title: Ethnic differences in social support after initial receipt of an abnormal mammogram.
abstract: We examine access to and type of social support after initial receipt of an abnormal mammogram across non-Latina White (NLW), African American, and Latina women.
  
  
  
  This cross-sectional study used a mixed method design, with quantitative and qualitative measures. Women were recruited through 2 community advocates and 3 breast-health-related care organizations.
  
  
  
  With regard to access, African American women were less likely to access social support relative to NLW counterparts. Similar nonsignificant differences were found for Latinas. Women did not discuss results with family and friends to avoid burdening social networks and negative reactions. Networks' geographic constraints and medical mistrust influenced Latina and African American women's decisions to discuss results. With regard to type of social support, women reported emotional support across ethnicity. Latina and African American women reported more instrumental support, whereas NLW women reported more informational support in the context of their well-being.
  
  
  
  There are shared and culturally unique aspects of women's experiences with social support after initially receiving an abnormal mammogram. Latina and African American women may particularly benefit from informational support from health care professionals. Communitywide efforts to mitigate mistrust and encourage active communication about cancer may improve ethnic disparities in emotional well-being and diagnostic resolution during initial receipt of an abnormal mammogram. (PsycINFO Database Record
authors.affiliation: School of Public Health, University of Illinois at Chicago.
authors.forename: Yamile
authors.initials: Y
authors.lastname: Molina
authors.affiliation: Public Health Sciences Division, Fred Hutchinson Cancer Research Center, University of Washington.
authors.forename: Sarah D
authors.initials: SD
authors.lastname: Hohl
authors.affiliation: School of Public Health, University of Washington.
authors.forename: Michelle
authors.initials: M
authors.lastname: Nguyen
authors.affiliation: Cierra Sisters.
authors.forename: Bridgette H
authors.initials: BH
authors.lastname: Hempstead
authors.affiliation: MultiCare Health System.
authors.forename: Shauna Rae
authors.initials: SR
authors.lastname: Weatherby
authors.affiliation: Department of Psychology, Seattle University.
authors.forename: Claire
authors.initials: C
authors.lastname: Dunbar
authors.affiliation: Public Health Sciences Division, Fred Hutchinson Cancer Research Center, University of Washington.
authors.forename: Shirley A A
authors.initials: SA
authors.lastname: Beresford
authors.affiliation: Public Health Sciences Division, Fred Hutchinson Cancer Research Center, University of Washington.
authors.forename: Rachel M
authors.initials: RM
authors.lastname: Ceballos
mesh_terms: D000328:Adult; D001741:Black or African American / Q000523:psychology; D000368:Aged; D001943:Breast Neoplasms / Q000208:ethnology / Q000523:psychology*; D003142:Communication; D003430:Cross-Sectional Studies; D005006:Ethnicity / Q000706:statistics & numerical data*; D005260:Female; D054625:Healthcare Disparities / Q000208:ethnology; D006630:Hispanic or Latino / Q000523:psychology; D006801:Humans; D008327:Mammography / Q000523:psychology*; D008875:Middle Aged; D012934:Social Isolation / Q000523:psychology; D012944:Social Support; D013315:Stress, Psychological / Q000523:psychology; D044465:White People / Q000523:psychology