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Underserved Latinas' Perceptions and Implications Around Breast Cancer Risk Assessment
Jane Q Yap1,2, Jhenitza P Raygoza3, Valentina Hernandez4
1Department of Quantitative Health Sciences, Mayo Clinic, Jacksonville, Florida, USA.
Latinas are interested in breast cancer risk assessment, viewing its benefits as greater than potential harms. Culturally tailored strategies and provider engagement are key to improving risk assessment and preventive behaviors in this population.
Area of Science:
- Oncology
- Public Health
- Health Disparities
Background:
- Breast cancer is a leading cause of death for Latinas.
- Underserved Latinas face disparities in breast cancer outcomes due to healthcare access, screening rates, and socioeconomic factors.
- Limited research exists on Latina women's interest and perceptions of breast cancer risk assessment.
Purpose of the Study:
- To explore the perspectives of underserved Latinas on breast cancer risk assessment.
- To understand how these perspectives may influence future health behaviors.
- To identify potential barriers and facilitators for engagement with risk assessment tools.
Main Methods:
- Qualitative study involving 23 under- or uninsured Latinas aged 45-65 with no personal history of breast cancer.
- Data collected through focus groups (n=3, 15 participants) and individual interviews (n=8).
- Analysis used a deductive-inductive thematic content analysis approach, guided by the Theory of Planned Behavior and Health Belief Model.
Main Results:
- Latinas expressed significant interest in knowing their breast cancer risk, perceiving benefits to outweigh harms.
- Participants indicated they would adhere to screening recommendations for low risk but seek provider consultation or increased screening for higher risk.
- Providers and social networks were identified as crucial influences on risk assessment interest and preventive behaviors.
Conclusions:
- Underserved Latinas have a positive view of breast cancer risk assessment.
- Multilevel, culturally tailored strategies are needed to enhance risk assessment uptake.
- Improving provider communication and leveraging social networks can promote awareness and preventive actions.
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