Identifying Sociocultural Barriers to Mammography Adherence Among Appalachian Kentucky Women

Cohen, Elisia L.; Wilson, Bethney R.; Vanderpool, Robin C.; Collins, Tom

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Identifying Sociocultural Barriers to Mammography Adherence Among Appalachian Kentucky Women

Published Date:

Feb 10 2015

Source:

Health Commun. 31(1):72-82

Language:

English

[PDF-102.40 KB]

Details:

Personal Authors:

Cohen, Elisia L. ; Wilson, Bethney R. ; Vanderpool, Robin C. ; Collins, Tom ;

Keywords:

[+]

Pubmed ID:

25668682

Pubmed Central ID:

PMC4753775

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.

Document Type:

Journal Article

Collection(s):

CDC Public Access

Funding:

U48 DP001932/DP/NCCDPHP CDC HHS/United States
1U48DP001932-01/DP/NCCDPHP CDC HHS/United States

Main Document Checksum:

[+]

Supporting Files:

nihms757700.nxml

text/xml

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