Impact of Age and Comorbidity on Cervical and Breast Cancer Literacy of African Americans, Latina, and Arab Women

Talley, Costellia H.; Williams, Karen Patricia

doi:10.1016/j.cnur.2015.05.008

Cited by 11 publications

(7 citation statements)

References 95 publications

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“…This is because women who receive comorbidity-related care are more likely to receive regular mammography as a result of regular primary care visits. In contrast, another study 23 reported the lower timely mammography among women of different racial/ethnical groups who had comorbidity because they might receive underserved medical care.…”

Section: Discussionmentioning

confidence: 89%

Determinants of breast cancer screening uptake in Kurdishwomen of Iran

Aminisani

Fattahpour

Dastgiri

et al. 2016

Health Promot Perspect

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Background: Recently, a national breast cancer screening program has been introduced in Iran.The aim of this study was to examine the determinants of breast cancer screening uptake among Kurdish women, in order to identify those characteristics that may be potentially associated with the screening uptake. Methods: Through a cross sectional study, in 2014, a random sample of 561 women aged 40 years and older without the history of breast cancer and identified with Kurdish background in Baneh county, Iran, were recruited and interviewed by two trained interviewers. Data were collected using a valid and reliable researcher made questionnaire. Univariate and multivariate logistic regression models with self-reported screening history as the dependent variable were used to estimate the odds ratios (ORs) with 95% of CI. Results: The mean age of women was 43.64 (SD = 5.17). The participation rate in the mammography program was 16.8% (95% CI: 13.7-19.8%). The lowest level of participation was found among women aged 60 and older (OR = 0.30, 95% CI: 0.14-0.69), illiterate (OR = 0.63,95% CI: 0.40-0.99) and post-menopausal (OR = 0.56, 95% CI: 0.35-0.91) women. Conclusion: It was found that the level of breast screening uptake was low among Kurdish women compared to those reported in the previous studies. Designing participation enhancing interventions with a specific focus on older, illiterate and post-menopausal women are recommended.

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Section: Discussionmentioning

confidence: 89%

Determinants of breast cancer screening uptake in Kurdishwomen of Iran

Aminisani

Fattahpour

Dastgiri

et al. 2016

Health Promot Perspect

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“…The majority of Arab American women understood that the purpose of a Pap test is to detect cervical cancer cells early (Salman, 2012; Shah et al, 2008). Overall, Arab American women had an above-average cervical cancer literacy score using the C-CLAT in terms of their awareness, knowledge and screening, and prevention and control of cervical cancer (X̄ = 10, SD = 3), similar to Black and Latina women (Talley & Williams, 2015); however, only a small number of Arab American women were able to answer more than 75% of the 16 questions correctly (Williams, Talley, & Smith, 2014; Zambrana et al, 2015). …”

Section: Data Synthesismentioning

confidence: 98%

Cervical Cancer Screening Among Arab Women in the United States: An Integrative Review

Abboud¹,

Penning²,

Brawner³

et al. 2017

ONF

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Problem Identification Arab American women are an ethnic minority and immigrant population in the United States with unique and nuanced sociocultural factors that influence preventive health behaviors. The aims of this article are to evaluate and synthesize the existing evidence on cervical cancer screening behaviors, as well as determine factors that influence these behaviors, among Arab American women. Literature Search Extensive literature searches were performed using PubMed, CINAHL®, Scopus, Embase, and Cochrane databases; articles published through October 2015 were sought. Data Evaluation Of 17 articles, 14 explicitly identified Arab and/or Muslim women and cervical cancer screening in either the title or the abstract; the remaining three focused on cancer attitudes and behaviors in Arab Americans in general but measured cervical cancer screening. Eleven articles reported different aspects of one intervention. Because of methodologic heterogeneity, the current authors synthesized results narratively. Synthesis Key factors influencing cervical cancer screening were identified as the following: knowledge of cervical cancer screening and prevention; attitudes and beliefs; healthcare setting; education, marital status, income, and social support; and immigration and acculturation. Conclusions Cervical cancer screening rates among Arab American women are comparable to other ethnic minorities and lower than non-Hispanic White women. Findings are inconsistent regarding factors influencing cervical cancer screening behaviors in this underrepresented group. Implications for Research Significant need exists for more research to better understand cervical cancer prevention behaviors in this group to inform culturally relevant interventions. Healthcare providers play a crucial role in increasing cervical cancer screening awareness and recommendations for Arab American women.

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“…Whereas some studies suggest no association, others indicate that hypertension is related to the increased likelihood of mammography screening. [17][18][19][20] Notably, a recent study on the effect of cardiovascular disease on cancer screening recommendation found that women with hypertension were more likely to adhere to mammography screening guidelines, compared with those without hypertension. 20 It is likely that in seeking treatment to manage their hypertension, these women have regular interactions with their health care provider, which also increases their chances of receiving additional preventive care, including mammography.…”

Section: Discussionmentioning

confidence: 99%

Chronic Comorbidities and Receipt of Breast Cancer Screening in United States and Foreign-Born Women: Data from the National Health Interview Survey

Cofie

Hirth

Berenson

et al. 2019

Journal of Women's Health

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Objective: Research is limited on how immigrant status affects provider recommendations and adherence to breast cancer screening among women with chronic conditions. This study examined whether chronic comorbidities are associated with breast cancer screening recommendations and adherence, as well as differences between foreign-born and United States-born women. Materials and Methods: The study examined data from the 2013 and 2015 National Health Interview Survey on women 50-74 years of age (N = 12,425). Chi-square analysis was used to assess relationships between chronic comorbidities (hypertension, diabetes, and obesity) and mammography screening recommendation and adherence (screened in the last 3 years). Multivariable binary logistic regression analysis examined the relationship between foreign-born status and mammography screening, adjusting for provider screening recommendation and chronic comorbidities. Results: Obesity and hypertension were positively associated with mammography screening recommendation and adherence ( p < 0.05). United States-born women, compared with foreign-born women, had higher rates of obesity (28% vs. 24%, p < 0.001) and hypertension (44% vs. 41%, p < 0.001). Compared with normal-weight women, underweight women (odds ratio [OR]: 0.57, confidence interval [CI]: 0.39-0.82) were significantly less likely to report receiving mammograms. In stratified analyses, foreign-born underweight women (OR: 0.25, CI: 0.09-0.68) remained less likely to report receiving mammograms after controlling for years lived in the United States and citizenship status. Conclusion: Public health intervention efforts must encourage mammography screening for both United Statesborn and foreign-born women, especially those diagnosed with chronic conditions.

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Impact of Age and Comorbidity on Cervical and Breast Cancer Literacy of African Americans, Latina, and Arab Women

Cited by 11 publications

References 95 publications

Determinants of breast cancer screening uptake in Kurdishwomen of Iran

Determinants of breast cancer screening uptake in Kurdishwomen of Iran

Cervical Cancer Screening Among Arab Women in the United States: An Integrative Review

Chronic Comorbidities and Receipt of Breast Cancer Screening in United States and Foreign-Born Women: Data from the National Health Interview Survey

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