Journal of Immigrant and Minority Health

, Volume 12, Issue 4, pp 520–526 | Cite as

Barriers to Breast Cancer Screening Among Haitian Immigrant Women in Little Haiti, Miami

  • Erin Kobetz
  • Janelle Menard
  • Betsy Barton
  • Jennifer Cudris Maldonado
  • Joshua Diem
  • Pascale Denize Auguste
  • Larry Pierre
Original Paper


Previous research has not examined barriers to mammography screening among Haitian immigrant women through their own discourse. Community Health Workers conducted in-depth interviews with Haitian women in Little Haiti, Miami. We used a grounded theory approach to analyze data from the in-depth interviews. Emergent themes coalesced into three core categories of screening barriers: Structural, Psychosocial, and Socio-Cultural. We developed a model of screening barriers to depict the themes within each core category. Screening barriers must be examined and understood from the social contexts in which they are produced in order to create meaningful interventions.


Disparities in mammography utilization Community-based participatory research Community health workers In-depth interviews Haitian women 



The authors are grateful to the women who took part in this study, and to the insightful CHWs who conducted and transcribed the interviews, especially Martine Lifleur. We would also like to recognize the members of Patnè en Aksyon and the staff of the University of Miami Sylvester Comprehensive Cancer Center, Disparities and Community Outreach Core for their commitment to health equity and social change. This research was funded by the National Cancer Institute (R21-CA-11981-01), the Florida Breast Cancer Coalition Research Foundation (M051095), the Dr. John T. Macondald Foundation (98218) and the Susan G. Komen Foundation (DISP0708723).


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Copyright information

© Springer Science+Business Media, LLC 2010

Authors and Affiliations

  • Erin Kobetz
    • 1
    • 2
  • Janelle Menard
    • 2
  • Betsy Barton
    • 2
  • Jennifer Cudris Maldonado
    • 2
  • Joshua Diem
    • 3
  • Pascale Denize Auguste
    • 4
  • Larry Pierre
    • 5
  1. 1.Department of Epidemiology and Public HealthUniversity of Miami Miller School of MedicineMiamiUSA
  2. 2.Division of Cancer Prevention and ControlUniversity of Miami Sylvester Comprehensive Cancer CenterMiamiUSA
  3. 3.Department of Teaching and LearningUniversity of Miami School of EducationCoral GablesUSA
  4. 4.Haitian American Association against CancerMiamiUSA
  5. 5.Center For Haitian StudiesMiamiUSA

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