Abstract C107: Surveillance mammography and Ffllow-up care in Black and White breast cancer survivors

Abstract

Abstract Purpose Adherence to surveillance mammography following a breast cancer (BC) diagnosis is a pivotal way to mitigate late stage BC recurrences and ultimately mortality for breast cancer survivors (BCS); yet there are stark racial disparities in adherence to routine follow-up care post-treatment. This study seeks to address disproportionately low adherence rates to breast surveillance guidelines among Black BCS, when compared to White counterparts, by evaluating environmental, social, and psychosocial factors (e.g., attitudes, knowledge) that may influence survivor’s adherence to surveillance mammography. Methods The mixed method designs involve recruiting and screening Black and White BCS concurrently through an epidemiologic survey and online focus groups via social media platforms (e.g., Facebook, Instagram Quora reddit). Data from survey will employ descriptive and bivariate statistics to assess the relationship between environmental, social and psychosocial factors with surveillance mammography and follow-up care. Guided by the Integrated Behavioral Prediction conceptual framework, thematic and linguistic analyses will be conducted for the online focus group text data to find emergent themes and subthemes. Results This study will provide preliminary results highlighting primary factors (e.g., barriers, facilitators) that influence adherence, by race. Our findings will focus on associated factors for women’s adherence to surveillance mammography, to inform survivorship guidelines and clinical practice. Conclusion Knowledge gained from the study will provide clinicians crucial points of communication; identify important modifiable factors needed in survivorship behavioral interventions, and inform strategies for screening messages. Furthermore, understanding factors that support adherence to surveillance mammography among Black BCS will uncover novel approaches to educate and reach this group in efforts to reduce survival disparities. Citation Format: Megan C Edmonds, Sunny J Kim, Vanessa B Sheppard. Surveillance mammography and Ffllow-up care in Black and White breast cancer survivors [abstract]. In: Proceedings of the Twelfth AACR Conference on the Science of Cancer Health Disparities in Racial/Ethnic Minorities and the Medically Underserved; 2019 Sep 20-23; San Francisco, CA. Philadelphia (PA): AACR; Cancer Epidemiol Biomarkers Prev 2020;29(6 Suppl_2):Abstract nr C107.