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Women from minority groups live at a disproportionately higher risk of chronic illnesses and cancer increasing their morbidity and mortality.(Newman, 2010) The shocking disproportion could be explained by the genetic makeup, family history, behavioral choices of food and low physical activity. Our behavior about cancer and breast cancer prevention depends on our cultural background because the social environment and culture determine the values of the patient and the provider.(Dein, 2004) Individual and access issues reduces the likelihood of obtaining screening mammography particularly among minority women, for instance, lack of physician’s recommendation, not having a regular provider and lack of health insurance. Factors associated with increasing the risk of not obtaining mammography screening include a disadvantaged background, low socioeconomic class, low education, smoking, older age and lack of physician access. (Curtis, Quale, Haggstrom, & SmithBindman, 2008) Minority women often have a disadvantaged background. SEER data 19862001 demonstrated lower screening mammography rates for various minority groups compared to white women: 50.6% for non-Hispanic whites, 40.5% for African-American, 34.7% for Asian-American, 36.3% for Hispanic, and 12.5% for Native-American women.(Kagay, Quale, & Smith-Bindman, 2006) Mammography use varies by race and ethnicity of the women.

Meta-Analysis: Culturally Sensitive Education and Mammography Uptake of Minority Women