Two Peas in a Pod? An Exploratory Examination into Cancer-Related Psychosocial Characteristics and Health Behaviors among Black Immigrants and African Americans

Autor/inn/en	Amuta-Jimenez, Ann Oyare; Cisse-Egbounye, Nafissatou; Jacobs, Wura; Smith, Gabrielle P. A.
Titel	Two Peas in a Pod? An Exploratory Examination into Cancer-Related Psychosocial Characteristics and Health Behaviors among Black Immigrants and African Americans
Quelle	In: Health Education & Behavior, 46 (2019) 6, S.1035-1044 (10 Seiten) PDF als Volltext Verfügbarkeit
Zusatzinformation	ORCID (Amuta-Jimenez, Ann Oyare)
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	1090-1981
DOI	10.1177/1090198119859399
Schlagwörter	Blacks; Immigrants; African Americans; Cancer; Health Behavior; Psychological Patterns; Individual Characteristics; Self Concept; Smoking; Eating Habits; Physical Activity Level; Gynecology; Ethnicity; Screening Tests; Prevention; Cultural Differences; Risk; Allied Health Personnel; Interpersonal Communication; Family (Sociological Unit) + Suchen Sie Ihr Suchwort? Black person; Schwarzer; Immigrant; Immigrantin; Immigranten; Afroamerikaner; Carcinoma; Karzinom; Krebs (med); Krebserkrankung; Health behaviour; Gesundheitsverhalten; Personality characteristic; Personality traits; Persönlichkeitsmerkmal; Selbstkonzept; Rauchen; Ernährungsgewohnheit; Essgewohnheit; Gynäkologie; Ethnizität; Screening-Verfahren; Prävention; Vorbeugung; Kultureller Unterschied; Risiko; Interpersonale Kommunikation; Familie
Abstract	Introduction: Most studies lump Black immigrants (BIs) and African Americans (AAs) as "Black/African American" during investigation. Such categorization assumes that the sociocultural determinants that influence BIs are the same as for AAs. This study attempts to disentangle the AA and BI subgroups to recognize the differences in cancer-related psychosocial characteristics and health behaviors. Methods: Merged data from the Health Information National Survey (2011-2017) were used. Two groups were created: those who identified as AA and those who identified as AA but were born outside the United States (BI). Between-group differences were assessed with Mann-Whitney "U" and chi-square tests. Results: Positive communication patterns with health care providers were significantly higher among AAs (M [mean] = 3.41, SD [standard deviation] = 0.68) compared with BIs (M = 3.28, SD = 0.71) (p = 0.004). A greater proportion of BIs indicated that their health was excellent (14.2%), compared with AAs (7.9%). AAs reported higher cancer family history (75.1%) than BIs (46.5%). More AAs had smoked at least 100 cigarettes in their lifetime (41.5%) than BIs (16.7%). BIs consumed significantly more fruits each day (M = 2.77, SD = 1.43) than AAs (M = 2.40, SD = 1.44) (p < 0.001). BIs also reported more physical activity (M = 2.62, SD = 2.15) than AAs (M = 2.37, SD = 2.18) (p = 0.030). AA women were more likely to have had a pap smear test (M = 2.07, SD = 1.44) compared with BI women (M = 1.73, SD = 1.21) (p = 0.002). Discussion: Evidence suggests the need to disentangle the "Black/African American" ethnic grouping. Lumping the BI populations together with the AAs, who have been in the United States for generations, may limit the ability to uncover and consequently address culturally driven disease prevention efforts and promote understanding of the biological, environmental, and psychosocial risk factors within Black heterogeneous populations. (As Provided).
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Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2020/1/01