Cohen Elisia L, Wilson Bethney R, Vanderpool Robin C, Collins Tom
a Department of Communication , University of Kentucky.
b Department of Communication , California State University , Stanislaus.
Health Commun. 2016;31(1):72-82. doi: 10.1080/10410236.2014.936337. Epub 2015 Feb 10.
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.
尽管阿巴拉契亚地区的乳腺癌发病率较低，但与肯塔基州的非阿巴拉契亚女性以及美国总体情况相比，阿巴拉契亚女性进行乳腺钼靶筛查的频率较低，患乳腺癌的死亡风险更高。本研究利用来自肯塔基州七个阿巴拉契亚县的27名女性的深度访谈数据，探讨阿巴拉契亚女性如何解释及时进行乳腺钼靶筛查的社会文化障碍和促进因素，并探究她们关于乳腺钼靶检查经历的共同叙述。这些女性描述了疼痛与尴尬、个人和专业方面乳腺钼靶检查体验较差、对癌症的恐惧以及与医护人员沟通不畅如何成为及时且适当地遵守钼靶检查安排和后续护理的障碍。该研究还确定了在乳腺钼靶检查过程中改善沟通策略如何可能改善钼靶检查体验并提高对筛查指南的依从性。
