# title
Bias Within: Examining the Role of Cultural Competence Perceptions in Mammography Adherence

# abstract
<jats:p> Breast cancer mortality has affected African American women at a disproportionate rate. The purpose of this research was to assess how health professionals cultural competence contributes to African American womens barriers to and receipt of mammograms. Sixty-one African American women residing in Harris County, Texas, shared their views within a series of focus groups. Theoretical propositions from the PEN-3 model were used to understand mammography adherence at the interpersonal level. Participants noted various perceived factors associated with mammography incompliance. Lack of professionalism of clinicians and clerical staff contributed to a decrease in health care services utilization. In addition, cultural insensitivity and discriminatory behavior enabled an attitude of medical mistrust. Improving patientprovider communication, through culturally appropriate centered educational efforts, is a beneficial strategy for breast health programs among underserved populations. </jats:p>

# authors[].organizations[].label
College of Education and Human Development

# authorList[]
Hall, M. B., Carter-Francique, A. R., Lloyd, S. M., Eden, T. M., Zuniga, A. V., Guidry, J. J., & Jones, L. A.