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Journal of the National Medical Association logoLink to Journal of the National Medical Association
letter
. 1988 Dec;80(12):1297–1304.

Black Americans' Perceptions of Cancer

A Study Utilizing the Health Belief Model

James H Price, Sharon M Desmond, Margaret Wallace, Daisy Smith, Paula W Stewart
PMCID: PMC2625887  PMID: 3249333

Abstract

The purpose of this study was to determine black adults' knowledge and perceptions of cancer by utilizing the Health Belief Model. The subjects were obtained by randomly selecting 11 churches from a list of 33. There were 769 black adults who responded to the survey (64 percent response rate). Mean age of respondents was 44.3 years, SD = 14.7. Only 29 percent were able to correctly identify all seven of the American Cancer Society warning signs; 13 percent were unable to identify any warning signs. One in four believed it was likely they would develop cancer sometime in their life, and 42 percent believed blacks were more susceptible to cancer than whites. Forty-one percent believed most people who get cancer will die from it. Perceived barriers to treatment included cost and pain. A large number of significant differences (P < .01) were found when responses were examined in relation to the sex, educational level, and age of the subjects.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Janz N. K., Becker M. H. The Health Belief Model: a decade later. Health Educ Q. 1984 Spring;11(1):1–47. doi: 10.1177/109019818401100101. [DOI] [PubMed] [Google Scholar]
  2. Levin J. S. The role of the black church in community medicine. J Natl Med Assoc. 1984 May;76(5):477–483. [PMC free article] [PubMed] [Google Scholar]
  3. Michielutte R., Diseker R. A. Racial differences in knowledge of cancer: a pilot study. Soc Sci Med. 1982;16(3):245–252. doi: 10.1016/0277-9536(82)90335-5. [DOI] [PubMed] [Google Scholar]
  4. Price J. H., Desmond S. M., Wallace M., Smith D., Stewart P. M. Differences in black and white adolescents' perceptions about cancer. J Sch Health. 1988 Feb;58(2):66–70. doi: 10.1111/j.1746-1561.1988.tb05826.x. [DOI] [PubMed] [Google Scholar]
  5. Stone A. J., Siegel J. M. Correlates of accurate knowledge of cancer. Health Educ Q. 1986 Spring;13(1):39–50. doi: 10.1177/109019818601300105. [DOI] [PubMed] [Google Scholar]
  6. Weissfeld J. L., Brock B. M., Kirscht J. P., Hawthorne V. M. Reliability of health belief indexes: confirmatory factor analysis in sex, race, and age subgroups. Health Serv Res. 1987 Feb;21(6):777–793. [PMC free article] [PubMed] [Google Scholar]

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