Browsing by Author "Watkins, Kellie L."
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Item Discrimination, Affect, and Cancer Risk Factors among African Americans(PNG Publications, 2014) Cuevas, Adolfo G.; Reitzel, Lorraine R.; Adams, Claire E.; Cao, Yumei; Nguyen, Nga; Wetter, David W.; Watkins, Kellie L.; Regan, Seann D.; McNeill, Lorna H.Objectives: To examine whether stress or depressive symptoms mediated associations between perceived discrimination and multiple modifiable behavioral risk factors for cancer among 1363 African American adults. Methods: Nonparametric bootstrapping procedures, adjusted for sociodemographics, were used to assess mediation.ᅠResults: Stress and depressive symptoms each mediated associations between discrimination and current smoking, and discrimination and the total number of behavioral risk factors for cancer. Depressive symptoms also mediated the association between discrimination and overweight/obesity (p values < .05).Conclusions: Discrimination may influence certain behavioral risk factors for cancer through heightened levels of stress and depressive symptoms. Interventions to reduce cancer risk may need to address experiences of discrimination, as well as the stress and depression they engender.Item HPV Awareness, Knowledge and Attitudes among Older African-American Women(Ingenta Connect, 2015) Watkins, Kellie L.; Reitzel, Lorraine R.; Wetter, David W.; McNeill, LornaObjective: To assess correlates of human papillomavirus (HPV) awareness, knowledge, and attitudes among older, church-going African-American women.ᅠMethods: Participants (N = 759), aged 40-80, answered survey questions about HPV awareness, knowledge, and attitudes toward vaccination of adolescent daughters. Associations between participant characteristics and HPV items were assessed using chi-square tests and logistic regression analyses.ᅠResults: Younger age, higher education, a family history of cancer, and less spirituality were each associated with HPV awareness individually, and when considered jointly in a single model (p values <.038). Higher education was related to HPV knowledge (p = .006).ᅠConclusions: African-American women of older age, less education, no family history of cancer, and/or higher spirituality might benefit from targeted church-based HPV educational campaigns.