Toward Patient-Centered Care: Understanding Latina Patients’ Perceptions of Screening Mammographys

Background: Understanding patient perceptions of breast cancer screening is important for developing breast-cancer screening programs and can enhance the delivery of patient-centered care. We identified factors influencing receipt of mammography screening among Latina patients at a Federally-Qualified Health Center. Methodology: We held eight focus groups among Latina patients at four clinics in Washington State; focus groups were conducted in Spanish, recorded, and transcribed verbatim. Results: We identified factors associated with individual health behaviors, social relationships, and institutional factors influencing cancer screening attitudes. One unique concept emerged from our participants: desidia. Translated as a “lack of motivation or inertia”, it was described as unconsciously allowing barriers to interfere with taking care of oneself, to “let life get in the way” or to make one's personal health a low priority. Discussion: Our findings will inform future patient-centered interventions to increase cancer screening rates among Latinas.