Bias Within: Examining the Role of Cultural Competence Perceptions in Mammography Adherence
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Date
2015
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Authors
Hall, Maria B.
Carter-Francique, Akilah R.
Llyod, Stacy M.
Eden, Tiffany M.
Zuniga, Angie V.
Guidry, Jeffrey J.
Jones, Lovell A.
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Abstract
Breast cancer mortality has affected African American women at a disproportionate rate. The purpose of this research was
to assess how health professionals’ cultural competence contributes to African American women’s barriers to and receipt
of mammograms. Sixty-one African American women residing in Harris County, Texas, shared their views within a series
of focus groups. Theoretical propositions from the PEN-3 model were used to understand mammography adherence at
the interpersonal level. Participants noted various perceived factors associated with mammography incompliance. Lack of
professionalism of clinicians and clerical staff contributed to a decrease in health care services utilization. In addition, cultural
insensitivity and discriminatory behavior enabled an attitude of medical mistrust. Improving patient–provider communication,
through culturally appropriate centered educational efforts, is a beneficial strategy for breast health programs among
underserved populations.
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DOI
10.1177/2158244015576547