TitleLatinas with abnormal breast findings: patient predictors of timely diagnostic resolution.
Publication TypeJournal Article
Year of Publication2007
AuthorsMojica, CM, Bastani, R, Ponce, NA, W Boscardin, J
JournalJ Womens Health (Larchmt)
Volume16
Issue10
Pagination1468-77
Date Published12/2007
ISSN1540-9996
KeywordsAdult, Breast Neoplasms, California, Female, Health Knowledge, Attitudes, Practice, Health Services Accessibility, Hispanic Americans, Humans, Mammography, Middle Aged, Multivariate Analysis, Patient Acceptance of Health Care, Poverty, Professional-Patient Relations, Referral and Consultation, Surveys and Questionnaires, Women's Health
Abstract
 

BACKGROUND: Incomplete or delayed diagnostic resolution of breast abnormalities suspicious for cancer may contribute to poor breast cancer outcomes among ethnic minority women. We examine the effects of socioeconomic characteristics, knowledge, barriers to healthcare, communication, and clinical variables on diagnostic resolution in Latina women with breast abnormalities at two Los Angeles County public hospitals.

METHODS: We analyzed telephone survey data for 714 women. The outcome--timely diagnostic resolution--was based on medical record data and defined as receipt of a definitive diagnosis (malignant or benign) within 6 months of the index referral. Predictors of the outcome were obtained from a telephone survey and examined with bivariate and multivariable logistic regression models.

RESULTS: Only 60% of women received timely diagnostic resolution; however, the proportion was higher at hospital B (73%) compared with hospital A (56%). In the total sample, the odds of timely diagnostic resolution increased by 8% for every point increase in the scale of satisfaction with how physicians explained the breast abnormality. At hospital B, the odds of timely resolution increased by 57% for every 10-year increase in age.

CONCLUSIONS: Consistent with findings of other studies, our data indicate low diagnostic resolution among Latina women. Satisfaction with how physicians explained breast abnormalities and the interaction of hospital with age affected timely diagnostic resolution. Future research might focus on developing interventions that offer concrete communication strategies to patients and providers. Health systems must also establish systems that facilitate effective patient-provider communication.

DOI10.1089/jwh.2006.0324
Alternate JournalJ Womens Health (Larchmt)
PubMed ID18062762
Grant List5F31CA90204 / CA / NCI NIH HHS / United States
R01 CA68474 / CA / NCI NIH HHS / United States