Correlates of Breast Cancer Screening among Low-Income, Low-Education Latinas

Valdez, Armando; Banerjee, Kakoli; Ackerson, Lynn; Fernández, María E.; Otero-Sabogal, Regina; Somkin, Carol P.

doi:10.1006/pmed.2001.0913

Cited by 43 publications

(37 citation statements)

References 24 publications

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“…[16][17][18][19][20][21][22][23][24][25][26] A focus on uninsured and Spanish-speaking Latinas, however, is warranted, 27 as they comprise a substantial proportion of the adult Latino/a population (47% and 34%-50%, respectively). 9,28 Among Latinos who are primarily Spanish-speaking, 61% do not have health insurance, 9 placing them at risk for nonadherence to screening recommendations.…”

Section: Resultsmentioning

confidence: 99%

“…30 Findings suggest that knowledge about screenings may increase screening rates in that population, 30 which is consistent with data from Latina samples pooled according to health insurance status and primary language. [19][20][21][22][23][24][25][26] However, to our knowledge, no study has examined screening predictors among urban populations without health insurance. Such an investigation is reasonable because the majority of Latinos live in urban areas.…”

Section: Resultsmentioning

confidence: 99%

“…Because there were 3 sequential levels of the adherence variables (needs to obtain initial screening, overdue for rescreening, up-to-date with rescreening), we used continuation ratios to model 1) whether a woman has or has not been screened for cancer (ever vs never screened), and 2) whether a woman is up-to-date or not with repeat screening (up-to-date vs overdue repeat screening). 41,42 On the basis of results from past studies conducted with Latina samples, 18,22,23,26,30,33,37,[43][44][45] the following predictors were considered: demographic variables, exposure to cancer education, and interactions among these variables. Demographic variables were age, formal education (less than 6, 6, 7-11, 12, more than 12 years completed), annual household income ($0-1,500; 1,501-5,000; 5,001-7,000; 7,001-10,000; 10,001-14,000; 14,001-25,000; more than 25,000), recruitment site (TX, CT, NJ, DC, MW), country of origin (US, Mexico, Puerto Rico, South America, Central America and the Caribbean, other), proportion of life in US (.10, .25 and .43, which correspond to the 25th, 50th, and 75th percentiles, respectively), and having had a child.…”

Section: Data Analysesmentioning

confidence: 99%

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Differences in predictors of cervical and breast cancer screening by screening need in uninsured Latina women

Buki

Jamison

Anderson

et al. 2007

Cancer

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BACKGROUND. Latina women experience higher mortality for cervical cancer and lower 5‐year survival for breast cancer than non‐Latina White women. Adherence with screening recommendations can increase chances of survival, yet the factors that influence screening behaviors in uninsured women are not well documented. METHODS. Uninsured Latina women (N = 467) recruited in four US cities participated in the study. Logistic regression was used to model adherence to recommendations by screening type (cervical or breast cancer) and screening need (needs to obtain initial screening, overdue for rescreening, up‐to‐date with rescreening). RESULTS. Predictors differed by type of screening and screening need. Women who reported exposure to cancer education were more likely to have had a mammogram and to be up‐to‐date with Pap smear screening than women without such exposure. Women who were younger, had more than a sixth grade education, and/or had children were more likely to have had a Pap smear. Older women who had been in the US the longest were more likely to be overdue for a Pap smear. Women with incomes 5000 to 7000 were more likely to have obtained a mammogram. Regional differences were found with respect to mammography screening and maintenance behaviors. CONCLUSIONS. Exposure to cancer education is an important predictor of screenings among uninsured urban Latina women. The potential of creating educational interventions that can increase screening rates among women who evidence health disparities is encouraging. Recruitment strategies to reach women in need of screenings are provided. Cancer 2007. © 2007 American Cancer Society.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Data Analysesmentioning

confidence: 99%

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Differences in predictors of cervical and breast cancer screening by screening need in uninsured Latina women

Buki

Jamison

Anderson

et al. 2007

Cancer

View full text Add to dashboard Cite

show abstract

“…A great heterogeneity also exists among Latinas in the US (Garbers and Chiasson, 2004). Foreignborn Latinas have higher mammography rates than US whites but have no differences from US-born Latinas after adjusting for socioeconomic factors (Rodríguez et al, 2005;Valdez et al, 2001); Mexican American women have lower mammography rates than Puerto Rican and Cuban American women (Suarez et al, 2000), and Mexican women have lower mammography rates than Mexican American women (Zambrana et al, 1999).…”

Section: Discussionmentioning

confidence: 96%

Mammography use among older women of seven Latin American and Caribbean Cities

Ortíz

Freeman²,

Peláez

et al. 2006

Preventive Medicine

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“…69,76,[108][109][110] Similar to data presented here, research demonstrates that Latina women are underscreened and the extent of underscreening varies by specific ethnicity and U.S. region of residence. [111][112][113][114][115][116][117][118] Results vary of studies examining reasons for lower screening rates among Latinas. In New York City and California, when sociodemographic factors were controlled, the effect of ethnicity disappeared.…”

Section: Cancer Risk Factorsmentioning

confidence: 99%

Annual report to the nation on the status of cancer, 1975–2003, featuring cancer among U.S. Hispanic/Latino populations

Howe

Ries

et al. 2006

Cancer

374

280

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BACKGROUNDThe American Cancer Society, Centers for Disease Control and Prevention, National Cancer Institute, and North American Association of Central Cancer Registries collaborate annually to provide U.S. cancer information, this year featuring the first comprehensive compilation of cancer information for U.S. Latinos.METHODSCancer incidence was obtained from 90% of the Hispanic/Latino and 82% of the U.S. populations. Cancer deaths were obtained for the entire U.S. population. Cancer screening, risk factor, incidence, and mortality data were compiled for Latino and non‐Latino adults and children (incidence only). Long‐term (1975–2003) and fixed‐interval (1995–2003) trends and comparative analyses by disease stage, urbanicity, and area poverty were evaluated.RESULTSThe long‐term trend in overall cancer death rates, declining since the early 1990s, continued through 2003 for all races and both sexes combined. However, female lung cancer incidence rates increased from 1975 to 2003, decelerating since 1991 and breast cancer incidence rates stabilized from 2001 to 2003. Latinos had lower incidence rates in 1999–2003 for most cancers, but higher rates for stomach, liver, cervix, and myeloma (females) than did non‐Latino white populations. Latino children have higher incidence of leukemia, retinoblastoma, osteosarcoma, and germ‐cell tumors than do non‐Latino white children. For several common cancers, Latinos were less likely than non‐Latinos to be diagnosed at localized stages.CONCLUSIONSThe lower cancer rates observed in Latino immigrants could be sustained by maintenance of healthy behaviors. Some infection‐related cancers in Latinos could be controlled by evidence‐based interventions. Affordable, culturally sensitive, linguistically appropriate, and timely access to cancer information, prevention, screening, and treatment are important in Latino outreach and community networks. Cancer 2006. Published 2006 by the American Cancer Society.

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Correlates of Breast Cancer Screening among Low-Income, Low-Education Latinas

Cited by 43 publications

References 24 publications

Differences in predictors of cervical and breast cancer screening by screening need in uninsured Latina women

Differences in predictors of cervical and breast cancer screening by screening need in uninsured Latina women

Mammography use among older women of seven Latin American and Caribbean Cities

Annual report to the nation on the status of cancer, 1975–2003, featuring cancer among U.S. Hispanic/Latino populations

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