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An Intersectional Approach to Examining Breast Cancer Screening among Subpopulations of Black Women in the United States

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Abstract

This study examines breast cancer screening behavior among subpopulations of Black women in the United States. Binary logistic regression was used to analyze breast cancer screening among a nationally-representative sample (n = 9,783) of Black women—US-born, non-US-born Caribbean, and non-US-born African—from the 2011-2017 National Health Interview Survey dataset. Non-US-born African Black women were less likely to have breast cancer screening, compared to US-born Black women. Among non-US-born Black women, non-US-born Caribbean Black women were more likely to have had breast cancer screening. Differential healthcare access associated with nativity differences among Black women can be informing their breast cancer screening behaviors. Efforts to improve breast cancer outcomes among Black women can benefit from interventions that account for differential access to healthcare and breast cancer screening behaviors among subgroups of Black women.

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Data Availability

The data used in the present study were from the 2011-2017 National Health Interview Survey (NHIS) by the Centers for Disease Control and Prevention (CDC), and the U.S. Department of Health and Human Services. The data were harmonized across waves by the IPUMS Health Survey team at the University of Minnesota Population Center. Data are available through https://healthsurveys.ipums.org/.

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The authors declare that no funds, grants, or other support were received during the preparation of this manuscript.

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Authors and Affiliations

  1. Department of Sociology, Anthropology, and Public Health, University of Maryland Baltimore County, Baltimore, MD, USA

    Donnette Narine, Takashi Yamashita & Christine A. Mair

  2. Gerontology Doctoral Program, University of Maryland Baltimore County, Baltimore, MD, USA

    Donnette Narine & Takashi Yamashita

  3. Center for Health, Equity, and Aging, University of Maryland Baltimore County, Baltimore, MD, USA

    Christine A. Mair

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All authors contributed to the study conception and design. Data analysis was performed, and the first draft of the manuscript was written by Donnette Narine and Takashi Yamashita. Christine A. Mair contributed to the theoretical perspectives and critically revised for intellectual content. All authors commented on previous versions of the manuscript. All authors read and approved the final manuscript.

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Narine, D., Yamashita, T. & Mair, C.A. An Intersectional Approach to Examining Breast Cancer Screening among Subpopulations of Black Women in the United States. J. Racial and Ethnic Health Disparities (2023). https://doi.org/10.1007/s40615-023-01781-5

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