Navigation Links
Health providers should emphasize breast cancer screening, Wayne State University research finds
Date:7/1/2011

DETROIT Wayne State University researchers believe medical practitioners can help reduce the number of breast cancer deaths among low-income African-American women by more effectively educating their patients about the importance of mammography screening.

In a study published this month in the Journal of Cancer Education, Rosalie Young, Ph.D., associate professor; Kendra Schwartz, M.D., M.S.P.H., interim chair; and Jason Booza, Ph. D., assistant professor, all from the Department of Family Medicine and Public Health Sciences in WSU's School of Medicine, examined clinical, structural and personal barriers known to prevent such women from having mammograms. Overcoming those barriers is important, the researchers said, because of higher mortality rates for African-American women than other groups. In 2007, Detroit statistics showed a rate of approximately 35 deaths per 100,000 among African-American women versus about 26 deaths per 100,000 for white women.

Between 2004 and 2007, WSU researchers randomly surveyed 178 African-American women age 40 or older from a high cancer-risk area of Detroit. They found that all three barrier types were strongly associated with a lack of breast cancer screening.

Young said, however, that interventions to increase mammography utilization often focus on structural barriers, which include lack of health insurance or lack of medical care facilities in low-income areas. Removing those barriers is difficult, she said, because it requires systemic change.

The study brings good news, however, by showing that medical care providers are capable of removing some clinical and personal barriers. Young said the WSU study also could serve as a springboard for future analyses of particular barrier combinations to determine which ones predict whether women will undergo mammograms.

One clinical barrier is that fewer board-certified physicians work in lower-income areas. Providers in those areas often are less informed about preventive care or less likely to adhere to cancer screening recommendations. Additionally, time constraints may limit patient education efforts, leading to inadequate recommendations for screening, and physician-patient interaction may be culturally or educationally inappropriate for lower-income or minority populations.

To help break down those barriers, along with personal barriers such as patients' fear, or their lack of trust or knowledge, Young said clinicians could be more proactive in communicating with patients to build trust. They also can offer more culturally appropriate health education that includes general information about disease risk and the importance of breast cancer screening, as well as more education about patients' personal breast cancer risk, such as genetic information and specific family history risk.

Clinicians also can make referrals specifically for mammograms, Young said, as African-Americans often expect them to initiate such conversations.

"The physician-patient interaction is extremely important," she said. "Physicians are not only gatekeepers to services; they also can motivate their patients."

Part of what may be hindering such interaction now, Young said, is that practitioners in facilities serving low-income people may be under too much pressure simply to see patients.

"There may be a desire on the part of the physician to be more involved with their patients in terms of educating and communicating with them," she said, "but the constraints of their situation may be limiting their ability to do that."

Still, more proactive practitioners can make a real difference. "African-American women are more likely to have a basal-like subtype of breast cancer that is harder to treat and should be detected early," said Young. "Health providers have an excellent opportunity to reduce mortality by emphasizing the importance of screening."


'/>"/>

Contact: Tom Tigani
tom.tigani@wayne.edu
313-577-1494
Wayne State University - Office of the Vice President for Research
Source:Eurekalert

Related medicine news :

1. Breast Cancer Plus Other Health Issues Linked to Worse Outcomes
2. Worse outcomes for older breast cancer patients with other health problems
3. Up to 220,000 California children excluded from health care reform due to immigrant status
4. Turning agents of disease into tools for health and better living
5. TV food advertising increases childrens preference for unhealthy foods
6. Rutgers study: Third of N.J. immigrant children, many adult newcomers lack health insurance
7. Workplace mental health disability leave recurs sooner than physical health leave, CAMH study shows
8. Researchers at Oregon Health & Science University discover MS-like disease in monkeys
9. Black members of Adventist church defy health disparities, study shows
10. Scott & White Healthcare CEO named to national list of physician leaders
11. Invest in childrens health, urges former US Surgeon General
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:3/29/2017)... ... March 29, 2017 , ... During the last week of March, Chad Kawa, ... eligible individuals in the local community. , Colon cancer is the second leading ... colon cancer while it is small, confined and easier to treat. If you are ...
(Date:3/29/2017)... ... March 29, 2017 , ... In the United States alone, up to 36% ... other types of metastatic brain tumors(3). Though most meningiomas are benign, metastatic brain tumors ... finding more effective treatment options, the San Diego Gamma Knife Center offers ...
(Date:3/29/2017)... Atlanta, Georgia (PRWEB) , ... March 29, 2017 , ... ... Theresa Therilus, founder of Pet Protect Law that assists dog owners in ... will assist new owners in taking the natural next step to protect their new ...
(Date:3/29/2017)... ... ... CHARM CITY RUN WELCOMES MERCY MEDICAL CENTER AS , BALTIMORE WOMEN’S CLASSIC ... as the official title sponsor of the Baltimore Women’s Classic, the largest all women’s ... will walk or run the course around the Baltimore Inner Harbor. Mercy has been ...
(Date:3/29/2017)... ... , ... Sublime Naturals and its founder, Kathy Heshelow, are big fans of ... used for thousands of years. , "The West has caught on, and has discovered ... to Use it For Your Wellness. Overcome Inflammation, Enemy of the Body. " ...
Breaking Medicine News(10 mins):
(Date:3/30/2017)... , March 30, 2017  Lannett Company, Inc. (NYSE: ... voluntarily made a $25 million payment against its existing ... payment, combined with the $75 million payment we made ... $5.5 million in annualized cash interest expense, at current ... of Lannett.  "Our business is solid and we continue ...
(Date:3/30/2017)... Mar 30, 2017 Research and Markets ... Dialysis Market Size & Forecast, By Type (Hemodialysis, Peritoneal Dialysis), ... Trend Analysis From 2014 To 2025" report to their ... ... to reach USD 108.5 billion by 2025. ...
(Date:3/29/2017)... , March 29, 2017  Bodycad announced ... Drug Administration (FDA) 510(k) clearance for its Bodycad ... this truly personalized orthopaedic restoration. Bodycad is the ... a joint reconstruction implant system. ... optimize personalized restoration of the patient,s unique anatomical ...
Breaking Medicine Technology: