Abstract C28: Racial and ethnic disparities in mammography utilization among women with intellectual disabilities: An exploratory mixed methods approach

Abstract

Abstract Background: Racial and ethnic disparities in mammography utilization among the general population persist to this day. Women with intellectual disabilities have much lower rates of mammography receipt compared to women without ID and are diagnosed with breast cancer at more advanced stages. Among women with ID, the diverse perceptions and experiences among different racial and ethnic groups surrounding mammography utilization are unknown. The purpose of this study is to conduct a mixed methods study to explore racial and ethnic differences in mammography utilization and experience among women with ID who are Black/African American, Hispanic, and non-Hispanic White. Specific Aims: 1. Collect mammography medical records and demographic information from Black/African American, Hispanic, and non-Hispanic White women with ID to determine general trends in mammography utilization from 2010-2013. 2. Determine the barriers and facilitators contributing to mammography utilization among different racial and ethnic groups of this population via in-depth interviews. 3. Explore how culture may affect the social interactions that in turn may affect mammography utilization among this population. This approach is innovative as it combines quantitative and qualitative methodologies to data collection among a priority population. The proposed research is significant because it will increase awareness on the different racial and ethnic perspectives regarding mammography utilization among women with ID. In the long-term, the results from this research may improve the delivery of appropriate healthcare to this population to achieve a reduction in mammography disparities. In addition, expected results from this research can be considered when planning breast cancer prevention interventions within this population and may be used to enhance the quality of healthcare for women with ID. This research is funded by AHRQ GRANT11714050. Preliminary findings are expected for November 2015. Citation Format: Evelyn Arana. Racial and ethnic disparities in mammography utilization among women with intellectual disabilities: An exploratory mixed methods approach. [abstract]. In: Proceedings of the Eighth AACR Conference on The Science of Health Disparities in Racial/Ethnic Minorities and the Medically Underserved; Nov 13-16, 2015; Atlanta, GA. Philadelphia (PA): AACR; Cancer Epidemiol Biomarkers Prev 2016;25(3 Suppl):Abstract nr C28.