Barriers to Cervical Cancer Screening and Follow-up Care among Black Women in Massachusetts
Barriers to Cervical Cancer Screening and Follow-up Care among Black Women in Massachusetts
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DOI：
10.1111/1552-6909.12488
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发表时间：
2014-09-01
影响因子：
1.8
通讯作者：
Mangione, Thomas W.
中科院分区：
文献类型：
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作者：
Nolan, Jacqueline;Renderos, Tajan Braithwaite;Mangione, Thomas W.
目的探讨可能导致马萨诸塞州黑人妇女宫颈癌筛查和诊断延迟的因素。设计定性使用焦点小组。设置医院，健康中心和社区组织在波士顿，马萨诸塞州。研究人员64名参与者，包括黑人，非西班牙裔妇女和宫颈癌幸存者，社区妇女健康领导人，和卫生保健提供者。数据进行了分析，使用基于接地theorety.ResultsFindings采访的方法显示，信息不足和教育的供应商和患者创建障碍，适当的筛选和治疗的做法，黑人妇女。恐惧、文化信仰以及与贫困、性别角色和卫生系统障碍有关的复杂因素造成了筛查和后续护理的延误。此外，无意识的偏见，治疗延误，沟通不畅的重要因素，影响care.ConclusionThese结果表明，需要全面的，文化上特定的宫颈癌预防教育的举措和干预措施，为黑人妇女和战略，以改善患者与供应商的关系。
ObjectiveTo explore factors that might lead to delays in appropriate cervical cancer screening and diagnosis among Black women in Massachusetts.DesignQualitative using focus groups.SettingHospitals, health centers, and community-based organizations in Boston, Massachusetts.ParticipantsSixty-four participants including Black, non-Hispanic women from the general population and cervical cancer survivors, community leaders in women's health, and health care providers.MethodsSix focus groups. Data were analyzed using methods based on grounded theory.ResultsFindings from interviews revealed that inadequate information and education of providers and patients create barriers to appropriate screening and treatment practices for Black women. Fear, cultural beliefs, and compounding factors related to poverty, gender roles, and health system barriers create delays to screening and follow-up care. Also, unconscious bias, therapeutic delays, and miscommunication are important factors affecting continuity of care.ConclusionThese results suggest a need for comprehensive, culturally specific cervical cancer prevention education initiatives and interventions for Black women and strategies to improve patient-provider relationships.