Bias Within Academic Article uri icon


  • © The Author(s) 2015. Breast cancer mortality has affected African American women at a disproportionate rate. The purpose of this research was to assess how health professionals' cultural competence contributes to African American women's barriers to and receipt of mammograms. Sixty-one African American women residing in Harris County, Texas, shared their views within a series of focus groups. Theoretical propositions from the PEN-3 model were used to understand mammography adherence at the interpersonal level. Participants noted various perceived factors associated with mammography incompliance. Lack of professionalism of clinicians and clerical staff contributed to a decrease in health care services utilization. In addition, cultural insensitivity and discriminatory behavior enabled an attitude of medical mistrust. Improving patient-provider communication, through culturally appropriate centered educational efforts, is a beneficial strategy for breast health programs among underserved populations.

author list (cited authors)

  • Hall, M. B., Carter-Francique, A. R., Lloyd, S. M., Eden, T. M., Zuniga, A. V., Guidry, J. J., & Jones, L. A.

citation count

  • 1

publication date

  • March 2015