Evidence map›Paper›PMID 39606084›Full record

ArticleFrontiers in public health2024

Centering intersectional breast cancer screening experiences among black, Latina, and white women: a qualitative analysis.

Sienna Ruiz, Kamilah Abdur-Rashid, Rachel L Mintz, Maggie Britton, Ana A Baumann, Graham A Colditz, Ashley J Housten

Abstract read
In one paragraph

Article in Frontiers in public health, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Review
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Sienna RuizWashington University School of Medicine, St. Louis, MO, United States.
Kamilah Abdur-RashidWashington University School of Medicine, St. Louis, MO, United States.
Rachel L MintzWashington University School of Medicine, St. Louis, MO, United States.
Maggie BrittonThe University of Texas, MD Anderson Cancer Center, Houston, TX, United States.
Ana A BaumannWashington University School of Medicine, St. Louis, MO, United States.
Graham A ColditzWashington University School of Medicine, St. Louis, MO, United States.
Ashley J HoustenWashington University School of Medicine, St. Louis, MO, United States.

Funding

Tumor Evolution and Metastasis ProgramP30CA016672 · NCI · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI DIANE BODURKA · 1985 to 2026
$290.8M
Breast Cancer Screening: Priorities and Attitudes of Diverse Women Under 50R00MD011485 · NIMHD · WASHINGTON UNIVERSITY · PI HOUSTEN, ASHLEY · 2019 to 2021
$712k
Breast Cancer Screening: Priorities and Attitudes of Diverse Women Under 50K99MD011485 · NIMHD · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI HOUSTEN, ASHLEY · 2017 to 2018
$177k
NCI NIH HHS P30 CA016672NIMHD NIH HHS K99 MD011485NIMHD NIH HHS R00 MD011485
6 · The paper itself

Abstract

Objective: Mammography screening guidelines in the United States highlight the importance of informing and involving women when making their breast cancer screening decisions. However, the complexity of interpreting and applying these population-level guidelines can contribute to patient burden. Patient-centered communication strategies can alleviate patient burden, but few consider perspectives from racially and ethnically marginalized populations. We examine diverse women's perspectives on screening to characterize patient-centered experiences. Methods: We conducted 28 focus groups with 134 non-Latina Black ( Results: We identified three themes: (1) personal relationships with primary care providers, (2) potential impacts of cancer on families, and (3) interactions with medical systems. Most White participants described trusting physician relationships in contrast to perfunctory, surface-level relationships experienced by many Black participants; high costs of care prevented many Latina participants from accessing care (Theme 1). Diagnosis was a concern for most Black participants as it could burden family and most Latina participants as it could prevent them from maintaining family well-being (Theme 2). While many White participants had general ease in accessing and navigating healthcare, Latina participants were often held back by embarrassment-and Black participants frequently described disrespectful providers, false negatives, and unnecessary pain (Theme 3). Conclusion: Cultural and structural factors appeared to influence participants' approaches to breast cancer screening. Structural barriers may counteract culturally salient beliefs, especially among Black and Latina participants. We suggest patient-centered communication interventions be culturally adjusted and paired with structural changes (e.g., policy, insurance coverage, material resources) to reflect women's nuanced values and intersectional social contexts.

Indexed as

Breast NeoplasmsEarly Detection of CancerMammographyQualitative ResearchAdultAgedBlack or African AmericanFemaleFocus GroupsHispanic or LatinoHumansMiddle AgedPhysician-Patient RelationsUnited StatesWhitecancerhealth equity (MeSH)mammographypatient-centered communicationscreening

Identifiers

PMID39606084
PMCPMC11599253

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LicenceCC BY
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.