{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,12]],"date-time":"2026-05-12T08:15:05Z","timestamp":1778573705289,"version":"3.51.4"},"reference-count":23,"publisher":"MDPI AG","issue":"1","license":[{"start":{"date-parts":[[2015,12,22]],"date-time":"2015-12-22T00:00:00Z","timestamp":1450742400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100006545","name":"NIMHD","doi-asserted-by":"publisher","award":["P20MD005118"],"award-info":[{"award-number":["P20MD005118"]}],"id":[{"id":"10.13039\/100006545","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["IJERPH"],"abstract":"<jats:p>Among the country\u2019s 25 largest cities, the breast cancer mortality disparity is highest in Memphis, Tennessee, where African American women are twice as likely to die from breast cancer as White women. This qualitative study of African-American breast cancer survivors explores experiences during and post treatment that contributed to their beating the high odds of mortality. Using a semi-structured interview guide, a focus group session was held in 2012 with 10 breast cancer survivors. Thematic analysis and a deductive a priori template of codes were used to analyze the data. Five main themes were identified: family history, breast\/body awareness and preparedness to manage a breast cancer event, diagnosis experience and reaction to the diagnosis, family reactions, and impact on life. Prayer and family support were central to coping, and survivors voiced a cultural acceptance of racial disparities in health outcomes. They reported lack of provider sensitivity regarding pain, financial difficulties, negative responses from family\/friends, and resiliency strategies for coping with physical and mental limitations. Our research suggested that a patient-centered approach of demystifying breast cancer (both in patient-provider communication and in community settings) would impact how women cope with breast cancer and respond to information about its diagnosis.<\/jats:p>","DOI":"10.3390\/ijerph13010006","type":"journal-article","created":{"date-parts":[[2015,12,23]],"date-time":"2015-12-23T06:52:19Z","timestamp":1450853539000},"page":"6","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":15,"title":["African American Women: Surviving Breast Cancer Mortality against the Highest Odds"],"prefix":"10.3390","volume":"13","author":[{"given":"Shelley","family":"White-Means","sequence":"first","affiliation":[{"name":"Department of Clinical Pharmacy, University of Tennessee Health Science Center, 881 Madison, Suite 202, Memphis, TN 38163, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Muriel","family":"Rice","sequence":"additional","affiliation":[{"name":"Mustard Seed, Inc., 653 Mississippi Blvd, Memphis, TN 38126, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jill","family":"Dapremont","sequence":"additional","affiliation":[{"name":"Loewenberg School of Nursing, University of Memphis, 3567 Community Health Building, Memphis, TN 38152, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Barbara","family":"Davis","sequence":"additional","affiliation":[{"name":"Department of Management, Fogelman College of Business and Economics, University of Memphis, Memphis, TN 38152, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Judy","family":"Martin","sequence":"additional","affiliation":[{"name":"Shelby County Health Department, Memphis, TN 38105, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2015,12,22]]},"reference":[{"key":"ref_1","unstructured":"American Cancer Society (2014). Cancer Facts & Figures, American Cancer Society."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"12","DOI":"10.1017\/S026646231100064X","article-title":"Incidence-based cost-of-illness model for metastatic breast cancer in the united states","volume":"28","author":"Sorensen","year":"2012","journal-title":"Int. J. Technol. Assess. Health Care"},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"e147","DOI":"10.1016\/j.canep.2011.10.012","article-title":"The racial disparity in breast cancer mortality in the 25 largest cities in the United States","volume":"36","author":"Whitman","year":"2012","journal-title":"Cancer Epidemiol."},{"key":"ref_4","unstructured":"US Census Bureau, Social, Economic, and Housing Statistics Division Poverty, Available online: http:\/\/www.census.gov\/hhes\/www\/poverty\/about\/overview\/."},{"key":"ref_5","unstructured":"CNN Money 2013. 15% of Americans Living in Poverty. Available online: http:\/\/money.cnn.com\/2013\/09\/17\/news\/economy\/poverty-income\/index.html."},{"key":"ref_6","unstructured":"Social Science Data Analysis Network CensusScope, Segregation: Dissimilarity Indices. Available online: http:\/\/www.censusscope.org\/us\/m4920\/chart_dissimilarity.html."},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"16","DOI":"10.1097\/NCC.0000000000000120","article-title":"Transition from patient to survivor in African American breast cancer survivors","volume":"38","author":"Mollica","year":"2015","journal-title":"Cancer Nurs."},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1007\/s11136-014-0654-3","article-title":"We both just trusted and leaned on the Lord: A qualitative study of religiousness and spirituality among African American breast cancer survivors and their caregivers","volume":"23","author":"Sterba","year":"2014","journal-title":"Qual. Life Res."},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"E36","DOI":"10.1097\/01.NCC.0000339254.68324.d7","article-title":"Quality of life of African American breast cancer survivors: how much do we know?","volume":"31","author":"Russell","year":"2008","journal-title":"Cancer Nurs."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"927","DOI":"10.1177\/0193945907302968","article-title":"I\u2019ve been through something: Poetic explorations of african american women\u2019s cancer survivorship: Response by Kooken, Haase, and Russell","volume":"29","author":"Kooken","year":"2007","journal-title":"West. J. Nurs. Res."},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"408","DOI":"10.1002\/pon.750","article-title":"Understanding the breast cancer experience of women: A qualitative study of African American, Asian American, Latina and Caucasian cancer survivors","volume":"13","author":"Padilla","year":"2004","journal-title":"Psychooncology"},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"1017","DOI":"10.1089\/jwh.2010.2105","article-title":"What influences diagnostic delay in low-income women with breast cancer?","volume":"20","author":"Maly","year":"2011","journal-title":"J. Womens Health"},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"721","DOI":"10.1353\/hpu.0.0176","article-title":"Exploring the financial impact of breast cancer for African American medically underserved women: A qualitative study","volume":"20","author":"Darby","year":"2009","journal-title":"J. Health Care Poor Underserved"},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"309","DOI":"10.1097\/01.NCC.0000281730.17985.f5","article-title":"Spirituality among African American cancer survivors: Having a personal relationship with God","volume":"30","author":"Hamilton","year":"2007","journal-title":"Cancer Nurs."},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"107","DOI":"10.1300\/J077v24n04_06","article-title":"Breast cancer survivorship: Expressed needs of black women","volume":"24","author":"Coggin","year":"2006","journal-title":"J. Psychosoc. Oncol."},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"223","DOI":"10.1007\/s11764-009-0098-x","article-title":"Confronting chemobrain: An in-depth look at survivors\u2019 reports of impact on work, social networks, and health care response","volume":"3","author":"Boykoff","year":"2009","journal-title":"J. Cancer Surviv."},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"789","DOI":"10.1188\/02.ONF.789-801","article-title":"Cancer survivorship research among ethnic minority and medically underserved groups","volume":"29","author":"Aziz","year":"2002","journal-title":"Oncol. Nurs. Forum"},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"351","DOI":"10.1177\/109019818801500401","article-title":"An ecological perspective on health promotion programs","volume":"15","author":"McLeroy","year":"1988","journal-title":"Health Educ. Q."},{"key":"ref_19","doi-asserted-by":"crossref","unstructured":"Fowler, B. (2014). Neighborhood-level influences on delays in diagnostic follow-up from mammography screening in African-American women: A systematic review. J. Womens Health Care, 3.","DOI":"10.4172\/2167-0420.1000151"},{"key":"ref_20","unstructured":"Patton, M.Q. (2002). Qualitative Research & Evaluation Methods, Sage Publications. [3rd ed]."},{"key":"ref_21","unstructured":"Metropolitan Chicago Breast Cancer Task Force (2007). Improving Quality and Reducing Disparities in Breast Cancer Mortality in Metropolitan Chicago, Metropolitan Chicago Breast Cancer Task Force."},{"key":"ref_22","first-page":"1","article-title":"Demonstrating rigor using thematic analysis: A hybrid approach of inductive and deductive coding and theme development","volume":"5","author":"Fereday","year":"2006","journal-title":"Int. J. Q. Methods"},{"key":"ref_23","unstructured":"Crabtree, B., and Miller, W. (1999). Doing Qualitative Research, Sage Publications."}],"container-title":["International Journal of Environmental Research and Public Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/1660-4601\/13\/1\/6\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,11]],"date-time":"2025-10-11T20:54:30Z","timestamp":1760216070000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/1660-4601\/13\/1\/6"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2015,12,22]]},"references-count":23,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2016,1]]}},"alternative-id":["ijerph13010006"],"URL":"https:\/\/doi.org\/10.3390\/ijerph13010006","relation":{},"ISSN":["1660-4601"],"issn-type":[{"value":"1660-4601","type":"electronic"}],"subject":[],"published":{"date-parts":[[2015,12,22]]}}}