Conway-Phillips Regina, Millon-Underwood Sandra
Loyola University, Niehoff School of Nursing, Chicago, Illinois 60153, USA.
ABNF J. 2009 Fall;20(4):97-101.
Breast cancer is particularly burdensome on African American women (AAW) ranking second among the cause of cancer deaths in AAW. Although the incidence of breast cancer is highest in White women, AAW have a higher breast cancer mortality rate at every age and a lower survival rate than any other racial or ethnic group. Statistics indicate that the gap is widening. The results of several studies suggest that breast cancer mortality among AAW would be reduced if breast cancer screening recommendations were more effectively utilized. Results of research studies aimed at identifying variables relating to AAW acceptance of breast cancer screening activities have not had an impact on the disparity in mortality rates. The goals of this paper are to summarize the accumulated state of the nursing science and knowledge concerning breast cancer screening behavior of African American women, and to highlight important issues that research has left unresolved.
乳腺癌对非裔美国女性（AAW）来说负担尤为沉重，在AAW癌症死亡原因中排名第二。尽管白人女性乳腺癌发病率最高，但AAW在各个年龄段的乳腺癌死亡率都更高，且生存率低于其他任何种族或族裔群体。统计数据表明，这一差距正在扩大。多项研究结果表明，如果能更有效地利用乳腺癌筛查建议，AAW的乳腺癌死亡率将会降低。旨在确定与AAW接受乳腺癌筛查活动相关变量的研究结果，并未对死亡率差异产生影响。本文的目的是总结有关非裔美国女性乳腺癌筛查行为的护理科学和知识的积累情况，并突出研究尚未解决的重要问题。
