Call to action: breast cancer screening recommendations for Black women

2021 ◽  
Vol 187 (1) ◽  
pp. 295-297
Author(s):  
Bridget A. Oppong ◽  
Samilia Obeng-Gyasi ◽  
Theresa Relation ◽  
Lucile Adams-Campbell
Keyword(s):  
Breast Cancer ◽  
Black Women ◽  
Cancer Screening ◽  
Breast Cancer Screening ◽  
Call To Action

scholarly journals Examining Breast Cancer Screening Behavior Among Southern Black Women After the 2009 US Preventive Services Task Force Mammography Guideline Revisions

2019 ◽  
Vol 45 (1) ◽  
pp. 20-29 ◽  
Author(s):  
Deeonna E. Farr ◽  
Heather M. Brandt ◽  
Swann Arp Adams ◽  
Venice E. Haynes ◽  
Andrea S. Gibson ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Black Women ◽  
Cancer Screening ◽  
Breast Cancer Screening ◽  
Task Force ◽  
Preventive Services ◽  
Screening Behavior

Do patient tracking, follow-up, and referral practices contribute to breast cancer disparities in a large urban area?

2012 ◽  
Vol 30 (15_suppl) ◽  
pp. 6120-6120
Author(s):  
Christine B. Weldon ◽  
Julia R. Trosman ◽  
Danielle Dupuy ◽  
Betty Roggenkamp ◽  
Julian C. Schink ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Black Women ◽  
Cancer Screening ◽  
Breast Cancer Screening ◽  
White Women ◽  
Public Hospitals ◽  
Care Plan ◽  
Patient Tracking ◽  
Referral Practices

6120 Background: Chicago Black women are 62% more likely to die from breast (BC) cancer than White women. Previous data from 39 Chicago hospitals suggested significant quality deficits in breast cancer screening and treatment (Chicago Breast Cancer Quality Consortium, 2010). Patient tracking, follow up and referral practices may influence quality of care for minority women (Mojica et al, Cancer Control, 2007). Our goal is to evaluate tracking, follow up and referral practices during screening, diagnosis and treatment of BC at Chicago hospitals servicing Black women. Methods: Using the framework approach of qualitative research, we conducted interviews with providers of BC screening and care from 20 Chicago institutions with Black patients averaging 50% of patient base (15 community, 3 academic and 2 public hospitals). Informants included surgeons, medical oncologists, radiologists, mammography technicians, internists, nurses, administrators, and patient navigators. Interviews were transcribed, and thematic and statistical analyses were performed (simple frequencies and Fisher's exact test). Results: Six of the 20 sites (30%) follow up with patients who did not show for a scheduled mammography visit. Five of these sites (83%, 5/6) have a low “no-show” rate (below 20%), compared to 4 sites (29%, 4/14) with low “no-show” rates among the 14 sites without follow-up (p=0.05). Seven of the 20 sites (25%) direct diagnosed patients to their next step in care by providing referrals and guidance, while other 13 sites rely on a primary care physician or leave the patient without a clear care plan. BC patients at 6 of the 7 sites directing care (83%, 5/6) are referred to a mid- or high-volume surgeon (3+ BC surgeries / month), compared to patients from only 1 of the 13 sites not directing care (p=0.001). Nine of the 20 sites track diagnosed BC patients through their care. Five of them (56%, 5/9) also track survivors, compared to none (0%, 0/11) of the 11 sites who do not track patients (p=0.008). Conclusions: Poor tracking, follow up and referral practices for breast cancer screening and treatment are associated with suboptimal care and may contribute to outcome disparities for Black women in Chicago.

Using an integrated social-behavioral text message approach to improve screening mammography in African American women.

2020 ◽  
Vol 38 (29_suppl) ◽  
pp. 240-240
Author(s):  
Amina Dhahri ◽  
Paapa Nyanin ◽  
Shana Ntiri
Keyword(s):  
Breast Cancer ◽  
Black Women ◽  
Cancer Screening ◽  
Breast Cancer Screening ◽  
Text Messaging ◽  
Text Message ◽  
Screening Mammography ◽  
Text Messages ◽  
Patient Centered ◽  
Self Advocacy

240 Background: The rate of breast cancer among Black and White women is nearly equivalent but the death rate is 40% higher for Blacks. This disparity is often attributed to lower screening mammography rates in Black women. The effectiveness of text messages on increasing screening mammography among Black women is not well known. Importantly, the themes that are most effective at promoting behavioral changes in Black women’s breast cancer screening practices through text message interventions have not been explored. An integrated social-behavioral approach was used to identify themes associated with Black women’s response to two types of text messaging: reminder and educational texts. Methods: A qualitative study was conducted in Metropolitan Baltimore with two focus groups among Black breast cancer survivors. Participants completed a demographic survey and indicated text messaging practices and preferences for future breast screening texts via survey. Participants provided feedback on a series of 17 educational and reminder text messages. Focus groups were digitally recorded and transcribed for analysis. Text message preferences were analyzed using a content analysis approach. Multiple themes were identified, discussed and recorded. Results: 17 participants had an average age of 60. All participants reported cell phone ownership and 82% of participants reported texting. 46% reported an interest in reminder text messages and 54% reported an interest in educational text messages. Four main themes were derived from participants’ responses the text message series: 1) access to cancer care surveillance, 2) social network support, 3) patient-centered approach, and 4) self-advocacy. Text messages that included themes of self-advocacy, social network support, and patient-centered approach generated positive responses and the text messages that included access to cancer care surveillance were perceived as demotivating. Educational text messages were perceived to be more motivating than reminder text messages. Conclusions: Breast cancer screening behaviors are affected by various demographic, social-behavioral, and socioeconomic factors. The findings from this study suggest that developing an educational text message content that incorporates social and behavioral themes focusing on the patient may be more beneficial to improve breast cancer screening rates in this population.

Realizing the promise of breast cancer screening: clinical follow-up after abnormal screening among Black women

2003 ◽  
Vol 37 (2) ◽  
pp. 92-101 ◽  
Author(s):  
Jon F Kerner ◽  
Michael Yedidia ◽  
Deborah Padgett ◽  
Barbara Muth ◽  
Kathleen Shakira Washington ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Black Women ◽  
Cancer Screening ◽  
Breast Cancer Screening

scholarly journals Breast Cancer Screening Recommendations: African American Women Are at a Disadvantage

2020 ◽  
Vol 2 (5) ◽  
pp. 416-421
Author(s):  
Murray Rebner ◽  
Vidya R Pai
Keyword(s):  
Breast Cancer ◽  
African American ◽  
Black Women ◽  
Cancer Screening ◽  
African American Women ◽  
Breast Cancer Screening ◽  
White Women ◽  
Breast Cancers ◽  
American Women ◽  
Younger Age

Abstract Since 1990, breast cancer mortality has decreased by 40% in white women but only 26% in African American women. The age at diagnosis of breast cancer is younger in black women. Breast cancer diagnosed before age 50 represents 23% of all breast cancers in African American women but only 16% of all breast cancers in white women. White women have a higher incidence of breast cancer over the age of 60. Tumor subtypes also vary among racial and ethnic groups. The triple-negative (TN) subtype, which has a poorer outcome and occurs at a younger age, represents 21% of invasive breast cancers in black women but only 10% of invasive breast cancers in white women. The hormone receptor–positive subtype, which is more common in older women and has the best outcome, has a higher incidence in white women (70%) than in black women (61%). The BRCA2 mutation is also more common in black women than in white women (other than those who are of Ashkenazi Jewish ancestry). There are also many barriers to screening. Major ones include the lack of contact with a primary health care provider as well as a decreased perceived risk of having breast cancer in the African American population. Given the younger age of onset and the higher incidence of the TN molecular subtype, following breast cancer screening guidelines that do not support screening before the age of 50 may disadvantage black women.

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