Gaps in Perceptions of Breast Cancer Disparities among Patients, Community Members, and Providers: Educational Intervention Opportunities

The objective of this study was to explore the reasons for breast cancer disparities among African-Americans in Nebraska., A qualitative study was conducted using interviews with 65 indi- viduals, including healthcare and public health professionals and African-American community members. African-American women, especially younger women, had a low level of awareness of breast cancer and stated that cancer screening was not a priority. Primary care providers had varying levels of knowledge about breast cancer screening guidelines and varying levels of consistency when implementing breast health education and screening. Additionally, oncologists were not aware of the extent and impact of the financial and psycho-social problems that African-American patients were experiencing. The study findings indicate the need for education and awareness building in both community members and provider groups.