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Chronic Conditions and Racially Biased Healthcare Experiences Impact Breast Cancer and Colorectal Cancer Screening

Elinita Pollard1,2, Marlo Vernon1,3, Samantha Jones4

  • 1Georgia Prevention Institute, Augusta University, 1120 15 Street HS-1705, Augusta, GA, 30912, USA.

Journal of Racial and Ethnic Health Disparities
|May 5, 2025
PubMed

Insights

Racial bias in healthcare impacts cancer screening. Experiencing worse treatment decreased mammogram odds for Hispanic/NHO individuals, while better treatment increased odds for NHW individuals with cancer.

Area of Science:

  • Public Health
  • Health Disparities
  • Cancer Screening

Background:

  • Mammogram and colorectal cancer (CRC) screening uptake is influenced by healthcare bias and chronic conditions.
  • Racial and ethnic disparities exist in screening adherence.

Purpose of the Study:

  • To examine the association between racially biased healthcare experiences and chronic conditions on screening adherence.
  • To analyze these associations across non-Hispanic White (NHW), non-Hispanic Black (NHB), and Hispanic/non-Hispanic Other (NHO) groups.

Main Methods:

  • Weighted multivariable logistic regressions were used.
  • Data from the 2022 Behavioral Risk Factor Surveillance System was analyzed.
  • The study examined interactions between chronic conditions and experiences of healthcare bias on mammogram and CRC screening.

Main Results:

  • Hispanic/NHO individuals with non-cancer chronic conditions who experienced worse treatment had decreased odds of up-to-date mammograms (OR 0.21).
  • NHW individuals with cancer who experienced better treatment had increased odds of up-to-date mammograms (OR 1.70).
  • All significant associations for CRC screening were positive, irrespective of treatment experiences across groups.

Conclusions:

  • Culturally sensitive interventions focusing on patient-centered communication are needed.
  • These interventions may improve screening adherence, especially for minority groups.
  • Addressing healthcare bias is crucial for equitable cancer screening.
Abstract

Keywords:
Chronic conditionsColorectal cancer screeningMammogramRace/ethnicityRacially biased healthcare experiences

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