Bias Within

Marla B. Hall, Akilah R. Carter-Francique, Stacy M. Lloyd, Tiffany M. Eden, Angie V. Zuniga, Jeffrey J. Guidry and Lovell A. Jones

SAGE Open, 2015, vol. 5, issue 1, 2158244015576547

Abstract: Breast cancer mortality has affected African American women at a disproportionate rate. The purpose of this research was to assess how health professionals’ cultural competence contributes to African American women’s barriers to and receipt of mammograms. Sixty-one African American women residing in Harris County, Texas, shared their views within a series of focus groups. Theoretical propositions from the PEN-3 model were used to understand mammography adherence at the interpersonal level. Participants noted various perceived factors associated with mammography incompliance. Lack of professionalism of clinicians and clerical staff contributed to a decrease in health care services utilization. In addition, cultural insensitivity 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 among underserved populations.

Keywords: African Americans; breast health; screening; cultural competence; patient–provider communication (search for similar items in EconPapers)
Date: 2015
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Persistent link: https://EconPapers.repec.org/RePEc:sae:sagope:v:5:y:2015:i:1:p:2158244015576547

DOI: 10.1177/2158244015576547

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