McKenzie Quinn, Eric Jutkowitz, Jennifer Primack, Katherine Lenger, James Rudolph, Thomas Trikalinos, Taylor Rickard, Htun Ja Mai, Ethan Balk, Kristin Konnyu
Protocols to reduce seclusion in inpatient mental health units
International journal of mental health nursing
breast cancer common cancer diagnosis women usa ranks second cancerrelated deaths disproportionately higher breast cancer rates found rural appalachian regions due several social drivers health including poverty access healthcare lack culturally sensitive health education amish mennonite communities religious groups distinct cultural practices beliefs experience lower mammography screening higher breast cancer mortality rates among amish women study focuses knowledge breast cancer causes cancer among amish mennonite women total 473 women participated study 26 separate womens health clinics throughout ohio consisting 348 amish 121 mennonite women largest study conducted breast cancer knowledge spanning dozens communities statistically significant differences found total knowledge scores amish mennonite women rpb 178 n 466 p 007 amish women lower scores stronger beliefs myths associated breast cancer cause symptoms 1 7558 p 006 groups often provided scientifically accurate descriptions cancer etiology majority participants underestimated breast cancer risk highlighting need culturally appropriate health education programs consider numeracy health literacy implementing targeted interventions fostering partnerships community stakeholders using multifaceted approach incorporates cultural sensitivity community engagement collaboration significant progress made towards reducing breast cancer disparities improving health outcomes