Misconceptions about breast lumps and delayed medical presentation in urban breast cancer patients

Garth H. Rauscher, Carol Estwing Ferrans, Karen Kaiser, Richard T. Campbell, Elizabeth Calhoun, Richard B. Warnecke

Research output: Contribution to journalArticle

52 Citations (Scopus)

Abstract

Background: Despite current recommendations for women to be screened for breast cancer with mammography every 1 to 2 years, less than half of all newly diagnosed breast cancers are initially detected through screening mammography. Prompt medical attention to a new breast symptom can result in earlier stage at diagnosis, yet many patients delay seeking medical care after becoming aware of a breast symptom. Methods: In a population-based study of breast cancer, we examined factors potentially associated with patient delay in seeking health care for a breast symptom among 436 symptomatic urban breast cancer patients (146 white, 197 black, and 95 Hispanic). Race/ethnicity, socioeconomic status, health care access and utilization, and misconceptions about the meaning of breast lumps were the key independent variables. Results: Sixteen percent of patients reported delaying more than 3 months before seeking medical advice about breast symptoms. Misconceptions about breast lumps and lacking a regular provider, health insurance, and recent preventive care were all associated with prolonged patient delay (P < 0.005 for all). Misconceptions were much more common among ethnic minorities and women of lower socioeconomic status. Conclusion: Reducing patient delay and disparities in delay will require educating women about the importance of getting breast lumps evaluated in a timely manner and providing greater access to regular health care.

Original languageEnglish (US)
Pages (from-to)640-647
Number of pages8
JournalCancer Epidemiology Biomarkers and Prevention
Volume19
Issue number3
DOIs
StatePublished - Mar 2010
Externally publishedYes

Fingerprint

Breast
Breast Neoplasms
Mammography
Social Class
Patient Acceptance of Health Care
Preventive Medicine
Health Services Accessibility
Health Insurance
Hispanic Americans
Delivery of Health Care
Population

ASJC Scopus subject areas

  • Epidemiology
  • Oncology

Cite this

Misconceptions about breast lumps and delayed medical presentation in urban breast cancer patients. / Rauscher, Garth H.; Ferrans, Carol Estwing; Kaiser, Karen; Campbell, Richard T.; Calhoun, Elizabeth; Warnecke, Richard B.

In: Cancer Epidemiology Biomarkers and Prevention, Vol. 19, No. 3, 03.2010, p. 640-647.

Research output: Contribution to journalArticle

Rauscher, Garth H. ; Ferrans, Carol Estwing ; Kaiser, Karen ; Campbell, Richard T. ; Calhoun, Elizabeth ; Warnecke, Richard B. / Misconceptions about breast lumps and delayed medical presentation in urban breast cancer patients. In: Cancer Epidemiology Biomarkers and Prevention. 2010 ; Vol. 19, No. 3. pp. 640-647.
@article{64b30e5632b548e89815f1b464dd93c8,
title = "Misconceptions about breast lumps and delayed medical presentation in urban breast cancer patients",
abstract = "Background: Despite current recommendations for women to be screened for breast cancer with mammography every 1 to 2 years, less than half of all newly diagnosed breast cancers are initially detected through screening mammography. Prompt medical attention to a new breast symptom can result in earlier stage at diagnosis, yet many patients delay seeking medical care after becoming aware of a breast symptom. Methods: In a population-based study of breast cancer, we examined factors potentially associated with patient delay in seeking health care for a breast symptom among 436 symptomatic urban breast cancer patients (146 white, 197 black, and 95 Hispanic). Race/ethnicity, socioeconomic status, health care access and utilization, and misconceptions about the meaning of breast lumps were the key independent variables. Results: Sixteen percent of patients reported delaying more than 3 months before seeking medical advice about breast symptoms. Misconceptions about breast lumps and lacking a regular provider, health insurance, and recent preventive care were all associated with prolonged patient delay (P < 0.005 for all). Misconceptions were much more common among ethnic minorities and women of lower socioeconomic status. Conclusion: Reducing patient delay and disparities in delay will require educating women about the importance of getting breast lumps evaluated in a timely manner and providing greater access to regular health care.",
author = "Rauscher, {Garth H.} and Ferrans, {Carol Estwing} and Karen Kaiser and Campbell, {Richard T.} and Elizabeth Calhoun and Warnecke, {Richard B.}",
year = "2010",
month = "3",
doi = "10.1158/1055-9965.EPI-09-0997",
language = "English (US)",
volume = "19",
pages = "640--647",
journal = "Cancer Epidemiology Biomarkers and Prevention",
issn = "1055-9965",
publisher = "American Association for Cancer Research Inc.",
number = "3",

}

TY - JOUR

T1 - Misconceptions about breast lumps and delayed medical presentation in urban breast cancer patients

AU - Rauscher, Garth H.

AU - Ferrans, Carol Estwing

AU - Kaiser, Karen

AU - Campbell, Richard T.

AU - Calhoun, Elizabeth

AU - Warnecke, Richard B.

PY - 2010/3

Y1 - 2010/3

N2 - Background: Despite current recommendations for women to be screened for breast cancer with mammography every 1 to 2 years, less than half of all newly diagnosed breast cancers are initially detected through screening mammography. Prompt medical attention to a new breast symptom can result in earlier stage at diagnosis, yet many patients delay seeking medical care after becoming aware of a breast symptom. Methods: In a population-based study of breast cancer, we examined factors potentially associated with patient delay in seeking health care for a breast symptom among 436 symptomatic urban breast cancer patients (146 white, 197 black, and 95 Hispanic). Race/ethnicity, socioeconomic status, health care access and utilization, and misconceptions about the meaning of breast lumps were the key independent variables. Results: Sixteen percent of patients reported delaying more than 3 months before seeking medical advice about breast symptoms. Misconceptions about breast lumps and lacking a regular provider, health insurance, and recent preventive care were all associated with prolonged patient delay (P < 0.005 for all). Misconceptions were much more common among ethnic minorities and women of lower socioeconomic status. Conclusion: Reducing patient delay and disparities in delay will require educating women about the importance of getting breast lumps evaluated in a timely manner and providing greater access to regular health care.

AB - Background: Despite current recommendations for women to be screened for breast cancer with mammography every 1 to 2 years, less than half of all newly diagnosed breast cancers are initially detected through screening mammography. Prompt medical attention to a new breast symptom can result in earlier stage at diagnosis, yet many patients delay seeking medical care after becoming aware of a breast symptom. Methods: In a population-based study of breast cancer, we examined factors potentially associated with patient delay in seeking health care for a breast symptom among 436 symptomatic urban breast cancer patients (146 white, 197 black, and 95 Hispanic). Race/ethnicity, socioeconomic status, health care access and utilization, and misconceptions about the meaning of breast lumps were the key independent variables. Results: Sixteen percent of patients reported delaying more than 3 months before seeking medical advice about breast symptoms. Misconceptions about breast lumps and lacking a regular provider, health insurance, and recent preventive care were all associated with prolonged patient delay (P < 0.005 for all). Misconceptions were much more common among ethnic minorities and women of lower socioeconomic status. Conclusion: Reducing patient delay and disparities in delay will require educating women about the importance of getting breast lumps evaluated in a timely manner and providing greater access to regular health care.

UR - http://www.scopus.com/inward/record.url?scp=77949720993&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=77949720993&partnerID=8YFLogxK

U2 - 10.1158/1055-9965.EPI-09-0997

DO - 10.1158/1055-9965.EPI-09-0997

M3 - Article

C2 - 20200436

AN - SCOPUS:77949720993

VL - 19

SP - 640

EP - 647

JO - Cancer Epidemiology Biomarkers and Prevention

JF - Cancer Epidemiology Biomarkers and Prevention

SN - 1055-9965

IS - 3

ER -