Bias Within: Examining the Role of Cultural Competence Perceptions in Mammography Adherence

SAGE Open

Marla B. Hall¹ 

关键词: African Americans;    breast health;    screening;    cultural competence;    patient–provider 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 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.

【 授权许可】

CC BY