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Washington University in St. Louis

Theses/Dissertations

2013

African American

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An Exploration Of The Lives Of Young, African American Women With Triple-Negative Breast Cancer, Sarah Bollinger Sep 2013

An Exploration Of The Lives Of Young, African American Women With Triple-Negative Breast Cancer, Sarah Bollinger

All Theses and Dissertations (ETDs)

Compared to other subtypes of breast cancer, triple-negative breast cancer: TNBC) accounts for a disproportionate number of metastatic cases and cancer deaths. Glaring disparities are present in the occurrence of TNBC, such that those diagnosed are more likely to be African American: prevalence of 26% vs. 16% in non-African Americans) and premenopausal: 24% vs. 15% postmenopausal). A critical factor to consider regarding the disparities associated with TNBC is the evidence documenting the link between psychosocial stress over the life course and the occurrence of large, aggressive tumors that are characteristic of this subtype. Because issues such as crime, isolation, stress, …


Mental Health Service Utilization Among African American Emerging Adults, Sha-Lai Williams Apr 2013

Mental Health Service Utilization Among African American Emerging Adults, Sha-Lai Williams

All Theses and Dissertations (ETDs)

Mental illness affects 25-30% of US adults ages 18 years and older in a given year. Of those individuals, about 41% fail to utilize mental health services. Research indicates that being African American and between the ages of 18 and 29 are associated with decreased rates of service utilization. Yet, less is known about the factors related to mental health service utilization among a specific subset of these groups, namely, African American emerging adults. Using empirically-tested theoretical frameworks as its foundation, this dissertation study aimed to address this gap in literature by examining specific predisposing, enabling, and need factors: e.g., …