RECOMMENDATIONS FOR FUTURE NURSING RESEARCH
Multitudes of research studies address the high mortality rate of AA women in regard to breast cancer and the lack of participation in prevention and health maintenance activities. The results, however, are still inconclusive and some are quite confusing. More effective studies are still needed. This study suggests only possible explanations for
their reticence in obtaining routine screenings, thus leading to low survival rate for AA women. The results of the current study should not be accepted as definite but should be considered only as a starting point in addressing the problem. More research should be done to determine the roles of fatalism, lack of access to proper care and treatment, and lack of culturally competent providers in AA women's presentation with more advanced staged of breast cancer at diagnosis.
Future research should also examine larger sample size of multiethnic populations; the results of such studies could lead to increased development of language-appropriate educational materials for non-English speakers and materials appropriate to the clients' education level. Susceptibility to cancer and effectiveness of early screenings and cancer treatments are believed by some AA women to be associated with chance or luck or powerful others, so future research should focus on the relationship between AA women beliefs about breast cancer and their health locust of control.