How do breast imaging centers communicate results to women with Limited English Proficiency and other barriers to care?

Erin N Marcus, Tulay Sengul, Feng Miao, Monica Yepes, Lee Sanders

Research output: Contribution to journalArticle

12 Citations (Scopus)

Abstract

Research suggests that women with Limited English Proficiency (LEP) and ethnic minority women are at increased risk of being inadequately informed of their mammogram result. The purpose of this study is to explore breast imaging centers' communication practices and assess how these centers accommodate women with low literacy and LEP. A 35-question survey was distributed to a national association of more than 700 breast health centers. Descriptive analysis of the overall sample and Fisher's exact or Chi squared testing to distinguish differences between subgroups were performed. Respondents from 206 centers completed questionnaires. 29 % of respondents stated that more than a quarter of their patients were black, 27 % of respondents stated that more than a quarter of their patients were Hispanic/Latina, and 13 % of respondents stated that more than a quarter of their patients had LEP. Overall, 18 % of respondents reported they do not routinely telephone patients with results, 15 % do not have multilingual staff or translators available to answer questions, and 69 % send result letters in English only. Of note, 69 % use patient navigators. Centers reported systemic strengths and barriers to clear communication of mammography results. Our findings are consistent with past investigations identifying a general need to improve the communication of breast imaging results and suggesting that result notification letters alone are inadequate in ensuring that every woman understands her personal results and follow-up plan.

Original languageEnglish
Pages (from-to)401-408
Number of pages8
JournalJournal of Immigrant and Minority Health
Volume16
Issue number3
DOIs
StatePublished - Jan 1 2014

Fingerprint

Breast
Communication
Hispanic Americans
Patient Navigation
Mammography
Surveys and Questionnaires
Telephone
Health
Research

Keywords

  • Breast cancer
  • Breast imaging
  • Cancer disparities
  • Cancer screening
  • Limited English proficiency
  • Mammography
  • Minority health

ASJC Scopus subject areas

  • Epidemiology
  • Public Health, Environmental and Occupational Health

Cite this

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title = "How do breast imaging centers communicate results to women with Limited English Proficiency and other barriers to care?",
abstract = "Research suggests that women with Limited English Proficiency (LEP) and ethnic minority women are at increased risk of being inadequately informed of their mammogram result. The purpose of this study is to explore breast imaging centers' communication practices and assess how these centers accommodate women with low literacy and LEP. A 35-question survey was distributed to a national association of more than 700 breast health centers. Descriptive analysis of the overall sample and Fisher's exact or Chi squared testing to distinguish differences between subgroups were performed. Respondents from 206 centers completed questionnaires. 29 {\%} of respondents stated that more than a quarter of their patients were black, 27 {\%} of respondents stated that more than a quarter of their patients were Hispanic/Latina, and 13 {\%} of respondents stated that more than a quarter of their patients had LEP. Overall, 18 {\%} of respondents reported they do not routinely telephone patients with results, 15 {\%} do not have multilingual staff or translators available to answer questions, and 69 {\%} send result letters in English only. Of note, 69 {\%} use patient navigators. Centers reported systemic strengths and barriers to clear communication of mammography results. Our findings are consistent with past investigations identifying a general need to improve the communication of breast imaging results and suggesting that result notification letters alone are inadequate in ensuring that every woman understands her personal results and follow-up plan.",
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