Identifying and Addressing Barriers to Screening Mammography in a Medically Underserved Community.

Autor:	Zeballos Torrez CR; Department of Radiology, University of Pennsylvania Health System, 3400 Spruce Street, Philadelphia, PA (C.R.Z.T., L.W.N., B.S.E., C.E.E.). Electronic address: carla.zeballostorrez@pennmedicine.upenn.edu., Gasior JA; Department of Surgery, University of Pennsylvania Health System, 3400 Spruce Street, Philadelphia, PA (J.A.G., S.P.G., O.M.F., L.C.E.,)., Ginzberg SP; Department of Surgery, University of Pennsylvania Health System, 3400 Spruce Street, Philadelphia, PA (J.A.G., S.P.G., O.M.F., L.C.E.,); Penn Center for Cancer Care Innovation, University of Pennsylvania Health System, 3400 Civic Center Boulevard, Philadelphia PA (S.P.G.)., Nunes LW; Department of Radiology, University of Pennsylvania Health System, 3400 Spruce Street, Philadelphia, PA (C.R.Z.T., L.W.N., B.S.E., C.E.E.)., Fayanju OM; Department of Surgery, University of Pennsylvania Health System, 3400 Spruce Street, Philadelphia, PA (J.A.G., S.P.G., O.M.F., L.C.E.,)., Englander BS; Department of Radiology, University of Pennsylvania Health System, 3400 Spruce Street, Philadelphia, PA (C.R.Z.T., L.W.N., B.S.E., C.E.E.)., Elmore LC; Department of Surgery, University of Pennsylvania Health System, 3400 Spruce Street, Philadelphia, PA (J.A.G., S.P.G., O.M.F., L.C.E.,)., Edmonds CE; Department of Radiology, University of Pennsylvania Health System, 3400 Spruce Street, Philadelphia, PA (C.R.Z.T., L.W.N., B.S.E., C.E.E.).
Jazyk:	angličtina
Zdroj:	Academic radiology [Acad Radiol] 2024 Jul; Vol. 31 (7), pp. 2643-2650. Date of Electronic Publication: 2023 Dec 26.
DOI:	10.1016/j.acra.2023.12.013
Abstrakt:	Rationale and Objectives: Breast cancer mortality is 40% higher for Black women compared to White women. This study seeks to assess knowledge of breast cancer screening recommendations and identify barriers to risk assessment and mammographic screening among a medically underserved, low-income, predominantly Black community in West Philadelphia. Materials and Methods: During a free mobile mammography screening event, women were offered surveys to assess perceptions of and barriers to breast cancer risk assessment and screening. Among those who subsequently underwent mobile screening, health insurance and time to additional diagnostic imaging and biopsy, when relevant, were retrospectively collected. Results: 233 women completed surveys (mean age 54 ± 13 years). Ninety-three percent of respondents identified as Black. The most frequently cited barrier to screening mammography was cost and/or lack of insurance coverage (30%). Women under 50 reported more barriers to screening compared to older women. Among those recalled from screening and recommended to undergo biopsy, there was a trend toward longer delays between screening and biopsy among those without a PCP (median 45 days, IQR 25-53) compared to those with a PCP (median 24 days, IQR 16-29) (p = 0.072). Conclusion: In a study of a medically underserved community of primarily Black patients, barriers to breast cancer risk assessment, screening, and diagnosis were identified by self-report and by documented care delays. While free mobile mammography initiatives that bring medical professionals into communities can help mitigate barriers to screening, strategies for navigation and coordination of follow-up are critical to promote timely diagnostic resolution for all patients. Competing Interests: Declaration of Competing Interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper. (Copyright © 2024 The Association of University Radiologists. Published by Elsevier Inc. All rights reserved.)
Databáze:	MEDLINE
Externí odkaz:	Zobrazit plný text záznamu