Social Determinants of Breast Cancer Screening in Urban Primary Care Practices: A Community-Engaged Formative Study

Mishra, Shiraz I.; DeForge, Bruce R.; Barnet, Beth; Ntiri, Shana O.; Grant, Laura

doi:10.1016/j.whi.2012.06.004

Cited by 37 publications

(27 citation statements)

References 32 publications

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“…Previous research has suggested that social support is a promoter for the uptake of early detection measures [14, 49, 50], which is also supported by our findings. Social relations might facilitate the use of secondary prevention services (e.g., friends taking people to the doctor [51] or neighbours undertaking tasks of daily living, such as caring for children or relatives, when people visit a health professional).…”

Section: Discussionsupporting

confidence: 91%

Determinants of health check attendance in adults: findings from the cross-sectional German Health Update (GEDA) study

et al. 2014

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BackgroundIn Germany, adult health checks are carried out in the primary care setting for early detection of chronic conditions, such as cardiovascular diseases, diabetes, and kidney disease. This study aims to examine the social, behavioural, and health-related determinants of health check attendance among eligible adults in Germany.MethodsData were derived from the cross-sectional German Health Update (GEDA) study, a national health survey among adults in Germany carried out by the Robert Koch Institute. Analyses were restricted to respondents with statutory health insurance aged 35 years or older (n = 26,555). Logistic regression models were fitted to estimate associations between health check attendance and factors selected on the basis of Andersen’s Behavioral Model of Health Services Use.ResultsAfter mutual adjustment, higher health check attendance was associated with a higher age, higher socioeconomic status, being married, stronger social support, physical activity, non-smoking, greater fruit and vegetable consumption, and higher use of outpatient care in both sexes. In women, higher attendance was related to alcohol consumption and having company health insurance (BKK) after multiple adjustment. In men, higher attendance was associated with better self-rated health after adjusting for all other factors.ConclusionsThe findings of this study suggest that people with an unfavourable risk factor profile, such as socioeconomically disadvantaged groups, smokers, physically inactive people, and persons with a low fruit and vegetable intake, are less likely to have health checks than those with a more favourable risk profile. Health checks carried out in the primary care setting should be evaluated for their effects on population health and health inequality.

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Section: Discussionsupporting

confidence: 91%

Determinants of health check attendance in adults: findings from the cross-sectional German Health Update (GEDA) study

et al. 2014

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“…The social determinants of health perspective considers the structural, contextual, social, economic, and environmental conditions that impact health such as poverty, insurance, education, transportation, power, unemployment or work, lack of health insurance, social support, and stress (Mishra, DeForge, Barnet, Ntiri, & Grant, ). Social determinants, reflected by levels of income and education for example, have a major influence on health (Braveman, Egerter, & Williams, ).…”

Section: Discussionmentioning

confidence: 99%

Mammogram Use and Self‐Efficacy in an Urban Minority Population

Jerome-D’Emilia

Suplee

2014

Public Health Nursing

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“…A small body of qualitative literature has examined breast or cervical cancer care among low-income women of color. Most focus on a single ethnicity, 13,[21][22][23] age group, 24 and time point along the care continuum, such as screening, 21,23 follow-up, 13,25 or survivorship, 15,22,26 and factors directly linked to adherence are overall not consistently delineated.…”

Section: Introductionmentioning

confidence: 99%

Delays in Cancer Care Among Low-Income Minorities Despite Access

Nonzee

Ragas

Phisuthikul

et al. 2015

Journal of Women's Health

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Introduction: Narrowing the racial/ethnic and socioeconomic disparities in breast and cervical cancer requires an in-depth understanding of motivation for adherence to cancer screening and follow-up care. To inform patientcentered interventions, this study aimed to identify reasons why low-income women adhered to or delayed breast or cervical cancer screening, follow-up and treatment despite access to cancer care-related services. Methods: Semistructured qualitative interviews were conducted among women with access to cancer care-related services receiving care at an academic cancer center, federally qualified health centers, or free clinics in the Chicago metropolitan area. Transcripts were coded and analyzed for themes related to rationales for adherence. Results: Among 138 participants, most were African American (46%) or Hispanic (36%), English speaking (70%), and between ages 41 and 65 years (64%). Primary drivers of nonadherence included lack of knowledge of resources, denial or fear, competing obligations, and embarrassment. Facilitators included abnormality identification, patient activation, provider-initiated actions, and motivation from family or friends. Conclusions: Interventions targeting increased adherence to care among low-income and ethnic minority women should direct efforts to proactive, culturally and patient-informed education that enables patients to access resources and use the health care system, address misconceptions about cancer, ensure health care providers' communication of screening guidelines, and leverage the patient's social support network.

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Social Determinants of Breast Cancer Screening in Urban Primary Care Practices: A Community-Engaged Formative Study

Cited by 37 publications

References 32 publications

Determinants of health check attendance in adults: findings from the cross-sectional German Health Update (GEDA) study

Determinants of health check attendance in adults: findings from the cross-sectional German Health Update (GEDA) study

Mammogram Use and Self‐Efficacy in an Urban Minority Population

Delays in Cancer Care Among Low-Income Minorities Despite Access

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