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UICC World Cancer Congress 2006

Bridging the Gap: Transforming Knowledge into Action

July 8-12, 2006, Washington, DC, USA



Monday, 10 July 2006 - 4:10 PM
146-3

Perceptions of Cancer Fatalism before and after a Diagnosis of Breast Cancer: Do They Change?

Barbara Powe, PhD, RN1, Nichole Hancock, MEd2, Jill Hamilton, PhD, RN3, Natasha Johnson, PhD4, Donoria Wilkerson, BA1, and Patrice Brooks, BS1. (1) Behavioral Research Center, American Cancer Society, 1599 Clifton Road, Atlanta, GA 30347, (2) Georgia Healthy Families, Maximus, One Park Tower, 34 Peachtree Street, NW, 30th floor, Atlanta, GA 30303, (3) Woodruff School of Nursing, Emory University, Clifton Road, Atlantat, GA 30329, (4) Mental Health Service Line/Substance Abuse, Atlanta VAMC, 1670 Clairmont Rd., Atlanta, GA 30033

Objective: Cancer fatalism (the belief that death is inevitable when cancer is present) has been shown to influence screening behaviors among African American women little research has addressed the role of cancer fatalism after cancer survivors. Guided by the Patient/Provider/System Model, this pilot study describes perceptions of cancer fatalism among breast cancer survivors. These types of perceptions may influence treatment decisions and patient-provider communication

Methods: Data were collected from a nonrandom sample of women who were members of the Shades of Pink Breast Cancer Survivors' Choir during at a regularly scheduled choir rehearsal using the Powe Fatalism Inventory_Before Breast Cancer, the Powe Fatalism Inventory_After Breast Cancer, and a demographic questionnaire. Women were asked to recall their beliefs before their diagnosis and their current beliefs.

Results: Data were analyzed using descriptive statistics, correlations, and repeated measures. The majority (N=30) were African American (97%), with college credits, and incomes greater than $30,000. The average length survivorship was 8 years. The women reported a significantly higher mean cancer fatalism score (5.83) when asked to recall their perceptions before their diagnosis compared to their current perceptions (3.36). Higher levels of education were associated with lower fatalism scores before diagnosis but not after. Older women had higher scores after diagnosis but not before. Findings perceptions of cancer fatalism may be influenced after a cancer diagnosis. Nontraditional support groups are excellent ways to inform women about breast cancer and demonstrate that cancer is not an automatic death sentence with early detection and effective treatment. Additional research is needed.


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