{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,19]],"date-time":"2026-09-19T16:21:20Z","timestamp":1789834880019,"version":"4.0.1"},"reference-count":13,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2025,2,6]],"date-time":"2025-02-06T00:00:00Z","timestamp":1738800000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Public Health Challenges"],"published-print":{"date-parts":[[2025,3]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Mammography serves as the primary screening tool for detecting breast cancer, and clinical breast examination serves as an additional low\u2010risk technique. There are known socioeconomic disparities in screening accessibility that correlate with breast cancer mortality and tumor stage at diagnosis. Identifying patient barriers and sentiments is a vital step in increasing compliance rates amongst vulnerable populations.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A link to a survey available in English and Spanish was distributed across zip codes with the lowest median household incomes in Fort Worth, Texas. Data collection took place between November 2022 and November 2023. Only female participants aged 18 or older were included in the study. Statistical analysis was performed on IBM SPSS, Python, and Pandas library softwares.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Hispanic, low\u2010income, and less educated individuals were more likely to have inadequate screening mammography and clinical breast examination status. This is due to several self\u2010reported barriers including cost, lack of knowledge, and lack of time. The majority of patients reported interest in receiving women's healthcare (67.3%), believed screening allowed for early breast cancer detection (72.7%), and believed screenings decreased breast cancer mortality (69.1%).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>There are clear discrepancies in access to breast cancer screenings despite a majority of respondents acknowledging their benefit. We suggest the aforementioned demographics be targeted in interventions to improve free or low\u2010cost access and education surrounding breast cancer screenings. This study would benefit from further data collection and expansion to multiple cities in the United States.<\/jats:p><\/jats:sec>","DOI":"10.1002\/puh2.70032","type":"journal-article","created":{"date-parts":[[2025,2,6]],"date-time":"2025-02-06T14:10:13Z","timestamp":1738851013000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Perceptions and Barriers to Screening Mammography and Clinical Breast Examination: A Survey Study of Underserved Populations in North Texas"],"prefix":"10.1002","volume":"4","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4678-9962","authenticated-orcid":false,"given":"Sofia Eva","family":"Olsson","sequence":"first","affiliation":[{"name":"Anne Burnett Marion School of Medicine Texas Christian University  Fort Worth Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sameep","family":"Shah","sequence":"additional","affiliation":[{"name":"Department of Computer Science College of Science and Engineering Texas Christian University  Fort Worth Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Erin","family":"Haase","sequence":"additional","affiliation":[{"name":"Anne Burnett Marion School of Medicine Texas Christian University  Fort Worth Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emma","family":"Butler","sequence":"additional","affiliation":[{"name":"Anne Burnett Marion School of Medicine Texas Christian University  Fort Worth Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Isabella","family":"Amado","sequence":"additional","affiliation":[{"name":"Anne Burnett Marion School of Medicine Texas Christian University  Fort Worth Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kelly","family":"Pagidas","sequence":"additional","affiliation":[{"name":"School of Medicine Louisiana State University Health Shreveport  Shreveport Louisiana USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,2,6]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.3322\/caac.21754"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1257\/pol.20120298"},{"key":"e_1_2_10_4_1","unstructured":"\u201cRecommendation: Breast Cancer: Screening \u201dUnited States Preventive Services Taskforce published April 30 2024 https:\/\/www.uspreventiveservicestaskforce.org\/uspstf\/recommendation\/breast\u2010cancer\u2010screening."},{"key":"e_1_2_10_5_1","unstructured":"\u201cAmerican Cancer Society Recommendations for the Early Detection of Breast Cancer \u201dAmerican Cancer Society published December 19 2023 https:\/\/www.cancer.org\/cancer\/types\/breast\u2010cancer\/screening\u2010tests\u2010and\u2010early\u2010detection\/american\u2010cancer\u2010society\u2010recommendations\u2010for\u2010the\u2010early\u2010detection\u2010of\u2010breast\u2010cancer.html."},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacr.2009.09.022"},{"key":"e_1_2_10_7_1","unstructured":"\u201cBreast Cancer Risk Assessment and Screening in Average\u2010Risk Women \u201dAmerican College of Obstetricians and Gynecologists published July2017 https:\/\/www.acog.org\/clinical\/clinical\u2010guidance\/practice\u2010bulletin\/articles\/2017\/07\/breast\u2010cancer\u2010risk\u2010assessment\u2010and\u2010screening\u2010in\u2010average\u2010risk\u2010women."},{"issue":"1","key":"e_1_2_10_8_1","first-page":"33","article-title":"Breast Cancer Screening: Common Questions and Answers","volume":"103","author":"Khan M.","year":"2021","journal-title":"American Family Physician"},{"key":"e_1_2_10_9_1","unstructured":"\u201cData and Surveillance \u201dTexas Department of State Health Services published2024 https:\/\/www.dshs.texas.gov\/texas\u2010comprehensive\u2010cancer\u2010control\u2010program\/about\u2010tcccp\/cancer\u2010data\u2010surveillance."},{"key":"e_1_2_10_10_1","unstructured":"\u201cQuickFacts: Fort Worth City Texas \u201dU.S. Census Bureau published 2023 https:\/\/www.census.gov\/quickfacts\/fact\/table\/fortworthcitytexas\/POP060210."},{"key":"e_1_2_10_11_1","unstructured":"\u201cQuickFacts: United States \u201dU.S. Census Bureau published2023 https:\/\/www.census.gov\/quickfacts\/fact\/table\/US\/PST045223."},{"key":"e_1_2_10_12_1","unstructured":"City of Fort Worth. \u201cDemographic Reports From mySidewalk. \u2013 Welcome to the City of Fort Worth \u201dFort Worth https:\/\/www.fortworthtexas.gov\/departments\/the\u2010fwlab\/planning\/data\u2010maps\/mysidewalk."},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.3322\/caac.21314"},{"key":"e_1_2_10_14_1","doi-asserted-by":"publisher","DOI":"10.1097\/MOP.0000000000000940"}],"container-title":["Public Health Challenges"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/puh2.70032","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,3,27]],"date-time":"2025-03-27T21:37:12Z","timestamp":1743111432000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/puh2.70032"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,2,6]]},"references-count":13,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2025,3]]}},"alternative-id":["10.1002\/puh2.70032"],"URL":"https:\/\/doi.org\/10.1002\/puh2.70032","archive":["Portico"],"relation":{},"ISSN":["2769-2450","2769-2450"],"issn-type":[{"value":"2769-2450","type":"print"},{"value":"2769-2450","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,2,6]]},"assertion":[{"value":"2024-07-23","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-01-28","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-02-06","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70032"}}