title: Impact of perceived racial discrimination on health screening in black women.
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.
authors.affiliation: Department of Community and Family Medicine, Howard Univ. College of Medicine, 520 W Street, N.W., Washington, DC 20059, USA. cmouton@howard.edu <cmouton@howard.edu>
authors.forename: Charles P
authors.initials: CP
authors.lastname: Mouton
authors.forename: Pamela L
authors.initials: PL
authors.lastname: Carter-Nolan
authors.forename: Kepher H
authors.initials: KH
authors.lastname: Makambi
authors.forename: Teletia R
authors.initials: TR
authors.lastname: Taylor
authors.forename: Julie R
authors.initials: JR
authors.lastname: Palmer
authors.forename: Lynn
authors.initials: L
authors.lastname: Rosenberg
authors.forename: Lucile L
authors.initials: LL
authors.lastname: Adams-Campbell
mesh_terms: D000328:Adult; D001741:Black or African American / Q000523:psychology*; D001291:Attitude of Health Personnel; D001294:Attitude to Health; D003113:Colonoscopy / Q000706:statistics & numerical data; D055088:Early Detection of Cancer / Q000706:statistics & numerical data*; D005260:Female; D054625:Healthcare Disparities / Q000706:statistics & numerical data*; D006801:Humans; D016015:Logistic Models; D008327:Mammography / Q000706:statistics & numerical data; D008875:Middle Aged; D065006:Papanicolaou Test; D010342:Patient Acceptance of Health Care / Q000208:ethnology* / Q000706:statistics & numerical data; D010817:Physician-Patient Relations; D011287:Prejudice; D011446:Prospective Studies; D012938:Social Perception; D014481:United States; D014626:Vaginal Smears / Q000706:statistics & numerical data