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Indirect discrimination and breast screening

J L Botha1, T K Manku-Scott, F Moledina

  • 1Department of Epidemiology and Public Health, University of Leicester, England, UK.

Ethnicity & Disease
|January 1, 1993
PubMed
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Low breast cancer screening uptake in ethnic minorities may stem from indirect discrimination in health information. Providing targeted information significantly improved knowledge and intended screening acceptance across language groups.

Area of Science:

  • Public Health
  • Health Disparities
  • Cancer Screening

Background:

  • Uptake of screening services is low in inner-city communities, especially among ethnic minorities.
  • Leicester City has a significant ethnic minority population (up to 25%), impacting breast screening.
  • Disparities in screening uptake are linked to age, social class, and ethnicity.

Purpose of the Study:

  • To investigate breast cancer and screening knowledge among inner-city women in Leicester.
  • To assess the impact of language on knowledge and intended screening participation.
  • To explore potential disparities in health information dissemination.

Main Methods:

  • Randomly sampled 701 inner-city women aged 45-64, stratified by neighborhood and language.
  • Conducted interviews with 413 eligible respondents.

Related Experiment Videos

  • Analyzed knowledge of breast cancer and screening based on language groups.

    • Main Results:

    • Significant knowledge differences found: 60.4% of English-speakers vs. 12.5% of non-English-speakers answered 10+ questions correctly.
    • High intended screening attendance (≥80%) reported across all demographics, irrespective of language.
    • Providing appropriate screening information led to similar high intended acceptance rates in both language groups.

    Conclusions:

    • Differences in knowledge likely result from indirect discrimination in health information dissemination.
    • Targeted health information can overcome knowledge gaps and promote equitable screening intentions.
    • Addressing systemic barriers is crucial for improving cancer screening uptake in diverse populations.