Abstract:
PURPOSE:The purpose of this review was to better understand possible social, economic, cultural, behavioral, and systems barriers to breast cancer screening among minority women. METHODS:Relevant manuscripts were identified through a MEDLINE/PubMed search for English-language literature from October 1971 through April 2009. The abstracts from a total of 515 manuscripts were reviewed. Only studies conducted among minority women in the United States and examining barriers related to screening mammography were considered. Of 64 relevant articles, 13 cross-sectional and 4 prospective studies met inclusion criteria. Study design; patient characteristics; outcomes regarding knowledge, attitudes and beliefs; social norms; accessibility; and cultural competence regarding breast cancer screening were abstracted. Studies were rated using a methodological quality score (MQS). RESULTS:Pain and embarrassment associated with screening mammography, low income and lack of health insurance, poor knowledge about breast cancer screening, lack of physician recommendation, lack of trust in hospitals and doctors, language barriers, and lack of transportation were the most frequently identified barriers. The average MQS of the studies selected was 10.9 (SD = 3.25, range, 4-20). CONCLUSIONS:Multiple barriers limit screening mammography among minority women. Recognizing predictors of screening among minority women and addressing culturally specific barriers may improve utilization of screening mammography among these women.
journal_name
J Natl Med Assocjournal_title
Journal of the National Medical Associationauthors
Alexandraki I,Mooradian ADdoi
10.1016/s0027-9684(15)30527-7subject
Has Abstractpub_date
2010-03-01 00:00:00pages
206-18issue
3eissn
0027-9684issn
1943-4693pii
S0027-9684(15)30527-7journal_volume
102pub_type
杂志文章,评审abstract:OBJECTIVE:The objective of this study was to investigate the relationship between occupation and head and neck cancers. PATIENTS AND METHODS:In this case-control study, 206 Turkish patients with head and neck cancers comprised the case group. The control group consisted of 206 age- and sex-matched patients without mal...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:
更新日期:2007-01-01 00:00:00
abstract::Sixteen normal individuals and 100 hospital patients, all black, were tested for abnormal carcinoembryonic antigen (CEA) levels. Male and female subjects (smokers and non-smokers) were tested. The results of the tests are discussed. For normal subjects, the CEA values ranged from 0.0 ng/ml to 2.6 ng/ml. Among hospital...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:
更新日期:1979-10-01 00:00:00
abstract::Strangulated right Richter's inguinal hernia of the cecum is relatively rare. A case of this unusual hernia was successfully managed with a wedge resection and closure of the infarcted bowel wall in conjunction with complementary tube cecostomy. The procedure is easy to perform and relatively safe and is therefore rec...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:
更新日期:1982-07-01 00:00:00
abstract:UNLABELLED:Severe hyponatremia is associated with increased morbidity and mortality. Clinicians treating patients with severe hyponatremia are often torn between a desire to promptly raise serum sodium concentration to a "safe range," and at the same time, to avoid excessively rapid correction of hyponatremia. The aim ...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:
更新日期:2003-05-01 00:00:00
abstract::The Masterson curette was used to sample the endometrial cavity of 25 women prior to scheduled hysterectomy for benign or malignant pathology. Adequate amount of tissue was obtained in 20 (87%) of 23 patients who did not have endometrial atrophy. The Masterson curettage detected all seven cases of endometrial hyperpla...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:
更新日期:1995-12-01 00:00:00
abstract::Sixteen trauma victims with adult respiratory distress syndrome were retrospectively examined. High injury severity score (mean: 44), massive transfusion requirements, and prolonged ventilator days characterize this group. Persistent intra-abdominal infection accounted for two of three deaths in this series. Most of t...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:
更新日期:1991-06-01 00:00:00
abstract::Racial disparities in several facets of healthcare have been widely documented, showing that African Americans face disproportionately high health risks when compared to whites. With respect to hypertension, 40% of the > or = 36 million African Americans are affected. We examined the correlation between the patient-ph...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:
更新日期:2007-11-01 00:00:00
abstract:BACKGROUND:Few studies have characterized ethnic variations in standard ophthalmic measures. We tested the hypothesis that nerve fiber layer thickness would show characteristic differences between white and black individuals. We also examined whether ophthalmic measures would show intraethnic differences. METHODS:Seve...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:
更新日期:2007-02-01 00:00:00
abstract:OBJECTIVE:To identify social, behavioral and epidemiologic factors associated with HIV infection among HIV-infected and HIV-uninfected black women residing in North Carolina. DESIGN:A case-control study conducted in August 2004 in North Carolina. METHODS:Cases were 18-40-year-old women with HIV infections diagnosed f...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:
更新日期:2006-11-01 00:00:00
abstract::The data of the Third National Cancer Survey show for many cancer types, large differences in cancer incidence between Euro-Americans and Afro-Americans.(1) As in other racial studies, it is difficult to separate environmental and genetic factors. For the cancers which are more frequent among Afro-Americans, environme...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:
更新日期:1981-08-01 00:00:00
abstract::The gastrointestinal tract is the largest lymphoid reservoir of the body and is subject to damage that compromises the cellular and humoral defense mechanism. With the increasing numbers of patients infected with the human immunodeficiency virus (HIV) and acquired immunodeficiency syndrome (AIDS), health-care practiti...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章,评审
doi:
更新日期:1994-05-01 00:00:00
abstract::In sub-Saharan Africa, human immunodeficiency virus (HIV) and Mycobacterium tuberculosis (TB) are among the leading causes of morbidity and mortality. Sub-Saharan Africa has seen the woeful failure of World Health Organization (WHO) targets of detecting 70% of the infectious cases of tuberculosis and curing > or =85%....
journal_title:Journal of the National Medical Association
pub_type: 社论,评审
doi:
更新日期:2007-12-01 00:00:00
abstract::To a cancer patient, pain is a very distressing symptom and to the physician it heralds advanced nature of the disease. While the mechanisms of initiation of pain are simple, its perception is very complex. In cancer, the tumor growth which results in producing pressure, destruction of tissue, and obstruction is the m...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:
更新日期:1979-03-01 00:00:00
abstract::Caseous granulomatous lesions, consistent with tuberculosis, were found in the spleen in two of our renal transplant candidates. There was no clinical evidence of tuberculosis in either patient. Only one patient had a positive tuberculin skin test whose chest film showed hilar calcifications suggestive of healed granu...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:
更新日期:1978-03-01 00:00:00
abstract::A 5-year-old boy with purpura fulminans (PF) was successfully managed with a protocol in which fresh frozen plasma (FFP) was administered, followed by a trial of certain therapeutic agents. This approach was based upon combined experience both with the reference patient and with a subject with a chronic form of PF. FF...
journal_title:Journal of the National Medical Association
pub_type: 临床试验,杂志文章
doi:
更新日期:1983-08-01 00:00:00
abstract::The provision of quality out-patient psychiatric care to a predominately black inner-city population, in a University setting such as ours, is a complex and challenging task. This paper addresses service and teaching issues related to the provision of that care in the Adult Unit of the Howard University Hospital Menta...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:
更新日期:1978-04-01 00:00:00
abstract::Surgery is the modality of choice in curative treatment for cancer of the colon and rectum. Since a majority of the patients present advanced disease where the surgical outlook is poor, adjuvant therapy may be warranted. Clinical and experimental data demonstrate the benefits from preoperative radiation therapy and so...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:
更新日期:1978-11-01 00:00:00
abstract::Even with major advancements in medical knowledge and significant improvements in health sciences technology, evidence still exists that blacks do not enjoy as full a measure of health as do other racial and ethnic groups. To attempt a better understanding of this situation, literature was reviewed to consider relatio...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:
更新日期:1992-07-01 00:00:00
abstract::Little is known about the adverse consequences of anemia during infancy or maternal anemia during pregnancy on the behavioral development of the infant. The present research investigates one aspect of these relationships. ...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:
更新日期:1986-10-01 00:00:00
abstract::This survey was undertaken to determine the prevalence of diabetes mellitus and impaired glucose tolerance in a group of urban adults in Ibadan, Nigeria. A total of 998 subjects randomly selected from five main ministries and departments in the Government Secretariat participated in the survey. Each subject was asked ...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:
更新日期:1998-05-01 00:00:00
abstract::Based on information from suggesting effects of positive and negative polarity on cancer cells, surveys were performed on magnetic resonance imaging devices, as well as other types of equipment capable of producing appreciable magnetic fields. These surveys were performed in areas where there was a potential for both ...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:
更新日期:1990-09-01 00:00:00
abstract::This article reports a rare case of primary signet-ring cell carcinoma of the bladder with transitional cell and adenocarcinoma variants and metachronous metastases to the penis and lungs. This combination of lesions has not previously been reported. Together, they portend widespread dissemination and an early demise ...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:
更新日期:1997-04-01 00:00:00
abstract::Prehospital delay is an important cause of out-of-hospital coronary mortality. To determine the effects of decision time delay in a patient population comprised mainly of blacks and the underprivileged, 74 consecutive patients with acute chest pain necessitating admission to the coronary care unit in a large urban hos...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章,评审
doi:
更新日期:1993-03-01 00:00:00
abstract:ACKNOWLEGMENT:This study was supported by Clinical Research Grant (7-08-CR-27) from the American Diabetes Association and by a contract (58-1950-7-707) with the Jean Mayer U.S. Department of Agriculture Human Nutrition Research Center on Aging at Tufts University. This article does not necessarily reflect the views or ...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:10.1016/S0027-9684(15)30065-1
更新日期:2014-07-01 00:00:00
abstract::Imatinib mesylate (STI 571, Gleevec) is a potent bcr-abl tyrosine kinase inhibitor. It also inhibits c-kit tyrosine kinase. Imatinib mesylate is active in the treatment of cronic myeloid leukemia (CML) and gastrointestinal stromal tumors (GIST). It is considered by some authorities to be the standard of care in newly ...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:
更新日期:2003-08-01 00:00:00
abstract::In 1994, it was estimated that about 44,500 American women would die from breast cancer and 7000 women from cervical cancer. While early detection methods (screening mammography, breast examinations, and pap smears) have proven to be effective means of decreasing these cancers, they are underused by all groups. In par...
journal_title:Journal of the National Medical Association
pub_type: 临床试验,杂志文章
doi:
更新日期:1996-06-01 00:00:00
abstract:PURPOSE:This article highlights issues of misdiagnosis in an African-American, adult clinical population by doing point prevalence, record review study within a comprehensive community mental health center. METHOD:Psychiatric evaluations of 330 patients were reviewed and clinically identifiable variables of: a) childh...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:10.1016/S0027-9684(15)30048-1
更新日期:2015-03-01 00:00:00
abstract::An efficient, reliable, and immediate method of treating full-thickness skin avulsions of fingertips in an Emergency Room is presented. A series of patients are discussed. ...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:
更新日期:1978-04-01 00:00:00
abstract::Growth standards specific to black boys and girls are necessary because genetically determined patterns of growth in black children are significantly different from those of white children. Such standards have only recently become available, and they need further refinement. The required improvements include: (1) adju...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:
更新日期:1980-10-01 00:00:00
abstract::In contrast to their white counterparts, black men in the United States live sicker and die younger. This longstanding phenomenon is sharply reflected in the poor international health status of black males. The NMA president discusses major health issues facing black males and posits a multidimensional strategy for ad...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章,评审
doi:
更新日期:2006-04-01 00:00:00