Time between Initial Screening Mammogram and Diagnostic Biopsy: Do Racial Disparities Exist?

breast cancer screening;African Americans;Caucasians;mammogram;diagnostic biopsy;School of Health Professions and Studies: Health Education

Wilson, SharonFlint ;

University of Michigan

关键词: breast cancer screening;    African Americans;    Caucasians;    mammogram;    diagnostic biopsy;    School of Health Professions and Studies: Health Education;   

Others  :  https://deepblue.lib.umich.edu/bitstream/handle/2027.42/117769/WilsonS.pdf?sequence=1&isAllowed=y

瑞士|英语

来源: The Illinois Digital Environment for Access to Learning and Scholarship

【 摘 要 】

Many factors contibute to health care disparities experience by racial/ethnic minority populations. Despite an increase in the number of screening tests such as mammograms, there are disparities in between White women and Black women in follow-up for abnormal results. More information is needed for health educators to be able to address this problem. Thus, the objective of this research is to determine if there is a difference in the number of days from initial positive breast cancer screening of women (with a BI-RAD of 4 or greater) to biopsy, between White women and Black women at a community hospital in southeast Michigan. Methods: Medical charts from Beaumont Hospital in Royal Oak, Michigan of n = 68 women, ages 40 to 60, who received a screening mammogram in 2012 at with a BI-RAD of 4 or greater and a follow-up biopsy, were reviewed. Of the n = 68 charts reviewed, n = 34 were from White female patients and n = 34 were from Black female patients. Results: Of 68 charts examined, the mean number of days from screening mammogram until diagnostic biopsy for Black women was 21. In White women, the mean number of days was 16. The difference in the number of days was highest for Black women over the age of 50. Conclusions: Differences between the average time interval between initial screening and follow-up for Black women and White women were found revealing a need for health educators to focus on follow-up initiations specifically for Black women.