Young Black Women May be More Likely to Have First Mammogram Cancers: A New Perspective in Breast Cancer Disparities

Wilkerson, Avia; Obi, Megan; Ortega, Camila B.; Sebikali-Potts, Audry; Wei, Wei; Pederson, Holly J.; Al‐Hilli, Zahraa

doi:10.1245/s10434-022-12995-y

Cited by 8 publications

(4 citation statements)

References 60 publications

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“…In considering religious values, fatalism-emphasizing religions were associated with less screening adherences and maintenance of modesty did not prove a significant limitation for women receiving mammograms ( 31–33 ). Economic factors present limitations as both high levels of poverty and impoverished rural regions were associated with lower screening rates ( 27 , 32 , 34–37 ). Improving patient-provider communication, addressing perceived discrimination, and improving trust in the health care system is necessary to improve screening rates across all demographics ( 38–42 ).…”

Section: Resultsmentioning

confidence: 99%

“…Many of the studies demonstrated a strong association between a lack of health insurance and a lower rate of breast cancer screening (21)(22)(23)(24)(25). Ethnic minority women, with the exception of those identifying as Asian, had a lower likelihood of being screened, and Black women experienced a higher risk of diagnosis upon first screening (25)(26)(27)(28)(29). While few studies analyze the effect of sexual orientation on breast cancer screening, initial insights reveal there are significant differences in mammography between bisexual, lesbian, and heterosexual women regardless of racial/ethnic groups (30).…”

Section: Lessons Learnedmentioning

confidence: 99%

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Social determinants of health and health inequities in breast cancer screening: a scoping review

Jhumkhawala,

Lobaina,

Okwaraji

et al. 2024

Front. Public Health

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IntroductionThis scoping review aims to highlight key social determinants of health associated with breast cancer screening behavior in United States women aged ≥40 years old, identify public and private databases with SDOH data at city, state, and national levels, and share lessons learned from United States based observational studies in addressing SDOH in underserved women influencing breast cancer screening behaviors.MethodsThe Arksey and O’Malley York methodology was used as guidance for this review: (1) identifying research questions; (2) searching for relevant studies; (3) selecting studies relevant to the research questions; (4) charting the data; and (5) collating, summarizing, and reporting results.ResultsThe 72 included studies were published between 2013 and 2023. Among the various SDOH identified, those related to socioeconomic status (n = 96) exhibited the highest frequency. The Health Care Access and Quality category was reported in the highest number of studies (n = 44; 61%), showing its statistical significance in relation to access to mammography. Insurance status was the most reported sub-categorical factor of Health Care Access and Quality.DiscussionResults may inform future evidence-based interventions aiming to address the underlying factors contributing to low screening rates for breast cancer in the United States.

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Section: Resultsmentioning

confidence: 99%

Section: Lessons Learnedmentioning

confidence: 99%

Social determinants of health and health inequities in breast cancer screening: a scoping review

Jhumkhawala,

Lobaina,

Okwaraji

et al. 2024

Front. Public Health

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“…8 The USPSTF recognizes this disparity and mentions it in their recommendations, encouraging health care clinicians to engage in shared decision making with Black patients and asserting that more research is needed on screening mammography in Black communities. 15 While the age modification to the new guidelines better addresses the disparities that impact the Black community (such as increased likelihood of early-onset breast cancer 36 and increased rate of breast cancer diagnosis at first mammogram 37 ), the next obvious question is: Can groups with higher breast cancer mortality such as Black communities afford to undergo mammography every 2 years (as opposed to every year)?…”

Section: Black Patients Have a Worse Breast Cancer Prognosismentioning

confidence: 99%

Patient counseling for breast cancer screening: Taking changes to USPSTF recommendations into account

Pleasant

2023

OBGM

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“…Racial disparities in the diagnosis and treatment of breast cancer have been documented for many years and by many authors. Notably, minority women are more likely to be diagnosed with cancer on their first mammogram, 1 are less likely to receive the breast cancer standard of care, 2 have higher breast cancer mortality rates, 3,4 and are less likely to undergo breast cancer screening, 3,5 especially during the COVID period. 5 It has been recognized that a “one-size fits all” policy for breast cancer screening is inappropriate, with one JAMA study calling to initiate mammography in African American women “8 years earlier” than their White counterparts due to different risk profiles between the groups.…”

Section: Introductionmentioning

confidence: 99%

Initiation of Breast Cancer Screening at a Later Age May Disproportionately Impact Minority Groups: Review of Ohio Data (1996-2022)

Kirkpatrick,

Kobayashi,

Walker

et al. 2023

The American Surgeon™

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Among women with breast cancer, delays in diagnosis and earlier presentation have been documented among minority women. Consequently, initiation of breast cancer screening at a later age may disproportionately harm minority groups. This study seeks to determine whether minority women face a higher proportional risk of younger age breast cancer than their White peers. Using publicly available data from the Ohio Department of Public Health Data Warehouse, we constructed a database allowing for retrospective evaluation of all breast cancer patients in the state of Ohio from 1996 to 2020. White women represented the bulk of total breast cancer cases in each age group and overall; however, the proportion of cancers attributable to White women increased in each successively older cohort group: 80.7% of cases under age 40 up to 91.3% of the 80 or older group. By a significant margin, the opposite is true in minority groups with African American women accounting for 15% of cases under the age of 40, trending down to 7.8% of the 80 and older group. Comparison of the proportions of these groups demonstrates statistically significant proportional decreases among minority groups and statistically significant increases among White women. Our findings suggest that women of color in the Ohio population face a disproportionately high risk of being diagnosed with younger age breast cancer and support the findings of other authors who recommend tailoring breast cancer screening by racial cohort. Efforts should be made to promote younger-age screening for minority women to prevent disproportionate harm.

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Young Black Women May be More Likely to Have First Mammogram Cancers: A New Perspective in Breast Cancer Disparities

Cited by 8 publications

References 60 publications

Social determinants of health and health inequities in breast cancer screening: a scoping review

Social determinants of health and health inequities in breast cancer screening: a scoping review

Patient counseling for breast cancer screening: Taking changes to USPSTF recommendations into account

Initiation of Breast Cancer Screening at a Later Age May Disproportionately Impact Minority Groups: Review of Ohio Data (1996-2022)

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