scispace - formally typeset

Journal ArticleDOI

Understanding knowledge and attitudes about breast cancer. A cultural analysis.

01 Feb 1995-Archives of Family Medicine (Arch Fam Med)-Vol. 4, Iss: 2, pp 145-152

TL;DR: Ethnography can provide important insights about culturally based knowledge and attitudes about disease and an understanding of the distinctive cultural models regarding breast cancer risk factors will aid future cancer control interventions.
Abstract: Author(s): Chavez, LR; Hubbell, FA; McMullin, JM; Martinez, RG; Mishra, SI | Abstract: ObjectiveTo evaluate knowledge and attitudes about breast cancer risk factors among Latinas, Anglo-American women, and physicians.DesignEthnographic interviews employing systematic data collection methods.ParticipantsTwenty-eight Salvadoran immigrants, 39 Mexican immigrants, 27 Chicanas, and 27 Anglo-American women selected through an organization-based network sampling and a convenience sample of 30 primary care physicians in Orange County, Calif.Main outcome measures and resultsData analysis using qualitative content analysis and quantitative cultural consensus analysis, a mathematical technique that determines the degree of shared knowledge within groups and estimates "culturally correct" answers (cultural models), was employed. The content analysis revealed different beliefs about breast cancer risk factors, particularly between the Latinas and the physicians. The cultural consensus analysis found two broad cultural models (defined as groups with ratios between the first and second eigenvalues of g or = 3 and no negative competency scores). A Latina model (ratio = 3.4), formed by the Salvadorans, Mexicans, and Chicanas, emphasized breast trauma and "bad" behaviors, including drinking alcohol and using illegal drugs as risk factors. A biomedical model (ratio = 3.0), embraced by physicians and Anglo-American women, emphasized risk factors described in the medical literature, such as family history and age. Within these broad models, each group of respondents also differed enough in their beliefs to form their own, often stronger, cultural models.ConclusionsEthnography can provide important insights about culturally based knowledge and attitudes about disease. An understanding of the distinctive cultural models regarding breast cancer risk factors will aid future cancer control interventions.
Topics: Cultural analysis (56%)

Content maybe subject to copyright    Report

UC Irvine
UC Irvine Previously Published Works
Title
Understanding knowledge and attitudes about breast cancer. A cultural analysis.
Permalink
https://escholarship.org/uc/item/6v98w0c2
Journal
Archives of family medicine, 4(2)
ISSN
1063-3987
Authors
Chavez, LR
Hubbell, FA
McMullin, JM
et al.
Publication Date
1995-02-01
DOI
10.1001/archfami.4.2.145
Copyright Information
This work is made available under the terms of a Creative Commons Attribution
License, availalbe at https://creativecommons.org/licenses/by/4.0/
Peer reviewed
eScholarship.org Powered by the California Digital Library
University of California

Understanding
Knowledge
and
Attitudes
About
Breast
Cancer
A
Cultural
Analysis
Leo
R.
Chavez,
PhD;
F.
Allan
Hubbell,
MD,
MSPH;
Juliet
M.
McMullin,
MA;
Rebecca
G.
Martinez,
MA;
Shiraz
I.
Mishra,
MD,
PhD
Objective:
To
evaluate
knowledge
and
attitudes
about
breast
cancer
risk
factors
among
Latinas,
Anglo-
American
women,
and
physicians.
Design:
Ethnographic
interviews
employing
system-
atic
data
collection
methods.
Participants:
Twenty-eight
Salvadoran
immigrants,
39
Mexican
immigrants,
27
Chicanas,
and
27
Anglo-
American
women
selected
through
an
organization-
based
network
sampling
and
a
convenience
sample
of
30
primary
care
physicians
in
Orange
County,
Calif.
Main
Outcome
Measures
and
Results:
Data
analy-
sis
using
qualitative
content
analysis
and
quantitative
cul-
tural
consensus
analysis,
a
mathematical
technique
that
determines
the
degree
of
shared
knowledge
within
groups
and
estimates
"culturally
correct"
answers
(cultural
mod-
els),
was
employed.
The
content
analysis
revealed
dif-
ferent
beliefs
about
breast
cancer
risk
factors,
particu-
larly
between
the
Latinas
and the
physicians.
The
cultural
consensus
analysis
found
two
broad
cultural
models
(de-
fined
as
groups
with
ratios
between
the
first
and
second
eigenvalues
of
\m=ge\3
and
no
negative
competency
scores).
A
Latina
model
(ratio=3.4),
formed
by