Understanding Racial Disparities in Mammography Use Among Breast Cancer Survivors PDF Download
Are you looking for read ebook online? Search for your book and save it on your Kindle device, PC, phones or tablets. Download Understanding Racial Disparities in Mammography Use Among Breast Cancer Survivors PDF full book. Access full book title Understanding Racial Disparities in Mammography Use Among Breast Cancer Survivors by . Download full books in PDF and EPUB format.
Author:
Publisher:
ISBN:
Category :
Languages : en
Pages : 0
Get Book Here
Book Description
Despite general consensus that breast cancer (BC) survivors should undergo annual mammography, findings indicate over 1 in 7 women fail to receive a mammogram within 2 years of BC treatment, and that African Americans are almost half as likely to participate in mammography screening as Caucasians. To develop and pilot test a survey instrument to understand what factors influence a BC survivor's decision to receive mammography and whether differences exist in these factors by patient race. Methods: Using information from the literature and focus groups (two each among African American and Caucasian BC survivors), we developed a mailed patient survey, which was mailed to African American and Caucasian BC survivors. Results were analyzed to identify the beliefs, social influences, and preferences for mammography screening attributes. Results: Overall, general trends showed that test accuracy, friendliness of staff, and ease of appointment scheduling were important attributes to mammogram screening use. Although the low response rates among non-users precluded us from comprehensively evaluating racial differences in the factors associated with mammogram use following BC treatment, the results provide promising preliminary data. Future research will continue investigations into understanding the mammography use decision making process and how this process differs by race. A primary consideration will also be how to improve research participation rates among non-users.
Author:
Publisher:
ISBN:
Category :
Languages : en
Pages : 0
Get Book Here
Book Description
Despite general consensus that breast cancer (BC) survivors should undergo annual mammography, findings indicate over 1 in 7 women fail to receive a mammogram within 2 years of BC treatment, and that African Americans are almost half as likely to participate in mammography screening as Caucasians. To develop and pilot test a survey instrument to understand what factors influence a BC survivor's decision to receive mammography and whether differences exist in these factors by patient race. Methods: Using information from the literature and focus groups (two each among African American and Caucasian BC survivors), we developed a mailed patient survey, which was mailed to African American and Caucasian BC survivors. Results were analyzed to identify the beliefs, social influences, and preferences for mammography screening attributes. Results: Overall, general trends showed that test accuracy, friendliness of staff, and ease of appointment scheduling were important attributes to mammogram screening use. Although the low response rates among non-users precluded us from comprehensively evaluating racial differences in the factors associated with mammogram use following BC treatment, the results provide promising preliminary data. Future research will continue investigations into understanding the mammography use decision making process and how this process differs by race. A primary consideration will also be how to improve research participation rates among non-users.
Author: Rachel Marie Dolan
Publisher:
ISBN:
Category :
Languages : en
Pages : 45
Get Book Here
Book Description
Breast cancer is the most common cancer in women. Although black women have a lower incidence of breast cancer compared to white women, their overall mortality is higher. Black women are more likely to get cancer at a younger age and at a more advanced stage. Mammography is the best form of secondary prevention for breast cancer; however, previous research indicates that black women over 40 are less likely to receive a mammogram than white women. Mammography utilization in women under 40 has had little evaluation. Employing a logistic regression analysis to the 2006 Medical Expenditure Panel Survey Household Component, this study attempts to determine if racial disparities do exist in mammography utilization, as this could indicate a need for a change in policy with regards to screening for breast cancer. This analysis finds that race is associated with mammography utilization. The results indicate that controlling for income, education, age and insurance status, black women age 30 to 39 are on average more likely to have ever had a mammogram than white women in this age group. Demographic and personal characteristics also differ in importance across different racial and ethnic groups. Future research should focus on women with increased risk factors such as a family history of breast cancer or a genetic predisposition to determine if screening differs by race among women of different risks. When considering future policies, it is important to enable women to know their personal risk, as well as ensure that high-risk women of any age continue to be able to access preventive screening.
Author: Smruti Jadav
Publisher:
ISBN:
Category : Pharmacy management
Languages : en
Pages :
Get Book Here
Book Description
Objective: (i) To describe the national trend of mammogram screening, clinical breast examination and breast cancer screening from 2000 to 2010 by race. (ii) To estimate racial disparities for mammogram screening, clinical breast examination and breast cancer screening from 2000 to 2010. Methods: Medical Expenditure Panel Survey (MEPS) data from 2000 to 2010 was used for the analysis. All females with age ≥40 years were included in the study. Outcome variables were mammogram screening (MS), clinical breast examination (CBE) and breast cancer screening (BCS). MS and CBE were defined as those females who received MS and CBE respectively in previous one or two years. BCS was defined as those who received MS and CBE (both) in previous one or two years. Main independent variable was race categorized as non-Hispanic whites (NHW), non-Hispanic blacks (NHB), Hispanics and others. Descriptive analysis was conducted to describe the national trends in MS, CBE and BCS for each year from 2000 to 2010 by race. Bivariate and multivariate logistic regression was conducted to identify racial disparities in MS, CBE and BCS; and non-linear Blinder Oaxaca decomposition was conducted to decompose disparities in explained and unexplained component. Results: Final cohort consisted of 79,068 females (weighted sample size= 764,361,258). MS, CBE and BCS rates were almost stable throughout the decade. In multivariate logistic regression, NHB (OR: 1.27, 95% CI: 1.16-1.40, p
Author: Aamir Ahmad
Publisher: Springer Nature
ISBN: 3030203018
Category : Medical
Languages : en
Pages : 427
Get Book Here
Book Description
Resistance to therapies, both targeted and systemic, and metastases to distant organs are the underlying causes of breast cancer-associated mortality. The second edition of Breast Cancer Metastasis and Drug Resistance brings together some of the leading experts to comprehensively understand breast cancer: the factors that make it lethal, and current research and clinical progress. This volume covers the following core topics: basic understanding of breast cancer (statistics, epidemiology, racial disparity and heterogeneity), metastasis and drug resistance (bone metastasis, trastuzumab resistance, tamoxifen resistance and novel therapeutic targets, including non-coding RNAs, inflammatory cytokines, cancer stem cells, ubiquitin ligases, tumor microenvironment and signaling pathways such as TRAIL, JAK-STAT and mTOR) and recent developments in the field (epigenetic regulation, microRNAs-mediated regulation, novel therapies and the clinically relevant 3D models). Experts also discuss the advances in laboratory research along with their translational and clinical implications with an overarching goal to improve the diagnosis and prognosis, particularly that of breast cancer patients with advanced disease.
Author: Institute of Medicine
Publisher: National Academies Press
ISBN: 030908265X
Category : Medical
Languages : en
Pages : 781
Get Book Here
Book Description
Racial and ethnic disparities in health care are known to reflect access to care and other issues that arise from differing socioeconomic conditions. There is, however, increasing evidence that even after such differences are accounted for, race and ethnicity remain significant predictors of the quality of health care received. In Unequal Treatment, a panel of experts documents this evidence and explores how persons of color experience the health care environment. The book examines how disparities in treatment may arise in health care systems and looks at aspects of the clinical encounter that may contribute to such disparities. Patients' and providers' attitudes, expectations, and behavior are analyzed. How to intervene? Unequal Treatment offers recommendations for improvements in medical care financing, allocation of care, availability of language translation, community-based care, and other arenas. The committee highlights the potential of cross-cultural education to improve provider-patient communication and offers a detailed look at how to integrate cross-cultural learning within the health professions. The book concludes with recommendations for data collection and research initiatives. Unequal Treatment will be vitally important to health care policymakers, administrators, providers, educators, and students as well as advocates for people of color.
Author: Tracey Koehlmoos
Publisher:
ISBN:
Category :
Languages : en
Pages :
Get Book Here
Book Description
ABSTRACT: This study explores the relationship between race and surgical treatment and radiation therapy use for localized breast cancer patients in the state of Florida in 2001. The study will be useful in raising awareness of the relationship between Black race and appropriate breast cancer treatment within the Florida Cancer Data System. The Healthy People 2010 initiatives call to eliminate racial disparities and the high placement of breast cancer on the national research agenda make this study timely and insightful for health policymakers, clinicians and other health researchers.
Author: Institute of Medicine
Publisher: National Academies Press
ISBN: 0309071542
Category : Medical
Languages : en
Pages : 353
Get Book Here
Book Description
We know more about cancer prevention, detection, and treatment than ever beforeâ€"yet not all segments of the U.S. population have benefited to the fullest extent possible from these advances. Some ethnic minorities experience more cancer than the majority population, and poor peopleâ€"no matter what their ethnicityâ€"often lack access to adequate cancer care. This book provides an authoritative view of cancer as it is experienced by ethnic minorities and the medically underserved. It offers conclusions and recommendations in these areas: Defining and understanding special populations, and improving the collection of cancer-related data. Setting appropriate priorities for and increasing the effectiveness of specific National Institutes of Health (NIH) research programs, to ensure that special populations are represented in clinical trials. Disseminating research results to health professionals serving these populations, with sensitivity to the issues of cancer survivorship. The book provides background data on the nation's struggle against cancer, activities and expenditures of the NIH, and other relevant topics.
Author: National Research Council
Publisher: National Academies Press
ISBN: 0309170133
Category : Medical
Languages : en
Pages : 564
Get Book Here
Book Description
Cancer ranks second only to heart disease as a leading cause of death in the United States, making it a tremendous burden in years of life lost, patient suffering, and economic costs. Fulfilling the Potential for Cancer Prevention and Early Detection reviews the proof that we can dramatically reduce cancer rates. The National Cancer Policy Board, part of the Institute of Medicine, outlines a national strategy to realize the promise of cancer prevention and early detection, including specific and wide-ranging recommendations. Offering a wealth of information and directly addressing major controversies, the book includes: A detailed look at how significantly cancer could be reduced through lifestyle changes, evaluating approaches used to alter eating, smoking, and exercise habits. An analysis of the intuitive notion that screening for cancer leads to improved health outcomes, including a discussion of screening methods, potential risks, and current recommendations. An examination of cancer prevention and control opportunities in primary health care delivery settings, including a review of interventions aimed at improving provider performance. Reviews of professional education and training programs, research trends and opportunities, and federal programs that support cancer prevention and early detection. This in-depth volume will be of interest to policy analysts, cancer and public health specialists, health care administrators and providers, researchers, insurers, medical journalists, and patient advocates.
Author: Carolyn Hart Marcus
Publisher:
ISBN:
Category :
Languages : en
Pages : 0
Get Book Here
Book Description
Author: Kassandra I. Alcaraz
Publisher:
ISBN:
Category : Electronic dissertations
Languages : en
Pages : 135
Get Book Here
Book Description
Despite progress in increasing breast cancer screening rates for more than two decades, disparities in screening mammography persist. Women who are unscreened (i.e., never had a mammogram) or underscreened (i.e., last mammogram was more than two years ago) are disproportionately poor and from racial/ethnic minority groups. Targeted interventions are badly needed as behavioral interventions promoting use of mammography have not been particularly effective among unscreened and underscreened women. Little is known about the broader context of these women's lives, yet this information seems particularly promising for identifying the intervention needs and capacities of these populations. Using a sample of predominantly poor and racial/ethnic minority women who are age-eligible for mammography, the study aims to (1) identify distinct subgroups of women based on patterns of variation in demographic and health-related characteristics associated with screening behavior and (2) identify contextual factors associated with screening behavior by examining the extent to which contextual variables distinguish membership in the identified subgroups. As part of a larger ongoing randomized intervention trial, callers to United Way 2-1-1 Missouri complete a cancer risk assessment and baseline survey at the end of their standard 2-1-1 call. Over a 20-month period during 2010-2012, 711 female callers ages 40 and older answered questions related to use of mammography, other health behaviors, provider recommendation for mammography, social norms for mammography, health insurance coverage, self-rated general health, and individual contextual issues (social capital, perceived stress, unmet basic needs, sense of coherence, and children living in the home). Data from the 2010 U.S. Census assessed area-level characteristics of participants' residential areas. Data were analyzed using Chi-squared Automatic Interaction Detection (CHAID) and multinomial logistic regression. The study found six distinct subgroups with varying patterns of screening (p
