Perceptions of COVID-19 and the Use of Health Information Technology Among People Who Are Uninsured: Multimethod Survey Study.

Background: As of May 2023, the novel SARS-CoV-2 has claimed nearly 7 million lives globally and >1.1 million lives in the United States. Low-income populations are often disproportionately affected by risk factors such as lifestyle, employment, and limited health literacy.

It's All About Trust and Respect: Cultural Competence and Cultural Humility in Mobile Health Clinic Services for Underserved Minority Populations.

Objectives: To explore participants' perceptions of cultural competence and cultural humility in mobile health clinic (MHC) service delivery, using the Cultural Competence Model (CCM) as an organizing framework.

Methods: We conducted five focus groups with an ethnically diverse group of English-and Spanish-speaking men and women, ages 20-67, residing in five underserved neighborhoods in a Southeastern U.S.

Screening for Physical Activity and Cardiometabolic Risk Factors Among Rural African-American Women.

Physical inactivity can have major implications for cardiovascular disease and diabetes, which are leading causes of morbidity among African-American women. Recruiting in rural populations can present challenges and strategies that work in one community but may not be successful in another community. This study examined the feasibility, acceptability, and implementation of community-based screening using an abbreviated Racial and Ethnic Approaches to Community Health (REACH) Risk Factor self-report survey in a geographic region where these data were previously unavailable.

Breast cancer fear in African American breast cancer survivors.

The purpose of this study was to describe breast cancer fear according to phase of survivorship, determine whether breast cancer fear levels differed among survivorship phases, and determine the relationship between fear and age in African-American breast cancer survivors. The study utilized secondary data analysis from the study, Inner Resources as Predictors of Psychological Well-Being in AABCS. A new subscale entitled, "Breast Cancer Fear" was adapted from the Psychological Well Being Subscale by Ferrell and Grant.

Teaching strategies to facilitate breast cancer screening by African-American women.

The objective of this paper is to report on the recent literature concerning coverage of breast cancer epidemiology, the barriers to breast cancer screening, and the strategies to facilitate screening by African-American women. Based on these findings, the author suggests culturally appropriate techniques to be used to promote breast cancer screening in African-American women. Barriers to breast cancer screening in African-American women include emotional reasons, spiritual/religious reasons, fatalism, logistic concerns, lack of knowledge, and lack of follow-up by health-care professionals.

Integrative review of spirituality in African American breast cancer survivors.

This paper reports findings of an integrative review of the literature on spirituality in AA breast cancer survivors, isolates key spiritual themes, and recommends future research. Inclusion criteria are 1994 to 2004 research studies that included AA breast cancer survivors 18 years old and older. Content analysis was used to isolate spiritual themes and spiritual domains/dimensions.

Factors associated with delays in screening of self-detected breast changes in African-American women.

Breast cancer mortality is higher among African-American women than among White women. African-American women are 25% more likely to present with late stage breast cancer and 20% more likely to die from breast cancer than White women. Treatment delay of 3 months is a significant factor in breast cancer mortality The purpose of this integrative review is to explore factors that impact delays in screening The most common patient-controlled delays were lack of education and knowledge about the perceived seriousness of breast symptoms, the associated risk factors, limited knowledge regarding the potential benefits of early detection in improving breast cancer survival, and expressed fatalistic perspectives about breast cancer.

Inter-relationships among sense of coherence, hope, and spiritual perspective (inner resources) of African-American and European-American breast cancer survivors.

This descriptive study compared sense of coherence (SOC), hope, and spiritual perspective in African-American and European-American breast cancer survivors. Five African-American and five European-American survivors completed multiple self-report instruments. Nonparametric statistical analyses included the Spearman rho and Mann-Whitney U tests.

Inner resources as predictors of psychological well-being in middle-income african american breast cancer survivors.

Although African American women are exposed to major life stressors such as breast cancer, many have high levels of psychological well-being (PWB). However, there are no current studies that describe the psychological effects of applying sense of coherence, hope, and spiritual perspective by African American breast cancer survivors. These three inner resources have each been positively associated with PWB or coping.