Access to Care as a Barrier to Mammography for Black Women.
Access to Care as a Barrier to Mammography for Black Women.
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DOI：
10.1177/1527154420965537
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发表时间：
2021-03
期刊：
影响因子：
--
通讯作者：
Hatcher J
中科院分区：
文献类型：
--
作者：
Aleshire ME;Adegboyega A;Escontrías OA;Edward J;Hatcher J
黑人女性在乳腺癌筛查、发病率和死亡率方面仍然存在种族差异。本研究调查了黑人女性的乳房 X 光检查信念和经历，特别关注美国东南部城市中获得乳房 X 光检查的障碍。这项回顾性定性研究使用 Penchansky 和 Thomas 的医疗保健获取概念作为数据分析的框架。对 39 名黑人女性进行了深入的半结构化访谈。结构和个人因素继续对黑人女性进行乳房X光检查造成障碍。 Penchansky 和 Thomas 确定了乳房 X 光检查的障碍，包括获得护理的五个维度：可及性、负担能力、可用性、住宿和可接受性。增加黑人女性乳房X光检查筛查的临床实践策略必须是多因素的、以患者为中心的、文化上一致的。政策制定必须通过扩大健康保险覆盖范围和增加医疗保健的可及性来解决乳房X光检查的结构性障碍。
Racial disparities in breast cancer screening, morbidity, and mortality persist for Black women. This study examines Black women’s mammography beliefs and experiences with specific focus on barriers to mammography access in an urban city in the South East, United States. This retrospective, qualitative study used Penchansky and Thomas’ conceptualization of health care access as the framework for the data analysis. In-depth, semistructured interviews were conducted with 39 Black women. Structural and personal factors continue to create barriers to mammography among Black women. Barriers to mammography were identified for each of the Penchansky and Thomas five dimensions of access to care: accessibility, affordability, availability, accommodation, and acceptability. Clinical practice strategies to increase mammography screening in Black women must be multifactorial, patient-centered, and culturally congruent. Policy development must address the structural barriers to mammography screening through expansion of health insurance coverage and increased accessibility to health care.
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影响因子：
3.3
作者：
Alexandraki, Irene;Mooradian, Arshag D.
通讯作者：
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影响因子：
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DOI：
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发表时间：
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影响因子：
1.3
作者：
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通讯作者：
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影响因子：
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作者：
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