Abstract PO-043: Perceived everyday discrimination, socioeconomic status, and mammography screening behavior

• Published in: Cancer epidemiology, biomarkers & prevention biomarkers & prevention, 2022-01, Vol.31 (1_Supplement), p.PO-043-PO-043
• Main Authors: Vinegar, Jessica, Ericson, Marissa, McDowell, Kommah, Fairley, Tonya, Kittles, Rick, Treviño, Lindsey, Teteh, Dede
• Format: Article
• Language: English
• ISSN: 1055-9965; 1538-7755
• DOI: 10.1158/1538-7755.DISP21-PO-043

Black women (BW) experience age-adjusted breast cancer mortality rates that are 40-70% higher than White women. Although BW are more likely to report having had a mammogram compared to other racial/ethnic minority groups, differences in mammography utilization exist among women with lower socioeconomic status (SES). Moreover, perceived everyday discrimination (PED) has been shown to have an inverse relationship on health screening behavior among BW. However, mammography screening behaviors of BW with low SES, who also report higher levels of PED, is not well known. This study aims to explore the relationship between perceived discrimination, SES (income, education, health insurance), and mammography screening behavior. Methods: Participants completed a 40-item survey and were recruited between 2020-2021 through a community-based participatory research initiative—Bench to Community. Logistic regression was used to test the associations of mammography utilization with PED—short version of Everyday Discrimination Scale, SES, and race/ethnicity. Results: Most participants (n=159) identified as BW (55%)—African American, African, and Caribbean, followed by White (34%), and other groups (9.3%). Twenty-five percent had some high school (HS) or a HS diploma, 25% had some college education with 15% reporting an income below $25,000. Many respondents had health insurance (96%), and 74% reported having had a mammogram. Discrimination alone significantly impacted whether an individual had a mammogram, such that those who reported higher levels of PED were 38% less likely to have a mammogram, χ2(12) = 36.924, p