Effectiveness of Interventions for Breast Cancer Screening in African American Women: A Meta-Analysis

Copeland et al (2018)

Health Evidence - 10.1111/1475-6773.12806

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Evidence Categories

• Care setting: Not described
• Population group: Women
• Population group: Black, Asian and Minority Ethnic populations
• Population group: People from non-English speaking families
• Population group: Low socioeconomic status
• Population group: Low income
• Population group: Under-screened
• Intervention: Education Interventions
• Intervention: Self-Sampling Kit
• Intervention: Lay Health Worker Support
• Outcome: Screening: Uptake of breast cancer screening

Type of Evidence

Systematic Review

Aims

The purpose of this study was to report the results of a meta-analysis conducted on the effects of clinical trials in breast cancer screening for African American women between 1997 and 2017.

Findings

Findings indicated that screening interventions for African American women were significantly more likely to result in mammography than control (OR = 1.56 [95 percent CI = 1.27-1.93], p < .0001). Although no patient or study characteristics significantly moderated screening efficacy, the most effective interventions were those specifically tailored to meet the perceived risk of African American women.

Conclusions

Screening interventions are at least minimally effective for promoting mammography among African American women, but research in this area is limited to a small number of studies. More research is needed to enhance the efficacy of existing interventions and reduce the high morbidity and mortality rate of this underserved population.