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Racial differences in breast cancer screening, knowledge and compliance
Dawne M Harris1, Jane E Miller, Diane M Davis
1Institute for Health, Health Care Policy and Aging Research, Edward J Bloustein School of Planning and Public Policy, Rutgers University, New Brunswick, NJ 08854, USA.
Journal of the National Medical Association
|August 26, 2003
Summary
Black women show lower awareness but higher compliance with breast cancer screening tests when informed. Addressing socioeconomic barriers is crucial for equitable screening access and reducing mortality disparities.
Area of Science:
- Public Health
- Epidemiology
- Health Disparities
Background:
- Breast cancer is a leading cause of death for women.
- Black women experience higher mortality rates despite lower incidence compared to white women.
- Racial disparities in screening compliance are not well-understood.
Purpose of the Study:
- To examine racial differences in breast cancer screening awareness and compliance.
- To identify factors influencing screening behaviors among women.
Main Methods:
- Analysis of data from the 1992 National Health Interview Survey (>4,500 women).
- Logistic regression to assess odds of knowledge and compliance with breast self-exam (BSE), clinical breast exams (CBE), and mammograms.
- Comparison of screening behaviors between black and white women.
Main Results:
- Black women had lower awareness and use of screening tests compared to white women.
- Among aware women, black women demonstrated higher compliance with screening tests.
- Low education, poor cancer knowledge, and lack of regular healthcare access were linked to lower compliance with CBE and mammograms.
Conclusions:
- Educational programs are needed to increase awareness of cancer screening tests.
- Removing barriers to clinical screening is essential to improve access for all women.
- Targeted interventions may be necessary to address socioeconomic factors influencing screening compliance.