Home > Review Articles > Communicating mammogram screening results to African American and white women

Communicating mammogram screening results to African American and white women

Making Education Easy

Authors:
Summary:

This study (n =1,145) examined whether African American women were as likely to receive mammogram results as their white counterparts and compared self-report of recent results with those in radiology records. The investigators found that inadequate communication of mammogram screening results was more likely for African American women, even when results were adjusted for sociodemographic, access-to-care, biomedical, and psychosocial factors. There was a significant inadequacy of communication of abnormal results for African American women but not white women (p < 0.001). The authors conclude that “African women may not be receiving the full benefit of screening mammograms because of inadequate communication of results”.

Comment:
Breast cancer is diagnosed later and has poorer outcomes in African American women than white women. Mammography, as part of the screening process, is an important step for diagnosis and starting treatment for breast cancer. The researchers for this study found ethnic differences in communication of abnormal mammography results. As a result, African American women may be missing out on follow up of abnormal mammograms. The focus on ‘system’ factors and the way in which results are communicated allows us to think about ways in which the quality of breast screening programmes may be improved. Some examples: when communicating results, ask patients to repeat what they comprehended; initiate follow up at the time of communicating results; designate a staff member to case manage women with abnormal results. Finally, a similar review of screening programmes in Aotearoa should be considered.
Reference: Am J Public Health. 2007; 97(3):531-538
Independent commentary by Dr. Matire Hardwood

Dr Matire Harwood (Ngapuhi) has worked in Hauora Māori, primary health and rehabilitation settings as clinician and researcher since graduating from Auckland Medical School in 1994. She also holds positions on a number of boards, committees and advisory groups including the Health Research Council. Matire lives in Auckland with her whānau including partner Haunui and two young children Te Rangiura and Waimarie.

Research Review publications are intended for New Zealand health professionals.

Disclaimer: This publication is not intended as a replacement for regular medical education but to assist in the process. The reviews are a summarised interpretation of the published study and reflect the opinion of the writer rather than those of the research group or scientific journal. It is suggested readers review the full trial data before forming a final conclusion on its merits.

Related Articles

Explore Māori Health Reviews

Dive into our publications and videos content from over 50 areas of medicine including Cardiology, Diabetes, Oncology, Haematology and Psychiatry. 

It looks like you are closest to our Australia site.

Australia
Australia
Find Reviews in Your Clinical Area
Please select your country of practice.
Terms and Conditions

Website terms of use 

By using our website, you agree to follow these terms and conditions. 

 

Privacy policy 

We take your privacy seriously. To understand how we collect, use, and protect your information, please read our Privacy Policy, which is part of these terms. 

 

Copyright and use of website content 

The content of our website is protected by copyright, trademarks, and other legal rights. You can: view, download, or print a single copy of content for your personal or professional use. 

You cannot:  copy, modify, or distribute website content, or use our website content for commercial purposes or in other works without permission. 

 

Links to third-party websites 

The Research Review website may link to third-party websites for your convenience. However: 

We do not endorse or approve their products, services, or actions. 

We are not responsible for their content or how they operate. 

There is no formal partnership between us and third parties unless we clearly state otherwise. 

 

Disclaimer and limitation of liability 

We do our best to keep the information on our website accurate, but we do not guarantee that it is always correct or up to date. 

To the fullest extent allowed by law, we are not responsible for: 

Any loss, damage, or costs you may suffer from using (or being unable to use) our website. 

Any decisions you make based on the information provided. 

Any business losses, such as lost profits, lost data, or business interruptions. 

 

Governing law 

These terms are governed by New Zealand law. If there is a dispute, it must be resolved in a New Zealand court.