title: Breast cancer screening among ethnically diverse low-income women in a general hospital psychiatry clinic.
abstract: Most low-income minority women do not obtain screening mammography on a regular basis. Compliance with recommended breast cancer screening guidelines may be even lower in women with psychiatric illnesses. We investigated compliance with breast cancer screening guidelines among 121 ethnically diverse low-income women recruited from a general hospital psychiatry clinic. Mammography and clinical breast examination (CBE) had been obtained in the previous year by 59% and 70% of the patients 40 years of age and older, respectively. Among patients 20 years of age and older, 42% reported monthly breast self-examination (BSE). Physician recommendation of mammography was the strongest predictor of having obtained both a mammogram and a CBE within the previous year. There was an inverse relationship between breast cancer knowledge and screening mammography. Patients who were Hispanic, more educated, more confident in performing BSE, and whose physicians recommended monthly BSE were more likely to perform BSE monthly. These results highlight the importance of physician recommendation of compliance with screening guidelines for early detection of breast cancer. Because psychiatric patients typically are treated by psychiatrists on a regular and frequent basis, psychiatrists are in a unique position not only to encourage cancer screening but also to monitor patient compliance with their recommendations.
authors.affiliation: Department of Psychiatry and Behavioral Sciences, Baylor College of Medicine, Houston, Texas 77030, USA.
authors.forename: L C
authors.initials: LC
authors.lastname: Friedman
authors.forename: A
authors.initials: A
authors.lastname: Moore
authors.forename: J A
authors.initials: JA
authors.lastname: Webb
authors.forename: L J
authors.initials: LJ
authors.lastname: Puryear
mesh_terms: D000328:Adult; D000367:Age Factors; D001943:Breast Neoplasms / Q000517:prevention & control* / Q000523:psychology; D016504:Breast Self-Examination / Q000706:statistics & numerical data; D005006:Ethnicity / Q000523:psychology / Q000706:statistics & numerical data*; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006293:Health Promotion; D006769:Hospitals, General; D006801:Humans; D016015:Logistic Models; D008327:Mammography / Q000706:statistics & numerical data; D008403:Mass Screening / Q000379:methods* / Q000523:psychology; D008875:Middle Aged; D010044:Outpatient Clinics, Hospital; D011159:Population Surveillance; D011570:Psychiatry; D012494:Sampling Studies; D011795:Surveys and Questionnaires; D013781:Texas / Q000453:epidemiology; D016387:Women's Health