This study prospectively surveyed underserved women to establish their preferences regarding the trade-off between recall rates and earlier detection of breast cancer.
METHOD AND MATERIALS
To date, 500 women undergoing screening mammography have completed an IRB-approved validated survey in one of three languages: English, Spanish, and Haitian-Creole. Data were analyzed across three groups: Caucasian, Black (African-American or Caribbean descent), and Hispanic, using chi-squared analysis.
Of 500 respondents (37% Caucasian, 42% Black, and 9% Hispanic), Caucasians had almost equal distribution among all educational levels, while Blacks and Hispanics had more representation at lower educational levels (P< 0.001). Hispanics believed mammography to be more diagnostically sensitive than it is (P< 0.0001). Caucasians were more likely to continue with screening mammography despite false-positive results, while Blacks and Hispanics were more hesitant to continue with screening (P< 0.0001). Caucasians preferred higher recall rates and were more willing to undergo subsequent invasive (P< 0.0001) and non-invasive (P= 0.002) procedures, while Blacks were more hesitant and unsure about their willingness to return.
Differences in ethnic background appear to influence women’s understanding of mammography, compliance with recall, and desire for early detection.
A prior study of Caucasian educated women showed preference for higher recall rates in favor of earlier detection; it is unknown whether higher recall would deter underserved women from screening.