Identifying Sociocultural Barriers to Mammography Adherence Among Appalachian Kentucky Women

Details

• Alternative Title:
  Health Commun
• Personal Author:
  Cohen, Elisia L. ; Wilson, Bethney R. ; Vanderpool, Robin C. ; Collins, Tom
• Description:
  Despite lower breast cancer incidence rates, Appalachian women evidence lower frequency of screening mammography and higher mortality risk for breast cancer compared to non-Appalachian women in Kentucky, and in the United States, overall. Utilizing data from 27 in-depth interviews from women in seven Appalachian Kentucky counties, this study examines how Appalachian women explain sociocultural barriers and facilitators to timely screening mammography, and explores their common narratives about their mammography experiences. The women describe how pain and embarrassment, less personal and less professional mammography experiences, cancer fears, and poor provider communication pose barriers to timely and appropriate mammography schedule adherence and follow-up care. The study also identifies how improving communication strategies in the mammography encounter may improve mammography experiences and adherence to screening guidelines.
• Subjects:
  Adult Aged Breast Neoplasms Culture Early Detection Of Cancer Female Health Communication Health Education Humans Interviews As Topic Kentucky Mammography Middle Aged Patient Acceptance Of Health Care Social Control, Informal

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• Source:
  Health Commun. 31(1):72-82
• Pubmed ID:
  25668682
• Pubmed Central ID:
  PMC4753775
• Document Type:
  Journal Article
• Funding:
  U48 DP001932/DP/NCCDPHP CDC HHSUnited States/ ; 1U48DP001932-01/DP/NCCDPHP CDC HHSUnited States/
• Volume:
  31
• Issue:
  1
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:5d62047ba8361524d18d07106a7f05eef8c126d3f313c75c9b2a9856c7b77f16
• Download URL:
  https://stacks.cdc.gov/view/cdc/38057/cdc_38057_DS1.pdf
• File Type:
  [PDF - 102.40 KB ]