Arika Wieneke

Graduation Year


Date of Thesis Acceptance

Spring 5-13-2015

Major Department or Program



Alissa Cordner


This research aimed to explore the status of and relation between mammography knowledge, perceptions, and utilization for underserved women in Walla Walla, Washington. A review of the literature highlighted key social determinants of health that were used to focus this research, such as ethnicity and the impact of economic, social, and cultural resources. To ground this research, this study relied on Bourdieu’s capital theory and intersectionality theory as well as the concept of health seeking behavior. This study utilized a multi-method approach with the aim of gaining patients’ perspectives via a questionnaire (n=27) as well as health professional’s perspectives via semi-structured interviews (n=5). It was found that some, but not all underserved women have obtained mammography and that cost is the most commonly identified barrier to screening. Most women appear to not be aware of the Life Saver Fund though the majority report being more likely to get mammography upon learning of this Fund. All underserved women appear to have a basic knowledge of mammography and most view it as an important part of their health care. Latinas within this sample, however, appear more motivated to obtain screening than non-Latinas. However, these findings are not representative of all underserved women in Walla Walla.

Page Count


Subject Headings

Medical screening -- Evaluation -- Breast Screening, Medically underserved areas -- Washington (State), Minority Health -- Cancer, Help-seeking behavior -- United States, Breast -- Radiography, Social status -- Economic aspects -- Research, Medically uninsured women -- Services for, Pierre Bourdieu (1930-2002) -- Criticism and interpretation, Untied States -- Patient Protection and Affordable Care Act -- Obamacare, Whitman College -- Dissertation collection 2015 -- Sociology Department

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Document Type

Whitman Community Accessible Thesis

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