FINAL SLIDES BREAST CANCER PRESENTATION

The Ethnicity of Breast Cancer : 

The Ethnicity of Breast Cancer Nasim Amjadi Maral Gazarian Julianna Howland Jessica Trimis Felix Yong Cultural Discrepancies in Diagnosis and Treatment Decision

Introduction : 

Introduction Among American women: The most common malignancy The second leading cause of cancer deaths Incidence and survival rates vary among different racial and ethnic populations. Culture plays a role in the breast cancer experience of women of different ethnic backgrounds.

Introduction : 

Introduction The role of race and ethnicity in: Diagnosis: Minorities are more likely to be under diagnosed. Minorities are diagnosed at a more advanced stage. Treatment: What factors affect treatment decision making? Who is the ultimate treatment decision-maker?

Main Trends : 

Main Trends Among Latinas, the incidence rate is rising 3x faster than among non-Latina white women. African American women are more likely to be diagnosed with advanced stage breast cancer and have higher mortality rates than Caucasian women. On average, African American women are diagnosed at a younger age than Caucasian women.

Ethnic Differences in Diagnosis : 

Ethnic Differences in Diagnosis Cultural factors account for many observed differences At time of diagnosis, discrepancies exist in: Mammography screenings Access to care Physician-patient relationship

Slide 6: 

Explanation of Disparities

Breast Cancer & Family : 

Breast Cancer & Family Many women state that family support is an important factor in post-treatment quality of life following diagnosis Emotional and/or physical support Variations in role of family or source of support differ among racial/ethnic groups Caucasian women: Spouse Latinas and African American women: Children, family members, friends

Breast Cancer & Family : 

Breast Cancer & Family Acculturation level is a determinant of a woman’s dependence upon her family in treatment decision making Highly Acculturated Women: More independent Low Acculturated Women: Less independent Latinas cited family as their final treatment decision maker, while African American and Caucasian women cited their doctors

Physician-Patient Relationships in Treatment Decision : 

Physician-Patient Relationships in Treatment Decision Both mastectomy and breast-conserving surgery beget equivalent outcomes in survival and disease-free interval Of paramount importance, then, is not the final treatment chosen, but the involvement of the patient in choosing that option

Physician-Patient Relationships in Treatment Decision : 

Physician-Patient Relationships in Treatment Decision Disparities in health care and outcomes are either effected or mitigated through physician-patient interactions that lead to increased, or decreased, patient participation Physicians can play a critical role in ending ethnic disparities in outcome by increasing the level of participation in the treatment decision-making process of minority women through targeted, strategic methods Role of the Physician

Physician-Patient Relationships in Treatment Decision : 

Physician-Patient Relationships in Treatment Decision Questioning the surgeon Patients are less likely to question the surgeon if they have been socialized to believe in the traditional patient role Patients typically lack skills or knowledge to feel comfortable making decisions Perceiving oneself as the final decision maker Minority women are less likely to perceive themselves as the final decision maker What is Patient Participation?

Physician-Patient Relationships in Treatment Decision : 

Physician-Patient Relationships in Treatment Decision Interventions should be targeted toward physicians, who have the potential to reach a broad spectrum of patients Greater emotional support has been negatively associated with patient perception of being the final decision maker Strategies such as ‘partnership-building efforts’ have increased communication and participation through eliciting questions, concerns and opinions Strategic interventions

Conclusion : 

Conclusion Culture plays a significant role in the breast cancer experience of women. Additional culturally appropriate basic, clinical, and applied research needs to be conducted to design and implement public health programs and interventions aimed at increasing: Awareness Surveillance Survival rates

References : 

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