Bias Within: Examining the Role of Cultural Competence Perceptions in Mammography Adherence

ECU Author/Contributor (non-ECU co-authors, if there are any, appear on document)

Maria B.,Carter-Francique,Akilah R.,Llyod,Stacy M.,Eden, Hall (Creator)

Institution

East Carolina University (ECU )

Web Site: http://www.ecu.edu/lib/

Abstract: Breast cancer mortality has affected African American women at a disproportionate rate. The purpose of this research wasto assess how health professionals" cultural competence contributes to African American women"s barriers to and receiptof mammograms. Sixty-one African American women residing in Harris County, Texas, shared their views within a seriesof focus groups. Theoretical propositions from the PEN-3 model were used to understand mammography adherence atthe interpersonal level. Participants noted various perceived factors associated with mammography incompliance. Lack ofprofessionalism of clinicians and clerical staff contributed to a decrease in health care services utilization. In addition, culturalinsensitivity and discriminatory behavior enabled an attitude of medical mistrust. Improving patient--provider communication,through culturally appropriate centered educational efforts, is a beneficial strategy for breast health programs amongunderserved populations.

Additional Information

Publication

Other

Language: English

Date: 2015

Keywords

African Americans, breast health, screening, cultural competence, patient--provider communication

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