title: Identifying Sociocultural Barriers to Mammography Adherence Among Appalachian Kentucky Women.
abstract: Despite lower breast cancer incidence rates, Appalachian women evidence lower frequency of screening mammography and higher mortality risk for breast cancer compared to non-Appalachian women in Kentucky, and in the United States, overall. Utilizing data from 27 in-depth interviews from women in seven Appalachian Kentucky counties, this study examines how Appalachian women explain sociocultural barriers and facilitators to timely screening mammography, and explores their common narratives about their mammography experiences. The women describe how pain and embarrassment, less personal and less professional mammography experiences, cancer fears, and poor provider communication pose barriers to timely and appropriate mammography schedule adherence and follow-up care. The study also identifies how improving communication strategies in the mammography encounter may improve mammography experiences and adherence to screening guidelines.
authors: a Department of Communication , University of Kentucky.
authors: Elisia L
authors: EL
authors: Cohen
authors: b Department of Communication , California State University , Stanislaus.
authors: Bethney R
authors: BR
authors: Wilson
authors: c College of Public Health , University of Kentucky.
authors: Robin C
authors: RC
authors: Vanderpool
authors: c College of Public Health , University of Kentucky.
authors: Tom
authors: T
authors: Collins
mesh_terms: D000328:Adult; D000368:Aged; D001943:Breast Neoplasms / Q000175:diagnosis*; D003469:Culture; D055088:Early Detection of Cancer / Q000379:methods* / Q000523:psychology*; D005260:Female; D058015:Health Communication; D006266:Health Education; D006801:Humans; D007407:Interviews as Topic; D007629:Kentucky; D008327:Mammography / Q000523:psychology*; D008875:Middle Aged; D010342:Patient Acceptance of Health Care; D012927:Social Control, Informal