A Comparison of Compliance and Noncompliance in Breast Cancer Screening among African American Women

Abstract African American women are more likely to be diagnosed with late stage breast cancer, due in part to low participation in screening procedures. The purpose of this study was to explore the differences among African American women who were compliant and noncompliant with standard mammography...

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Bibliographic Details
Published in:Health & social work 2017-08, Vol.42 (3), p.159-166
Main Authors: Davis, Cindy, Cadet, Tamara J., Moore, Matthew, Darby, Kathleen
Format: Article
Language:English
Subjects:
Adult
African Americans
Aged
Breast cancer
Breast Neoplasms - diagnostic imaging
Breast Neoplasms - ethnology
Cancer
Community health
Compliance
Early Detection of Cancer
Female
Females
Health care
Health insurance
Health services
Humans
Insurance, Health
Mammography
Mass Screening
Medical personnel
Medical screening
Middle Aged
Noncompliance
Participation
Patient Compliance
Physicians
Screening Tests
Tests
Women
Womens health
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Summary:Abstract African American women are more likely to be diagnosed with late stage breast cancer, due in part to low participation in screening procedures. The purpose of this study was to explore the differences among African American women who were compliant and noncompliant with standard mammography screening recommendations. The study participants were African American women (N = 599) over the age of 40 with no history of cancer, who were recruited to attend a local community health event. Findings revealed that 78 percent of the women reported having had a mammogram within the past year, whereas 22 percent had not. The most commonly reported reasons given by those who did not have a mammogram in the past year were that they simply did not think to do so, or that they were not told to do so by their doctor. Women who reported that they did not have a mammogram last year were significantly less likely to have health insurance, to have had a clinical breast exam at their last checkup, to have had their breasts examined by their doctor at least once per year, or to have previously had a mammogram. There were no group differences in the number of visits to a doctor during the past 12 months. The article concludes with a discussion of the implications for health care professionals and suggestions for future research.
ISSN:0360-7283
1545-6854
DOI:10.1093/hsw/hlx027