Who Can Help Us on This Journey? African American Woman with Breast Cancer: Living in a City with Extreme Health Disparities

Shelley White-Means, Jill Dapremont, Barbara D Davis and Tronlyn Thompson
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Shelley White-Means: College of Graduate Health Science, University of Tennessee Health Science Center, 910 Madison, Suite 317, Memphis, TN 38163, USA
Jill Dapremont: Loewenberg College of Nursing, University of Memphis, 3567 Community Health Building, Memphis, TN 38152, USA
Barbara D Davis: Department of Management, Fogelman College of Business and Economics, University of Memphis, Memphis, TN 38152, USA
Tronlyn Thompson: Department of Biology, College of Arts and Sciences, Howard University, 2251 Sherman Avenue NW, Washington, DC 20001, USA

IJERPH, 2020, vol. 17, issue 4, 1-12

Abstract: This qualitative descriptive research study looks at the services that community-based breast cancer support agencies provide to underserved and African American women who are at risk for or diagnosed with breast cancer in Memphis, Tennessee. We seek their understanding of breast cancer mortality disparities in Memphis. Data were collected using semi-structured in-depth focus groups with five breast cancer support agencies. Categories and patterns were established using thematic analysis and a deductive a priori template of codes. Thematic analysis is a method for identifying, analyzing, and reporting themes within the data. The main themes identified within support agencies for African American women with breast cancer who live in Memphis were barriers to the use of services, education, health system support, and emotional support. Numerous sub themes included cost of medications, support group supplemental programming, eligibility for mobile services, patient/provider communication, optimism about the future, and family advice. Procrastinating, seeking second options, fearfulness, insurance, childcare, and transportation were barriers to care. Community-based breast cancer support agencies play a critical role as connectors for women with breast cancer who live in medically underserved areas and must find their way within a fragmented medical care system.

Keywords: health disparities; breast cancer; support agencies; African American women; focus group; race; access; education; emotional support (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2020
References: View references in EconPapers View complete reference list from CitEc
Citations: View citations in EconPapers (2)

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