Marcel E. Conrad, MD; Patricia Brown, BS; Marcia G. Conrad, MSN, MPH
The Editors welcome submissions for possible publication in the Letters section. Authors of letters should:
•Include no more than 300 words of text, three authors, and five references
•Type with double-spacing
•Send three copies of the letter, an authors' form signed by all authors, and a cover letter describing any conflicts of interest related to the contents of the letter.
Letters commenting on an Annals article will be considered if they are received within 6 weeks of the time the article was published. Only some of the letters received can be published. Published letters are edited and may be shortened; tables and figures are included only selectively. Authors will be notified that the letter has been received. If the letter is selected for publication, the author will be notified about 3 weeks before the publication date. Unpublished letters cannot be returned.
Annals welcomes electronically submitted letters.
Conrad M., Brown P., Conrad M.; Fatalism and Breast Cancer in Black Women. Ann Intern Med. 1996;125:941-942. doi: 10.7326/0003-4819-125-11-199612010-00026
Download citation file:
Published: Ann Intern Med. 1996;125(11):941-942.
TO THE EDITOR:
Moormeier  recently summarized the available data on the greater morbidity and mortality of black women with breast cancer. Although we agree with the need for screening and early detection in black women, we believe the problem is more complex than economics and knowledge of the disease.
We previously postulated that the poor outcome among black women was caused solely by relative unavailability of medical care and the cost of methods of detection. However, when we provided medical care and screening procedures for free, few patients belonging to a minority group participated. Because one third of black patients presenting with breast cancer to our institution have stage III or IV disease, an incomplete-sentence technique was used among patients with breast cancer to determine the reasons for this lack of participation. Most responses described elements of fatalism. Often, this fatalism had religious connotation; some of these respondents believed that one's actions cannot influence outcome or that cancer was a punishment for wrongdoings.
to gain full access to the content and tools.
Learn more about subscription options.
Register Now for a free account.
Copyright © 2016 American College of Physicians. All Rights Reserved.
Print ISSN: 0003-4819 | Online ISSN: 1539-3704
Conditions of Use
This PDF is available to Subscribers Only