SAGE Open | |
Bias Within: Examining the Role of Cultural Competence Perceptions in Mammography Adherence | |
Marla B. Hall1  | |
关键词: African Americans; breast health; screening; cultural competence; patientâprovider communication; | |
DOI : 10.1177/2158244015576547 | |
学科分类:社会科学、人文和艺术(综合) | |
来源: Sage Journals | |
【 摘 要 】
Breast cancer mortality has affected African American women at a disproportionate rate. The purpose of this research was to assess how health professionalsâ cultural competence contributes to African American womenâs 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 patientâprovider communication, through culturally appropriate centered educational efforts, is a beneficial strategy for breast health programs among underserved populations.
【 授权许可】
CC BY
【 预 览 】
Files | Size | Format | View |
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RO201902029404230ZK.pdf | 80KB | download |