Differences in cancer-risk-related behaviors in Latino and Anglo adults

Elder, John P.; Castro, Felipe; Moor, Carl de; Mayer, Joni A.; Candelaria, Jeanette I.; Campbell, Nadia R.; Talavera, Gregory A.; Ware, Lisa M.

doi:10.1016/0091-7435(91)90069-g

Cited by 107 publications

(52 citation statements)

References 13 publications

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“…In the United States, Latinas have the highest rates of cervical cancer and the highest cumulative risks, compared with Anglo and African American women (Anton-Culver et al 1992;Muir et al 1987). 4 Latinas also have relatively low rates of use of cervical cancer screening tests (Pap smear tests), and they are more likely than other women to have progressed to more advanced stages of cervical cancer when they seek care for the disease (Elder et al 1991;Harlan et al 1991;Vernon, Tilley et al 1985;Vernon, Vogel et al 1992). Although breast cancer is the most common cancer among Latinas, they have a lower rate of breast cancer than do Anglo or African American women.…”

Section: Latinas Cancer and Cultural Beliementioning

confidence: 99%

Structure and Meaning in Models of Breast and Cervical Cancer Risk Factors: A Comparison of Perceptions among Latinas, Anglo Women, and Physicians

et al. 1995

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Section: Latinas Cancer and Cultural Beliementioning

confidence: 99%

Structure and Meaning in Models of Breast and Cervical Cancer Risk Factors: A Comparison of Perceptions among Latinas, Anglo Women, and Physicians

et al. 1995

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“…'6 Previous studies on breast cancer screening and acculturation have had conflicting results. Some found no statistically significant effect of acculturation on screening utilization, 17 Measures of acculturation that focus on language use have another advantage over broader measures of acculturation: one can establish that language use is associated with the screening behavior. With mixed acculturation measures, components unrelated to the behavior of interest could lower the association between language use and health behavior, perhaps explaining the inconsistency of previous findings in studies of acculturation and health practices ofHispanic adults.…”

Section: Discussionmentioning

confidence: 99%

Acculturation and breast cancer screening among Hispanic women in New York City.

O’Malley

Kerner²,

Johnson³

et al. 1999

Am J Public Health

152

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OBJECTIVES: This study investigated whether acculturation was associated with the receipt of clinical breast examinations and mammograms among Colombian, Ecuadorian, Dominican, and Puerto Rican women aged 18 to 74 years in New York City in 1992. METHODS: A bilingual, targeted, random-digit-dialed telephone survey was conducted among 908 Hispanic women from a population-based quota sample. Outcome measures included ever and recent use of clinical breast examinations and mammograms. Multivariate logistic regression models were used to assess the effect of acculturation on screening use. RESULTS: When demographic, socioeconomic, and health system characteristics and cancer attitudes and beliefs were controlled for, women who were more acculturated had significantly higher odds of ever and recently receiving a clinical breast examination (P < or = .01) and of ever (P < or = .01) and recently (P < or = .05) receiving a mammogram than did less acculturated women. For all screening measures, there was a linear increase in the adjusted probability of being screened as a function of acculturation. CONCLUSIONS: Neighborhood and health system interventions to increase screening among Hispanic women should target the less acculturated.

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“…40,42 Investigators have also found a correlation between mammography use among Hispanic women and their level of acculturation or English language use and proficiency. 30,[43][44][45][46][47][48][49] In some studies, this association has diminished or disappeared after adjustment for socioeconomic factors, 47,48 which is plausible because socioeconomic status tends to vary with both acculturation and generation. 30,43,45,48 Immigration status and length of time since immigration may also have an impact on acceptance of breast cancer screening and access to health care.…”

Section: Discussionmentioning

confidence: 99%

Breast cancer size and stage in Hispanic American women, by birthplace: 1992-1995

Hedeen

White

2001

Am J Public Health

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A B S T R A C TObjectives. This study examined whether Hispanic women with breast cancer have tumor characteristics associated with delayed detection and whether these characteristics vary by birthplace.Methods. Surveillance, Epidemiology, and End Results program data were used in examining breast cancer size and stage by racial/ethnic group and birthplace.Results. Hispanic Americans are one of the fastest growing racial/ethnic groups in the country, constituting 9% of the total US population. [1][2][3] By the end of the decade, the Hispanic population is expected to be the largest ethnic group in the United States.1 Among Hispanic women, breast cancer is the most common malignancy and the leading cause of cancer deaths. 4,5 It is well known that regular breast cancer screening increases early detection and significantly reduces breast cancer mortality.6-9 Therefore, it is of concern that Hispanic women are less likely to report using breast cancer screening than women in the general US population. 10,11 In the present study, we examined whether Hispanic women had breast cancer characteristics that reflect delayed tumor detection (i.e., large tumor size and advanced stage of disease). We further assessed whether these tumor characteristics varied by place of birth. Methods Study Subjects and Data CollectionStudy subjects were Hispanic women in 4 Surveillance, Epidemiology, and End Results (SEER) program regions who had been diagnosed with in situ or invasive breast cancer at 40 years or older between 1992 and 1995. Non-Hispanic White women meeting the same criteria were the comparison group. The San Francisco/Oakland, San Jose/Monterey, Los Angeles, and New Mexico regions were included because these SEER registries have the largest Hispanic populations. 4 The regional SEER registries obtain case information primarily through record abstraction from hospitals and pathology laboratories.12 Additional data are obtained from death certificates. Information on race/ethnicity, obtained from hospital and death records, is comparable to US Bureau of the Census race/ ethnicity identifiers. When no ethnicity information is available, Hispanics are identified via the 1980 census Spanish surname list.Hispanic women were grouped in 2 birthplace categories (United States and LatinAmerica). In this study, Hispanic Americans born in LatinAmerica were considered first-generation Americans, and those born in the United States were considered later-generation Americans. Hispanic women with missing birthplace data and those born outside the United States or Latin America were not included in the analyses in which birthplace was an exposure variable. Statistical AnalysisWe examined 3 outcomes that reflect timeliness of breast cancer diagnosis (i.e., early diagnosis vs late diagnosis): tumor size categorized as 1 cm or smaller vs 1 cm or larger, tumor size categorized as 2 cm or smaller vs 2 cm or larger, and tumor stage at diagnosis classified as in situ/localized (early stage) vs regional/distant (advanced stage). Information on tu...

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Differences in cancer-risk-related behaviors in Latino and Anglo adults

Cited by 107 publications

References 13 publications

Structure and Meaning in Models of Breast and Cervical Cancer Risk Factors: A Comparison of Perceptions among Latinas, Anglo Women, and Physicians

Structure and Meaning in Models of Breast and Cervical Cancer Risk Factors: A Comparison of Perceptions among Latinas, Anglo Women, and Physicians

Acculturation and breast cancer screening among Hispanic women in New York City.

Breast cancer size and stage in Hispanic American women, by birthplace: 1992-1995

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