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This version was published on October 1, 2006
Health Education & Behavior, Vol. 33, No. 5, 643-663 (2006)
DOI: 10.1177/1090198106288498
© 2006 Society for Public Health Education

A Qualitative Evaluation of a Faith-Based Breast and Cervical Cancer Screening Intervention for African American Women

Alicia K. Matthews, PhD

University of Illinois at Chicago, College of Nursing, 845 S. Damen Ave., Chicago, IL 60612; phone: (312) 996-7885; Aliciak{at}uic.edu

Nerida Berrios, BA

Julie S. Darnell, MHSA, AM

Elizabeth Calhoun, PhD

Northwestern University, Institute for Health Services Research and Policy Studies, Chicago, Illinois

This article presents a formative evaluation of a CDC Racial and Ethnic Approaches to Community Health (REACH) 2010 faith-based breast and cervical cancer early detection and prevention intervention for African American women living in urban communities. Focus groups were conducted with a sample of women (N = 94) recruited from each church participating in the intervention. One focus group was conducted in each of the nine participating churches following completion of the 6-month REACH 2010 intervention. Transcribed data were coded to identify relevant themes. Key findings included (a) the acceptability of receiving cancer education within the context of a faith community, (b) the importance of pastoral input, (c) the effectiveness of personal testimonies and lay health advocates, (d) the saliency of biblical scripture in reinforcing health messages, (e) the effectiveness of multimodal learning aids, and (f) the relationship between cervical cancer and social stigma. Study findings have implications for enhancing faith-based breast and cervical cancer prevention efforts in African American communities.

Key Words: faith-based intervention • breast cancer • cervical cancer • African American women


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