Acculturation and cancer screening among latinas: Results From the National Health Interview Survey

Abraído-Lanza, Ana F.; Chao, Maria T.; Gates, Charisse Y.

doi:10.1207/s15324796abm2901_4

Cited by 91 publications

(53 citation statements)

References 30 publications

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“…Several observational studies have examined the impact of acculturation on Pap smear receipt in Hispanics, many using proxy measures for acculturation [83][84][85][86] . Studies analyzing NHIS data and using a modified acculturation measure similar to the current study have failed to show a consistent association between acculturation and Pap smear receipt [87][88][89] .…”

Section: Discussionmentioning

confidence: 99%

Community Health Worker Intervention to Decrease Cervical Cancer Disparities in Hispanic Women

et al. 2010

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Our randomized trial of a promotora-led educational intervention demonstrated improved Pap screening rates, in addition to increased knowledge about cervical cancer and self-efficacy. The observed association between cervical cancer knowledge and Pap smear receipt underscores the importance of educating vulnerable populations about the diseases that disproportionately affect them. Future research should evaluate such programs on a larger scale, and identify novel targets for intervention.

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Section: Discussionmentioning

confidence: 99%

Community Health Worker Intervention to Decrease Cervical Cancer Disparities in Hispanic Women

et al. 2010

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“…We did not have information on health insurance status of the patients in our study. Other factors unique to Hispanic women such as English language proficiency [14,51] and level of acculturation [13,52] are likely to play a role in the observed differences in stage at breast cancer diagnosis between the foreign-born and US-born Hispanic women. Inclusion of a county-level measure of English language proficiency in our regression models did not influence the association between birthplace and stage at diagnosis or treatment, but this county-level measure is likely a poor measure of an individual patient's language skills.…”

Section: Discussionmentioning

confidence: 99%

“…Hispanic women in the United States are diagnosed with breast cancer at more advanced stages [5][6][7], initiate treatment later [5,8] and have a lower 5-year survival rate [9-11] than non-Hispanic white women. These disparities are mediated by many factors that promote and create barriers to screening and treatment, including socioeconomic characteristics, cultural beliefs, and health insurance status [12][13][14][15][16][17][18][19]. However, even in comprehensive, equal-access health care systems where access to screening and care is the same, Hispanic women are more likely to present with more advanced stage disease, at younger ages and with larger tumors than Caucasian women [20][21][22].…”

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confidence: 99%

Influence of birthplace on breast cancer diagnosis and treatment for Hispanic women

Kouri

Winer

et al. 2009

Breast Cancer Res Treat

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Research has shown that Hispanic women in the United States are diagnosed with breast cancer at more advanced stages and initiate treatment later than non-Hispanic white women. We investigated whether stage at breast cancer diagnosis and receipt of primary therapy differ by ethnicity and birthplace among US-born Hispanic, foreign-born Hispanic, and white women. We studied 31,012 Hispanic women and 372,313 white women with a first diagnosis of invasive breast cancer during 1988 and 2005 living in a SEER area. We used multinomial logistic regression to assess the association of ethnicity and birthplace with stage at diagnosis and, among women with stage I or II cancers, primary therapy [mastectomy, breast-conserving surgery (BCS) with radiation, BCS without radiation], adjusting for other patient and tumor characteristics. Rates of stage at diagnosis differed significantly by race/ethnicity and birthplace (P < 0.001). Foreign-born Hispanics had lower adjusted rates of stage I breast cancer at diagnosis (35.4%) than US-born Hispanics (40.6%), birthplace-unknown Hispanics (42.3%), and whites (47.4%). Receipt of primary therapy also differed significantly by race/ethnicity and birthplace (P < 0.001). Foreign-born Hispanics and birthplace-unknown Hispanics had lower rates of BCS with radiation (34.9%, 30.7%) than US-born Hispanics (41.5%) and whites (38.8%). Foreign-born Hispanic women in the United States have a lower probability of being diagnosed at earlier stages of breast cancer and, for women with early-stage disease, of receiving radiation following BCS compared to US-born Hispanics and whites. Identifying factors mediating these disparities may help in developing culturally and linguistically appropriate interventions and improving outcomes.

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“…Besides, more than 50% of the participants had lived in the United States for over 17 years, a period associated with high acculturation (Abraido-Lanza et al, 2005). Since one's perceptions are influenced by culture (Applegate and Sypher, 1988), Honda and Gorin's findings might differ from those among indigenous Japanese people.…”

Section: Miyako Tsuchiyamentioning

confidence: 99%

Lay Beliefs, Knowledge, and Attitudes Towards Cancer: a Pilot Study in Japan

Tsuchiya

2015

Asian Pacific Journal of Cancer Prevention

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Background: The attendance rates for cancer screening are low in Japan. Little is actually known about how the Japanese perceive cancer. Since beliefs about illness affect individuals' health care practice, the aim of this study was to explore beliefs about cancer and factors associated with those beliefs, focusing on representative cancer sites. Materials and Methods: Japanese adults (≥20 years old) who had not been diagnosed with any cancers and were not health care professionals were recruited, using a convenience sampling approach. A total of 91 participants completed questionnaires including open-ended questions. Thematic analysis was used to analyze the responses. Results: Five themes were suggested: (i) a threatening illness that might greatly change one's future life; (ii) basic cancer knowledge; (iii) a curable illness with early detection and adequate treatment; (iv) causes of cancer; and (v) anyone can develop cancer. Families or friends' negative consequences of cancer were associated with negative beliefs about the disease. Gestational cancer was the most representative site of most themes. Conclusions: A threatening illness (e.g., death or incurable illness) was the most common belief among the Japanese laypeople. Importance of early detection and treatments should be more emphasized, and future screening programs should include strategies modifying negative cancer beliefs among Japanese laypeople.

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Acculturation and cancer screening among latinas: Results From the National Health Interview Survey

Abstract: Background-Although early detection of breast and cervical cancer is one of the most effective means of assuring timely treatment and survival, the cultural hypothesis proposes that traditional norms, values, and beliefs deter Latinas from being screened.

Cited by 91 publications

References 30 publications

Community Health Worker Intervention to Decrease Cervical Cancer Disparities in Hispanic Women

Community Health Worker Intervention to Decrease Cervical Cancer Disparities in Hispanic Women

Influence of birthplace on breast cancer diagnosis and treatment for Hispanic women

Lay Beliefs, Knowledge, and Attitudes Towards Cancer: a Pilot Study in Japan

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