Online Program

Intrapersonal barriers inhibiting mammography utilization for African American women on the southside of Chicago

Tuesday, November 3, 2015 : 3:10 p.m. - 3:30 p.m.

Tarneka Manning, M.Ed., Metropolitan Chicago Breast Cancer Task Force, Chicago, IL
Ariel Thomas, M.S., Metropolitan Chicago Breast Cancer Task Force, Chicago, IL
Teena Francois-Blue, MPH, Metropolitan Chicago Breast Cancer Task Force, Chicago, IL
Anne Marie Murphy, Ph.D., Metropolitan Chicago Breast Cancer Task Force
Background: In Chicago, Black women are 40% more likely to die from breast cancer than their White counterparts.  While inequitable distribution of quality health care is a significant driver of the disparity; intrapersonal barriers also negatively impact mammography utilization.  Research has documented that Black women in Chicago have the lowest screening rates in the country and hold cultural beliefs about breast cancer that perpetuated delayed follow-up for suspicious breast symptoms. Understanding these barriers can inform the development of targeted interventions to reduce breast cancer mortality for black women in Chicago.

Methods: A qualitative study was conducted with Black women participating in a community navigation program who did not complete their screening mammogram to identify specific barriers inhibiting screening utilization.  Twenty-two women participated in two focus groups lasting approximately 1 hour.  A script was used to question participants about their reasons for missing appointments and perceptions of community healthcare services.  Each focus group was recorded and transcribed.

 Results: Participants shared views on breast health, mammograms, availability of healthcare services, and fears surrounding breast cancer.  Mistrust of the healthcare system emerged as the major barrier to utilization of preventative services.   Specifically participants lacked confidence in the quality of healthcare services in their community and previously had negative experiences at these neighborhood facilities. 

 Conclusion: Navigation interventions have been successful in addressing health system barriers; however, more tailored support is needed to address intrapersonal barriers to preventive screening utilization for black women in Chicago including cultural competency training for medical facilities.

Learning Areas:

Administer health education strategies, interventions and programs
Advocacy for health and health education
Assessment of individual and community needs for health education
Chronic disease management and prevention
Conduct evaluation related to programs, research, and other areas of practice
Implementation of health education strategies, interventions and programs

Learning Objectives:
Discuss disparities in breast cancer mortality rates among African American women. List barriers to screening for African American women in underserved communities. Identify solutions to improve screening rates in high risk populations.

Keyword(s): Cancer Prevention and Screening, Health Disparities/Inequities

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I manage a community outreach and education programs for a breast cancer organization targeting high mortality neighborhoods. I also serve as adjunct faculty at Ashford University in the College of Health, Human Services and Science.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.