Regular Mammography Screening Among African American (AA) Women: Qualitative Application of the PEN-3 Framework.
Adebola Adegboyega, Adaeze Aroh, Kaitlin Voigts and 1 others
PMID 30295158WHAT IT FOUND
African American women described fear of pain, distrust, fatalistic beliefs, cost, and rude staff as barriers to mammography.
Family stories shaped screening; provider recommendation and knowing what to expect were reported as supports.
Key findings
01Fear of pain and fear of a cancer diagnosis were reported barriers.
02Fatalistic beliefs about breast cancer and limited knowledge about mammography were reported.
03Family and friend experiences affected screening decisions.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
Participants were self-selected women from one emergency department, so they may not represent other African American women. The study reports perceptions and experiences, not measured screening outcomes or intervention effects. Recruitment in the emergency department may overrepresent women who use it as their main health care source. Findings are from interviews with 39 women in one southeastern state.
Declared interests
No author conflict declaration is included in the supplied text. Publication types list NIH extramural and non-U.S. government research support.
The easy way to misread this
Do not treat these themes as proof that mammography is too painful or that any counseling approach increases screening. They are reported perceptions from 39 women, not measured outcomes.