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Bias Within

Author

Listed:
  • Marla B. Hall
  • Akilah R. Carter-Francique
  • Stacy M. Lloyd
  • Tiffany M. Eden
  • Angie V. Zuniga
  • Jeffrey J. Guidry
  • Lovell A. Jones

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.

Suggested Citation

  • Marla B. Hall & Akilah R. Carter-Francique & Stacy M. Lloyd & Tiffany M. Eden & Angie V. Zuniga & Jeffrey J. Guidry & Lovell A. Jones, 2015. "Bias Within," SAGE Open, , vol. 5(1), pages 21582440155, March.
    • Handle: RePEc:sae:sagope:v:5:y:2015:i:1:p:2158244015576547
    DOI: 10.1177/2158244015576547
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    References listed on IDEAS

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    1. Musa, D. & Schulz, R. & Harris, R. & Silverman, M. & Thomas, S.B., 2009. "Trust in the health care system and the use of preventive health services by older black and white adults," American Journal of Public Health, American Public Health Association, vol. 99(7), pages 1293-1299.
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