, Brandon Booth, Thomas Kieber-Emmons, Gloria E. Sarto, Ronda Henry-Tillman. High levels of breast cancer mortality: Social determinants of health impact rural African American women and how they conceptualize health in the Arkansas Delta. [abstract]. In: Proceedings of the Sixth AACR Conference: The Science of Cancer Health Disparities; Dec 6–9, 2013; Atlanta, GA. Philadelphia (PA): AACR; Cancer Epidemiol Biomarkers Prev 2014;23(11 Suppl):Abstract nr A38. doi:10.1158/1538-7755.DISP13-A38 |
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| ISSN: | 1055-9965 1538-7755 |
| DOI: | 10.1158/1538-7755.DISP13-A38 |