Dissertations, Theses, and Capstone Projects

Date of Degree

2-2023

Document Type

Dissertation

Degree Name

Ph.D.

Program

Nursing

Advisor

Juan Battle

Committee Members

Steven Baumann

William Samuels

Subject Categories

Community Health and Preventive Medicine | Nursing | Public Health and Community Nursing | Race and Ethnicity | Women's Health

Keywords

Physical Activity, Cancer, Women, Race, Intersectionality, Self-Management

Abstract

Black women are more likely to die from cancer than any other population in the United States. Physical activity is known to be associated with preventing and reducing cancer burden. However, Black women are less physically active than their White counterparts and have a higher prevalence of diseases related to lack of physical activity than any other female group. To better understand these issues, this study employed the self-and-family management framework and intersectionality as theoretical frameworks through a secondary analysis of the Health Information National Trends Survey (HINTS) dataset and hierarchical regression modeling to examine the relative impact of (a.) cancer history, (b.) cancer prevention knowledge and beliefs, and (c.) key demographic variables on physical activity for a national sample of adult females. To determine how these relationships operate within two major racial groups, analyses were conducted separately for Black and White women. The study aligned with the Office of Disease Prevention and Health Promotion’s Healthy People 2020 Physical activity (PA) 1 and 2.1 objectives to reduce the proportion of adults who engage in no leisure-time physical activity and to increase the proportion of adults who meet current Federal physical activity guidelines for aerobic physical activity and for muscle-strengthening activity. The study ends with a presentation of the project's limitations, implications, and areas for future research.

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