Comparing Perceptions of Cancer Fatalism among African American Patients and Their Providers

• Published in: Journal of the American Academy of Nurse Practitioners Vol. 17; no. 8; pp. 318 - 324
• Main Authors: Powe, Barbara D, Daniels, Elvan C, Finnie, Ramona
• Format: Journal Article
• Language: English
• Published: Oxford, UK; Malden, USA Blackwell Science Inc 01.08.2005; Lippincott Williams & Wilkins Ovid Technologies
• Subjects: Adult; African American; African Americans - psychology; Attitude of Health Personnel; Attitude to Death; attitudes and beliefs; cancer; Cancer fatalism; Educational Status; Female; Health Knowledge, Attitudes, Practice; Humans; Male; Middle Aged; Neoplasms - diagnosis; Neoplasms - psychology; Neoplasms - therapy; Nursing; Socioeconomic Factors
• ISSN: 1041-2972; 2327-6886; 1745-7599; 2327-6924
• DOI: 10.1111/j.1745-7599.2005.0049.x

Purpose To describe perceptions of cancer fatalism and identify demographic correlates; to explore whether providers believe their patients are fatalistic about cancer and compare these views to the patients’ views. Data sources Both patients (n= 52) and providers (n= 35) were recruited at federally funded, community primary care centers. Data were collected using the Powe Fatalism Inventory, the Perceived Patient Fatalism Inventory, and a demographic data questionnaire. Data were analyzed using descriptive statistics, Pearson correlations, and t‐test. Conclusions The majority of patients were African American women. The majority of providers were physicians and nurses. Patients indicated low perceptions of cancer fatalism, but providers believed patients were highly fatalistic. As the patients’ educational level increased, perceptions of cancer fatalism decreased. Implications for practice The providers’ belief that patients are fatalistic about cancer may influence patient–provider communication. They may be less likely to recommend screening, and patients may be less likely to initiate a discussion about cancer. Strategies are needed that target providers and their patients to address actual and/or perceived perceptions and their influence on cancer screening.