Neighborhood-level Influences on Delays in Diagnostic Follow-up from Mammography Screening in African-American Women: A Systematic Review

Fowler, Barbara

doi:10.4172/2167-0420.1000151

Cited by 8 publications

(4 citation statements)

References 35 publications

(66 reference statements)

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“…Therefore, it is necessary for health insurance programs to cover the cancer diagnostic examinations and treatment procedures. Moreover, similar to other studies (23,25,26), low education level and low income were risk factors for patient delay. So that more lowincome patients referred to physicians in stage III.…”

Section: Discussionsupporting

confidence: 86%

Predictive Factors for Diagnosis and Treatment Delay in Iranian Women with Breast Cancer

Mirfarhadi

Ghanbari

Khalili

et al. 2016

Nurs Midwifery Stud

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Background: The growing trend of breast cancer in Iran and the adverse consequences arising from the delay in diagnosis and treatment in females has been a challenge. Objectives: This study was conducted to identify the predictors for diagnosis and treatment delay in females with breast cancer in the north of Iran. Methods: This cross-sectional study was performed on 232 patients with a definite diagnosis of breast cancer at Razi Hospital, which is the main referral centre in Guilan Province, Iran, using sequential sampling methods. Data were collected using a six-section questionnaire through interviews and medical records of the patients. Data were analyzed using descriptive statistics, logistic regression and chi square test. Results: Delays of more than one month was observed in 53% of patients and more than three months delay was observed in 31%. Of the patients with a definite diagnosis of breast cancer, 87% returned within seven days for treatment interventions. Three variables of: stage of disease (stage II: P = 0.002, OR = 7.19 and stage III: P = 0.034, OR = 1.95), lack of complementary insurance (P = 0.007, OR = 2.26) and primary insurance (P = 0.067, OR = 3.52) were important risk factors for patient delay. Knowledge and attitude regarding the symptoms of breast cancer (P = 0.007), the most important method for breast cancer diagnosis (P = 0.004), and the importance of self-examination was significantly different between patients with and without delay in the onset of treatment. Conclusions: This study showed that about one-third of patients with breast cancer had a patient delay of more than three months. In addition, 16.8% and 13% of patients experienced system delay in diagnosis and treatment, respectively. The government is responsible to not only teach people on the signs of breast cancer, but also to establish a powerful screening system for breast cancer.

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Section: Discussionsupporting

confidence: 86%

Predictive Factors for Diagnosis and Treatment Delay in Iranian Women with Breast Cancer

Mirfarhadi

Ghanbari

Khalili

et al. 2016

Nurs Midwifery Stud

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“…Comparison of patients in MUA/MUP designated areas with areas eligible but never designated provides another dimension to existing literature on how community organization may affect service delivery and potentially health outcomes like later stage at diagnosis. 20, 26, 27, 30–33 But designation is primarily related to NHBlack and NHWhite disparity and in the end, the primary issues related to disparity in later stage at diagnosis appear to be access to mammography and follow-up at accredited facilities.…”

Section: Discussionmentioning

confidence: 99%

Multilevel Examination of Health Disparity: The Role of Policy Implementation in Neighborhood Context, in Patient Resources, and in Healthcare Facilities on Later Stage of Breast Cancer Diagnosis

Warnecke

Vijayasiri

Barrett

et al. 2019

Cancer Epidemiology, Biomarkers &Amp; Prevention

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Background: There is a substantial racial/ethnic disparity in female breast cancer mortality in Chicago between Non-Hispanic Black (NHBlack) and Hispanic patients compared to their Non-Hispanic White (NHWhite) counterparts. This observation prompted a multilevel examination of factors that might account for the disparity, with the goal of identifying potential policy interventions that might meaningfully address it Methods: In the Breast Cancer Care in Chicago study, 411 NHBlack, 397 NHWhite and 181 Hispanic patients diagnosed between the ages of 30–79 were interviewed, and medical records were abstracted information on screening and diagnostic follow-up. We conducted a multilevel analysis to assess the role of neighborhood context, patient resources, facility characteristics and mode of detection in determining the disparity in later stage at diagnosis. Results: After adjustment for neighborhood context, mode of detection and facility accreditation/resources, there was no significant disparity in later stage breast cancer diagnosis between NHBlack or Hispanic patients compared to NHWhite patients. Conclusion: The results suggest that racial/ethnic differences in mode of detection and facility accreditation/resources account for most of the disparity in stage at diagnosis. Understanding the causes of differential screen-detection and access to highly accredited facilities could inform interventions to meaningfully address this disparity. Impact: Multilevel approaches to studying health disparities are becoming the research standard for understanding and addressing health disparities. Optimal design of multilevel interventions addressing disparities in later stage diagnosis would benefit from enhanced understanding of pathways to detection and diagnosis available to patients in medically underserved communities.

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“…A growing number of studies have found that, compared to their more affluent counterparts, individuals living in lower SES neighborhoods exhibit maladaptive health behaviors and experience worse health outcomes. 34,35 In a related vein, research has found that accessibility of medical services in the neighborhood is an important factor for missed or delayed use of medical services. 36 , 37 Hypotheses Based on FIT, Andersen's HSU model, and the empirical findings in the literature, we hypothesize that: (1) a mutually affectionate parent-child relationship in early adolescence is inversely related to depressive mood from early adolescence to emerging adulthood; depressive mood is directly related to later cigarette smoking in the 20s-30s; and depressive mood and cigarette smoking are positively associated with physical health problems in early midlife.…”

Section: Enabling Factorsmentioning

confidence: 99%

Psychosocial Factors Related to Underuse of Medical Services

et al. 2016

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In this longitudinal study, we applied structural equation modeling (SEM) to examine the historical, predisposing, enabling/barrier, and need factors as related to the underuse of medical services during early midlife. We gathered longitudinal data on a prospective cohort of community-dwelling men and women (N = 548) followed from adolescence to early midlife. The findings supported a mediational model: A mutually affectionate parent-child relationship in early adolescence was inversely related to underuse of medical services in early midlife via the mediational roles played by later predisposing factors (i.e., depressive mood and cigarette smoking), need factor (i.e., physical health problems), barriers (i.e., financial difficulty), and enabling factors (i.e., social support for health services in early midlife). In addition, satisfaction with medical services in the neighborhood had an association with less underuse of medical services in early midlife. Family therapy focused on an increase in the affectionate relationship between the adolescents and his/her parents and cognitive-behavioral treatment of depressive mood may lead to a decrease in the underuse of medical services.

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Neighborhood-level Influences on Delays in Diagnostic Follow-up from Mammography Screening in African-American Women: A Systematic Review

Cited by 8 publications

References 35 publications

Predictive Factors for Diagnosis and Treatment Delay in Iranian Women with Breast Cancer

Predictive Factors for Diagnosis and Treatment Delay in Iranian Women with Breast Cancer

Multilevel Examination of Health Disparity: The Role of Policy Implementation in Neighborhood Context, in Patient Resources, and in Healthcare Facilities on Later Stage of Breast Cancer Diagnosis

Psychosocial Factors Related to Underuse of Medical Services

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