Impact of perceived racial discrimination on health screening in black women.
J Health Care Poor Underserved
; 21(1): 287-300, 2010 Feb.
Article
in En
| MEDLINE
| ID: mdl-20173270
ABSTRACT
Perceived discrimination has been shown to be related to health screening behavior. The present study examines the effect of discrimination on cancer screening among women in the Black Women's Health Study. Five self-report items measured discrimination in everyday life and three items measured experiences of major discrimination. Logistic regression was used to test associations of discrimination with Pap smear, mammography, or colonoscopy utilization. At the start of follow-up, 88.8% had a Pap smear in the previous year, 52.7% had a mammogram, and 20.0% had received a colonoscopy. Both everyday and major discrimination were associated with not having received a Pap smear, even after adjusting for other variables. Discrimination was not associated with mammography or colonoscopy utilization. In conclusion, perceived everyday and major discrimination is associated with poorer utilization of Pap smears for cervical cancer screening among Black women.
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Prejudice
/
Black or African American
/
Attitude of Health Personnel
/
Patient Acceptance of Health Care
/
Healthcare Disparities
/
Early Detection of Cancer
Type of study:
Diagnostic_studies
/
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
/
Screening_studies
Aspects:
Determinantes_sociais_saude
/
Equity_inequality
Limits:
Adult
/
Female
/
Humans
/
Middle aged
Country/Region as subject:
America do norte
Language:
En
Journal:
J Health Care Poor Underserved
Journal subject:
SERVICOS DE SAUDE
Year:
2010
Document type:
Article