Gendered and racialized social expectations, barriers, and delayed breast cancer diagnosis

摘要: BACKGROUND Black women are more likely to be diagnosed at a later stage of breast cancer in part due barriers timely screening mammography, resulting poorer mortality and survival outcomes. Patient navigation that helps overcome the early detection is an effective intervention for reducing disparity. However, ability recognize seek help may affected by gendered racialized social expectations women. METHODS Data from randomized controlled trial, Navigation Medically Underserved Areas study, were used. The likelihood obtaining follow-up mammogram was compared between who identified ≥1 those did not. RESULTS Of 3754 received intervention, approximately 14% identified ≥ 1 barriers, which led additional navigator contacts. Consequently, reported obtain subsequent mammogram. women, living poverty, with higher level distrust less report barriers. CONCLUSIONS Minority poverty have always been source support others. affect ways their own health needs. A way improve effectiveness would how minority women's gender images could shape they support. no does not translate into problems. Proactive approaches identify potential beneficial.