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Who Can Help Us on This Journey? African American Woman with Breast Cancer: Living in a City with Extreme Health Disparities

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College of Graduate Health Science, University of Tennessee Health Science Center, 910 Madison, Suite 317, Memphis, TN 38163, USA
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Loewenberg College of Nursing, University of Memphis, 3567 Community Health Building, Memphis, TN 38152, USA
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Department of Management, Fogelman College of Business and Economics, University of Memphis, Memphis, TN 38152, USA
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Department of Biology, College of Arts and Sciences, Howard University, 2251 Sherman Avenue NW, Washington, DC 20001, USA
*
Author to whom correspondence should be addressed.
Int. J. Environ. Res. Public Health 2020, 17(4), 1126; https://doi.org/10.3390/ijerph17041126
Received: 28 December 2019 / Revised: 5 February 2020 / Accepted: 7 February 2020 / Published: 11 February 2020
This qualitative descriptive research study looks at the services that community-based breast cancer support agencies provide to underserved and African American women who are at risk for or diagnosed with breast cancer in Memphis, Tennessee. We seek their understanding of breast cancer mortality disparities in Memphis. Data were collected using semi-structured in-depth focus groups with five breast cancer support agencies. Categories and patterns were established using thematic analysis and a deductive a priori template of codes. Thematic analysis is a method for identifying, analyzing, and reporting themes within the data. The main themes identified within support agencies for African American women with breast cancer who live in Memphis were barriers to the use of services, education, health system support, and emotional support. Numerous sub themes included cost of medications, support group supplemental programming, eligibility for mobile services, patient/provider communication, optimism about the future, and family advice. Procrastinating, seeking second options, fearfulness, insurance, childcare, and transportation were barriers to care. Community-based breast cancer support agencies play a critical role as connectors for women with breast cancer who live in medically underserved areas and must find their way within a fragmented medical care system. View Full-Text
Keywords: health disparities; breast cancer; support agencies; African American women; focus group; race; access; education; emotional support health disparities; breast cancer; support agencies; African American women; focus group; race; access; education; emotional support
MDPI and ACS Style

White-Means, S.; Dapremont, J.; Davis, B.D.; Thompson, T. Who Can Help Us on This Journey? African American Woman with Breast Cancer: Living in a City with Extreme Health Disparities. Int. J. Environ. Res. Public Health 2020, 17, 1126. https://doi.org/10.3390/ijerph17041126

AMA Style

White-Means S, Dapremont J, Davis BD, Thompson T. Who Can Help Us on This Journey? African American Woman with Breast Cancer: Living in a City with Extreme Health Disparities. International Journal of Environmental Research and Public Health. 2020; 17(4):1126. https://doi.org/10.3390/ijerph17041126

Chicago/Turabian Style

White-Means, Shelley, Jill Dapremont, Barbara D. Davis, and Tronlyn Thompson. 2020. "Who Can Help Us on This Journey? African American Woman with Breast Cancer: Living in a City with Extreme Health Disparities" International Journal of Environmental Research and Public Health 17, no. 4: 1126. https://doi.org/10.3390/ijerph17041126

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