Factors Associated with Breast Cancer Screening Adherence among Church-Going African American Women

Datos Bibliográficos

ID15468676
AutoresPooja Agrawal (0000-0002-4727-555X, University of Houston), Tzu-An Chen (0000-0003-4312-7258, University of Houston), Lorna H Mcneill (0000-0003-1594-6301, The University of Texas MD Anderson Cancer Center), Chiara Acquati (0000-0002-6232-5834, The University of Texas MD Anderson Cancer Center), Shahnjayla K Connor (0000-0003-1340-1527, University of Houston - Downtown), Shahnjayla K Connors (University of Houston), Vijay Nitturi (0000-0002-8310-3077, University of Houston), Angelica S Robinson (0000-0003-2434-2067, The University of Texas Medical Branch at Galveston), Isabel M Leal (0000-0002-0073-339X, University of Houston), Lorraine R Reitzel (0000-0002-7165-5720, University of Houston, autor de correspondencia)
Año2021
Volumen18
Número16
Páginas8494-8494
Fecha de publicación2021-08-11
Peer ReviewedSí
Open AccessSí
TipoARTICLE
RevistaInternational Journal of Environmental Research and Public Health (JOURNAL)
Identificadores de la revistaISSN: 1661-7827 • E-ISSN: 1660-4601
EditorialMultidisciplinary Digital Publishing Institute (PUBLISHER • CH)
DOI10.3390/ijerph18168494
PMID34444241
OpenAlexW3187390540
IdiomaEN
Citas recibidas7
Referencias citadas35

Relative to White women, African American/Black women are at an increased risk of breast cancer mortality. Early detection of breast cancer through mammography screening can mitigate mortality risks; however, screening rates are not ideal. Consequently, there is a need to better understand factors associated with adherence to breast cancer screening guidelines to inform interventions to increase mammography use, particularly for groups at elevated mortality risk. This study used the Andersen Behavioral Model of Health Services Use to examine factors associated with adherence to National Comprehensive Cancer Network breast cancer screening guidelines amongst 919 African American, church-going women from Houston, Texas. Logistic regression analyses measured associations between breast cancer screening adherence over the preceding 12 months (adherent or non-adherent) and predisposing (i.e., age, education, and partner status), enabling (i.e., health insurance status, annual household income, employment status, patient-provider communication, and social support), and need (i.e., personal diagnosis of cancer, family history of cancer, and risk perception) factors, separately and conjointly. Older age (predisposing: OR = 1.015 (1.007-1.023)), having health insurance and ideal patient-provider communication (enabling: OR = 2.388 (1.597-3.570) and OR = 1.485 (1.080-2.041)), and having a personal diagnosis of cancer (need: OR = 2.244 (1.058-4.758)) were each associated with greater odds of screening adherence. Only having health insurance and ideal patient-provider communication remained significantly associated with screening adherence in a conjoint model; cancer survivorship did not moderate associations between predisposing/enabling factors and screening adherence. Overall, results suggest that interventions which are designed to improve mammography screening rates amongst African American women might focus on broadening health insurance coverage and working to improve patient-provider communication. Implications for multi-level intervention approaches, including the role of churches in their dissemination, are proposed

African american · Breast cancer · Cancer · Ethnology · Family medicine · Cervical Cancer and HPV Research · Colorectal Cancer Screening and Detection · Global Cancer Incidence and Screening · History · Medicine · Gerontology · Internal Medicine · Oncology