Coping with appraised threat of breast cancer: Primary prevention coping behaviors utilized by women at increased risk
View File(s)
Visitor Statistics
Visits vs Downloads
Visitors - World Map
Top Visiting Countries
Country | Visits |
---|
Top Visiting Cities
City | Visits |
---|
Visits (last 6 months)
Downloads (last 6 months)
Popular Works for Lancaster, Diane by View
Title | Page Views |
---|
Popular Works for Lancaster, Diane by Download
Title | Downloads |
---|
View Citations
Citations
Breast cancer affects nearly one in nine women and is a leading cause of cancer related deaths among this group. Yet, little is known about how high risk women deal with this health threat. Conceptualized within the Neuman Systems model, the purpose of this study was to examine how women with family histories of breast cancer appraise and cope with their breast cancer risk. Using a descriptive correlational design, a convenience sample of 209 women responded to a mailed questionnaire. Instrument content and construct validity was established and alpha reliabilities ranged from.70 to.93. Ninety percent of the sample perceived their degree of breast cancer risk to be moderate or high. However, women with high and low degrees of appraised threat had low actual breast cancer risk scores, whereas women with moderate degrees of appraised threat tended to have higher actual breast cancer risk scores. Thus, a curvilinear relationship was present and lends partial support to the hypothesized relationship between these variables. The most common and effective coping modes used by at least 50% of the sample were confrontive, optimistic, and early detection behaviors. Over 75% of the sample rated evasive, emotive, palliative, and fatalistic modes of coping as behaviors they did not use and which were ineffective in dealing with this health threat. A significant moderate correlation (r =.41, p $<$.001) was found between a subject's appraised degree of breast cancer risk and the number of general coping behaviors used. Therefore, the higher the degree of threat appraised, the more coping behaviors used. Multiple regression analyses demonstrated that actual and appraised breast cancer risk accounted for only small percentages of variance in coping behaviors. Canonical correlation analyses revealed five different patterns of appraisal and resultant types of coping. The type of coping behaviors used varied with how the breast cancer threat was perceived, thereby supporting the hypothesized relationship between these variables. The knowledge generated from this study can help nurses to assist women at increased risk to maintain optimal levels of health. And, it is an important step in testing a middle range theory derived from the Neuman model.
This dissertation has also been disseminated through the ProQuest Dissertations and Theses database. Dissertation/thesis number: 9215110; ProQuest document ID: 304003798. The author still retains copyright.
This item has not gone through this repository's peer-review process, but has been accepted by the indicated university or college in partial fulfillment of the requirements for the specified degree.
Type | Dissertation |
Acquisition | Proxy-submission |
Review Type | None: Degree-based Submission |
Format | Text-based Document |
Evidence Level | Cross-Sectional |
Research Approach | Quantitative Research |
Keywords | Breast Cancer; Coping Behavior; Cancer Risk |
CINAHL Subject(s) | Breast Neoplasms--Prevention and Control; Coping; Breast Self-Examination; Perception; Breast Neoplasms |
Grantor | Wayne State University |
Advisor | Northouse, Laurel |
Level | PhD |
Year | 1991 |
All rights reserved by the author(s) and/or publisher(s) listed in this item record unless relinquished in whole or part by a rights notation or a Creative Commons License present in this item record.
All permission requests should be directed accordingly and not to the Sigma Repository.
All submitting authors or publishers have affirmed that when using material in their work where they do not own copyright, they have obtained permission of the copyright holder prior to submission and the rights holder has been acknowledged as necessary.
Related items
Showing items related by title, author, creator and subjects.
-
Differences in the frequency of use of breast cancer control methods in Black and white women: An application of the Health Belief Model
Douglass, Merrian E.The purposes of this study were to describe differences in the frequency of use of breast cancer control methods (mammogram (MAM), clinical breast examination (CBE), and breast self-examination (BSE)) and health beliefs ... -
Breast cancer risk perception, knowledge, attitudes, beliefs and screening behaviors of Chamorro women in Guam
Cruz, Teofila P.Background: Breast cancer is a serious public health issue in Guam and in the world. Chamorro women in Guam have the highest incidence and mortality rates of breast cancer among other ethnic groups of women living in Guam. ... -
United States resident, Jordanian and Palestinian women's participation in breast cancer screening
Kawar, Lina N.Breast cancer is a threatening disease to women worldwide. Breast cancer screening (BCS) is a key to early detection and reduced mortality. Factors predicting women's participation in BCS have been well studied in the ... -
Perceptions contributing to cervical cancer screening decisions in African born immigrant women
Adegboyega, Adebola; Hatcher, Jennifer (2016-03-17)Session presented on Sunday, July 26, 2015: Purpose: Disparities in cervical cancer screenings exist for foreign born women in the United States (Hurtado-de-Mendoza, Song, Kigen, Jennings, Nwabukwu, and Sheppard (2014). ... -
Examining constructs of the health belief model as predictors of Haitian men's intention regarding prostate cancer screening
Louis, Jhonii Price II (2017-01-27)Background: The most recent report of Global Burden of Cancer (GLOBOCAN) indicated the incidence rate of prostate cancer in Haiti as 38.6 and the mortality rate as 32.3 per 100,000. The literature supports a high ...