Follow-up of abnormal screening mammograms among low-income ethnically diverse women: Findings from a qualitative study

Allen, Jennifer D.; Shelton, Rachel C.; Harden, Elizabeth; Goldman, Roberta E.

doi:10.1016/j.pec.2008.03.024

Cited by 95 publications

(131 citation statements)

References 44 publications

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“…The authors found no research that explored ethnic differences during early detection and diagnostic evaluation; the current study contributes to a growing body of work that suggests psychosocial disparities exist across the cancer continuum. The differences in psychological distress and social withdrawal noted in the authors’ work may warrant attention because previous work has suggested emotional distress is linked to diagnostic delays among Latinas (Allen et al, 2008; Ashing-Giwa et al, 2010). …”

Section: Discussionmentioning

confidence: 71%

“…Most research has focused on predominantly NLC women or has not addressed racial or ethnic differences (Andrés-Hyman, Ortiz, Añez, Paris, & Davidson, 2006; Molina et al, 2013). Although the authors of the current article found no study that compared distress among Latinas and NLC women, one qualitative study with a largely Latina sample noted that psycho logical distress interfered with motivation to schedule a follow-up appointment (Allen, Shelton, Harden, & Goldman, 2008). A quantitative study found that fear of a cancer diagnosis was more strongly associated with delays in follow-up care adherence among Latina breast and cervical cancer survivors (Ashing-Giwa et al, 2010).…”

mentioning

confidence: 93%

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Psychological Distress, Social Withdrawal, and Coping Following Receipt of an Abnormal Mammogram Among Different Ethnicities: A Mediation Model

Molina¹,

Beresford²,

Espinoza³

et al. 2014

Oncology Nursing Forum

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Purpose/Objectives To explore ethnic differences in psychological distress and social withdrawal after receiving an abnormal mammogram result and to assess if coping strategies mediate ethnic differences. Design Descriptive correlational. Setting Two urban mobile mammography units and a rural community hospital in the state of Washington. Sample 41 Latina and 41 non-Latina Caucasian (NLC) women who had received an abnormal mammogram result. Methods Women completed standard sociodemographic questions, Impact of Event Scale–Revised, the social dimension of the Psychological Consequences Questionnaire, and the Brief COPE. Main Research Variables Ethnicity, psychological distress, social withdrawal, and coping. Findings Latinas experienced greater psychological distress and social withdrawal compared to NLC counterparts. Denial as a coping strategy mediated ethnic differences in psychological distress. Religious coping mediated ethnic differences in social withdrawal. Conclusions Larger population-based studies are necessary to understand how ethnic differences in coping strategies can influence psychological outcomes. This is an important finding that warrants additional study among women who are and are not diagnosed with breast cancer following an abnormal mammogram. Implications for Nursing Nurses may be able to work with Latina patients to diminish denial coping and consequent distress. Nurses may be particularly effective, given cultural values concerning strong interpersonal relationships and respect for authority figures.

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Section: Discussionmentioning

confidence: 71%

mentioning

confidence: 93%

Psychological Distress, Social Withdrawal, and Coping Following Receipt of an Abnormal Mammogram Among Different Ethnicities: A Mediation Model

Molina¹,

Beresford²,

Espinoza³

et al. 2014

Oncology Nursing Forum

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“…One national U.S. organization has undertaken to measure such timeliness as part of a quality assurance program ( 3 ) and is accumulating data, albeit using a self-selected group of reporting institutions. Reports are limited in regard to follow-up after screening, with most being issued from single institutions, some from regional data collection, and others reporting the effect of interventions in this process (4)(5)(6)(7)(8)(9)(10)(11)(12)(13)(14). We undertook this study because the current literature lacks a broad profi le of facility timeliness measures in regard to the additional evaluation of patients with screening-detected abnormalities.…”

Section: Breast Imaging: Timeliness Of Follow-up After Abnormal Screementioning

confidence: 99%

Timeliness of Follow-up after Abnormal Screening Mammogram: Variability of Facilities

Rosenberg¹,

Haneuse

Geller

et al. 2011

Radiology

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Purpose:To describe the timeliness of follow-up care in communitybased settings among women who receive a recommendation for immediate follow-up during the screening mammography process and how follow-up timeliness varies according to facility and facility-level characteristics. Materials and Methods:This was an institutional review board-approved and HIPAA-compliant study. Screening mammograms obtained from 1996 to 2007 in women 40-80 years old in the Breast Cancer Surveillance Consortium were examined. Inclusion criteria were a recommendation for immediate follow-up at screening, or subsequent imaging, and observed follow-up within 180 days of the recommendation. Recommendations for additional imaging (AI) and biopsy or surgical consultation (BSC) were analyzed separately. The distribution of time to follow-up care was estimated by using the Kaplan-Meier estimator. Results:Data were available on 214 897 AI recommendations from 118 facilities and 35 622 BSC recommendations from 101 facilities. The median time to subsequent follow-up care after recommendation was 14 days for AI and 16 days for BSC. Approximately 90 % of AI follow-up and 81% of BSC follow-up occurred within 30 days. Facilities with higher recall rates tended to have longer AI follow-up times ( P , .001). Over the study period, BSC follow-up rates at 15 and 30 days improved ( P , .001). Follow-up times varied substantially across facilities. Timely follow-up was associated with larger volumes of the recommended procedures but not notably associated with facility type nor observed facility-level characteristics.

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“…A small body of qualitative literature has examined breast or cervical cancer care among low-income women of color. Most focus on a single ethnicity, 13,[21][22][23] age group, 24 and time point along the care continuum, such as screening, 21,23 follow-up, 13,25 or survivorship, 15,22,26 and factors directly linked to adherence are overall not consistently delineated.…”

Section: Introductionmentioning

confidence: 99%

Delays in Cancer Care Among Low-Income Minorities Despite Access

Nonzee

Ragas

Phisuthikul

et al. 2015

Journal of Women's Health

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Introduction: Narrowing the racial/ethnic and socioeconomic disparities in breast and cervical cancer requires an in-depth understanding of motivation for adherence to cancer screening and follow-up care. To inform patientcentered interventions, this study aimed to identify reasons why low-income women adhered to or delayed breast or cervical cancer screening, follow-up and treatment despite access to cancer care-related services. Methods: Semistructured qualitative interviews were conducted among women with access to cancer care-related services receiving care at an academic cancer center, federally qualified health centers, or free clinics in the Chicago metropolitan area. Transcripts were coded and analyzed for themes related to rationales for adherence. Results: Among 138 participants, most were African American (46%) or Hispanic (36%), English speaking (70%), and between ages 41 and 65 years (64%). Primary drivers of nonadherence included lack of knowledge of resources, denial or fear, competing obligations, and embarrassment. Facilitators included abnormality identification, patient activation, provider-initiated actions, and motivation from family or friends. Conclusions: Interventions targeting increased adherence to care among low-income and ethnic minority women should direct efforts to proactive, culturally and patient-informed education that enables patients to access resources and use the health care system, address misconceptions about cancer, ensure health care providers' communication of screening guidelines, and leverage the patient's social support network.

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Follow-up of abnormal screening mammograms among low-income ethnically diverse women: Findings from a qualitative study

Cited by 95 publications

References 44 publications

Psychological Distress, Social Withdrawal, and Coping Following Receipt of an Abnormal Mammogram Among Different Ethnicities: A Mediation Model

Psychological Distress, Social Withdrawal, and Coping Following Receipt of an Abnormal Mammogram Among Different Ethnicities: A Mediation Model

Timeliness of Follow-up after Abnormal Screening Mammogram: Variability of Facilities

Delays in Cancer Care Among Low-Income Minorities Despite Access

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