Breast health education for working women in Appalachia

Insights from focus group research

Sally J. McMillan, Eric Haley, Paige Zollman-Huggler, Elizabeth Johnson Avery, Melissa G. Winchenbach, John Bell

Research output: Contribution to journalArticle

5 Citations (Scopus)

Abstract

Background: This study seeks to understand rural working women, their knowledge of health systems, and how breast health issues fit into their lives. A key aim of this study was to identify regionally and culturally specific factors that influence how these women approach breast health and to identify ways that more positive breast health behaviors can be achieved. Methods: Five focus groups (N = 42) were conducted among women at sites where the Breast Health Outreach Program (BHOP) had been conducted. Focus groups were composed of 7 to 10 women who were in about the same age cohort. Results: Women provided multiple insights about their attitudes and behaviors related to breast heath concerns. Analysis of the data revealed that many of the comments clustered around two types of quot;systemsquot; in these women's lives: the professional health care system and personal community systems. The BHOP provides a bridge between these two systems and seems to facilitate positive actions. Workplace health professionals also provide a bridge between professional and personal systems. Conclusions: Women exhibited the general distrust of the medical system that the literature indicates is often associated with Appalachian culture. However, this study found that distrust can be overcome with education programs that meet women where they live and work. Such programs are most likely to be successful when the materials and methods are sensitive to Appalachian culture and when medical services are brought into the community.

Original languageEnglish (US)
Pages (from-to)265-276
Number of pages12
JournalCancer Control
Volume14
Issue number3
DOIs
StatePublished - Jan 1 2007

Fingerprint

Appalachian Region
Working Women
Focus Groups
Health Education
Breast
Research
Health
Health Behavior
Workplace
Delivery of Health Care
Education

All Science Journal Classification (ASJC) codes

  • Hematology
  • Oncology

Cite this

McMillan, S. J., Haley, E., Zollman-Huggler, P., Avery, E. J., Winchenbach, M. G., & Bell, J. (2007). Breast health education for working women in Appalachia: Insights from focus group research. Cancer Control, 14(3), 265-276. https://doi.org/10.1177/107327480701400310

Breast health education for working women in Appalachia : Insights from focus group research. / McMillan, Sally J.; Haley, Eric; Zollman-Huggler, Paige; Avery, Elizabeth Johnson; Winchenbach, Melissa G.; Bell, John.

In: Cancer Control, Vol. 14, No. 3, 01.01.2007, p. 265-276.

Research output: Contribution to journalArticle

McMillan, SJ, Haley, E, Zollman-Huggler, P, Avery, EJ, Winchenbach, MG & Bell, J 2007, 'Breast health education for working women in Appalachia: Insights from focus group research', Cancer Control, vol. 14, no. 3, pp. 265-276. https://doi.org/10.1177/107327480701400310
McMillan, Sally J. ; Haley, Eric ; Zollman-Huggler, Paige ; Avery, Elizabeth Johnson ; Winchenbach, Melissa G. ; Bell, John. / Breast health education for working women in Appalachia : Insights from focus group research. In: Cancer Control. 2007 ; Vol. 14, No. 3. pp. 265-276.
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