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Womens Health Issues · Jan 2013
Perceived experiences of discrimination in health care: a barrier for cancer screening among American Indian women with type 2 diabetes.
- Kelly L Gonzales, Anna K Harding, William E Lambert, Rongwei Fu, and William G Henderson.
- School of Community Health, College of Urban & Public Affairs, Portland State University, Portland, Oregon 97201, USA. kelly.gonzales@pdx.edu
- Womens Health Issues. 2013 Jan 1; 23 (1): e61-7.
PurposeBreast and cervical cancer-mortality disparities are prominent among American Indian women. These disparities, in part, may result from patients perceived experiences of discrimination in health care. This report evaluates the impact of perceived discrimination on screening for breast and cervical cancer in a sample of 200 American Indian women with type 2 diabetes.MethodsData were collected from patient report and medical records. Prevalence of breast and cervical cancer screening were assessed. Unadjusted and adjusted logistic regression analyses were used to assess associations between perceived discrimination, cancer screening status, and patients' health care-seeking behaviors.FindingsSubstantial proportions of AI women in our sample were behind the recommended schedules of screening for breast and cervical cancer. Adjusted estimates revealed that perceived discrimination was significantly associated with not being current for clinical breast examination and Pap test, and was close to statistical significance with not being current for mammography. The number of suboptimal health care-seeking behaviors increased with higher mean levels of perceived discrimination.ConclusionsAmong AI women, perceived discrimination in health care may negatively influence use of breast and cancer screening services, and health care-seeking behaviors. More research is needed among AIs to examine features of health care systems related to the phenomenon patients perceived experience of discrimination.Copyright © 2013 Jacobs Institute of Women's Health. Published by Elsevier Inc. All rights reserved.
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