Abstract A160: Improving adherence to cervical and breast cancer prevention among at-risk African American women: A photovoice study

Abstract Cervical and breast cancer disparities persist in the United States, with higher incidence rates among white women but greater mortality rates among low-income and minority women, particularly African American women. This study explores the barriers and enablers influencing cervical and breast cancer prevention among African American women. This research utilized an inductive Photovoice method to gather qualitative data among 18 African American women. Women participated in focus groups after capturing photographs illustrating their experiences related to cancer prevention. During 2022, snowball sampling was used to identify African American women from a mid-sized Midwestern city, churches and church networks. Women ranged in ages from 22 – 75 years old. Most women were single (n=8), with an average of 2 children, and approximately 28% of the sample (n=5) were caring for family members. Most were either students or employed in the educational profession (n=10). Findings revealed age-specific experiences, with younger women expressing a lack of proactive engagement from healthcare providers regarding preventive screenings. Both younger and older participants emphasized the importance of family history and personal health experiences in shaping their health decisions. Key barriers included logistical challenges such as transportation issues, time constraints, and financial burdens related to childcare. Psychological barriers, including fear and stigma, also contributed to delays in accessing preventive care. Older women highlighted structural barriers related to environmental access issues and health issues, while younger women discussed the healthcare system's failure to understand their cultural preferences and experiences. Family influence emerged as a significant enabler, motivating women to prioritize their health through shared responsibility and support. The impact of COVID-19 was notable, with younger women citing childcare burdens due to restrictions, while older women reported increased focus on preventive health behaviors. Overall, this study underscores the multifaceted barriers faced by African American women in accessing cervical and breast cancer screenings. Systemic changes are essential to address these disparities, including improving clinic accessibility, extending operating hours, and fostering cultural competency among healthcare providers. The findings advocate for equitable healthcare solutions that prioritize the unique challenges faced by women of color, emphasizing the critical role of family and community support in health management and solutions. Citation Format: Anjanette A. Wells, Vanessa Allen-Brown, Nadia Alam. Improving adherence to cervical and breast cancer prevention among at-risk African American women: A photovoice study abstract. In: Proceedings of the 18th AACR Conference on the Science of Cancer Health Disparities; 2025 Sep 18-21; Baltimore, MD. Philadelphia (PA): AACR; Cancer Epidemiol Biomarkers Prev 2025;34(9 Suppl):Abstract nr A160.