Mammogram perceptions, communication, and gaps in care among individuals with non-English language preference in Oregon and Washington states.

Authors

Monique Gill, Center for Outcomes Research and Education (CORE), Providence Health & Services, 5251 NE Glisan St., Portland, OR 97213, USA.Follow
Hannah Cohen-Cline, Center for Outcomes Research and Education (CORE), Providence Health & Services, 5251 NE Glisan St., Portland, OR 97213, USA.Follow
Megan Holtorf, Center for Outcomes Research and Education (CORE), Providence Health & Services, 5251 NE Glisan St., Portland, OR 97213, USA.Follow
Keri Vartanian, Center for Outcomes Research and Education (CORE), Providence Health & Services, 5251 NE Glisan St., Portland, OR 97213, USA.Follow

Document Type

Article

Publication Date

10-1-2023

Publication Title

Prev Med Rep

Keywords

oregon; portland; core; diversity

Abstract

This study examined perceptions of and communication about mammography as drivers of gaps in screening among individuals with non-English language preference (NELP). A survey was fielded in fall 2021 in five languages (Cantonese, English, Russian, Spanish, or Vietnamese) to individuals identified using electronic medical records in Oregon and Washington. The analytic sample consisted of 420 respondents with a median age of 61; approximately 45% of respondents identified as Asian, 37% as Hispanic, Latino, or Spanish origin, and 18% as some other race, ethnicity, or origin. Logistic regression models examined associations between screening and perception and communication items. Individuals who believed mammograms are unnecessary when healthy (aRR = 0.72 [0.57, 0.91]) or absent symptoms (aRR = 0.85 [0.72, 1.00]) were less likely to report a mammogram within the past two years (i.e., be current). Having a provider recommend (aRR = 1.27 [1.09, 1.47]) and discuss mammography (aRR = 1.18 [1.05, 1.32]) were associated with a higher likelihood of being current. Few respondents received written or verbal information in their preferred language (35% and 28.3%, respectively). Financial and logistical support, including language services were most frequently identified as types of support needed to obtain a mammogram. Overall, misperceptions about mammography may act as a barrier but communication may act as a facilitator for individuals with NELP. Provider-patient communication could be an effective way to encourage mammography. Culturally-responsive health promotion materials and provider communication, available in patients' preferred language, are needed to combat misperceptions and support ongoing, on-time mammography for NELP patients.

Clinical Institute

Women & Children

Clinical Institute

Cancer

Department

Population Health

Department

Obstetrics & Gynecology

Department

Oncology

Recommended Citation

Gill, Monique; Cohen-Cline, Hannah; Holtorf, Megan; and Vartanian, Keri, "Mammogram perceptions, communication, and gaps in care among individuals with non-English language preference in Oregon and Washington states." (2023). Articles, Abstracts, and Reports. 7781.
https://digitalcommons.providence.org/publications/7781