Methods: A cross-sectional survey design was used to collect quantitative data regarding times of moderate or greater exercise (20-60 minutes at a session) per week, receipt of BC screening within the past two years, BC knowledge, attitudes toward BC screening, self-efficacy for BC screening, BMI, health insurance, and sociodemographics from KA women aged 50 to 80. Purposive sampling was performed to recruit eligible study participants from May 2015 to February 2016 in the Atlanta metropolitan area, and a total of 307 KA women completed self-report survey questionnaires. Descriptive and multiple logistic regression analyses were conducted using Stata/SE 14.1.
Results: The descriptive analyses showed that 68% reported ≥ 1 time of exercise per week and 32% reported ≥ 3 times of exercise per week, while 49% had undergone BC screening. Among individuals reporting BC screening, 74% had ≥ 1 time of exercise per week and 38% had ≥ 3 times of exercise per week. Comparatively, among those reporting no BC screening, 62% had ≥ 1 time of exercise per week; 26% had ≥ 3 times of exercise per week. The multiple logistic regression analysis showed that individuals reporting BC screening were more likely than those reporting none to do ≥ 3 times of exercise per week (OR=1.87; 95% CI=1.00–3.47), holding other variables constant.
Conclusions and Implications: This study contributes to the existing body of literature pertaining to BC screening practice among KA women by identifying its association with regular exercise. The findings provided implications for culturally-specific interventions designed to encourage KA women’s initiation and maintenance of regular excise and BC screening. The findings suggest collaborative efforts for preventive health education among health professionals and social workers at primary and secondary healthcare settings. Future research should investigate the causal-effect relationship and how the readiness for exercise is associated with BC screening among underserved communities.