Use of Preventive Care Services Among Latino Subgroups

Bustamante, Arturo Vargas; Chen, Jie; Rodríguez, Hector P.; Rizzo, John A.; Ortega, Alexander N.

doi:10.1016/j.amepre.2010.01.029

Cited by 110 publications

(115 citation statements)

References 33 publications

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“…While the study focuses largely on individual-level predisposing and enabling factors, future studies may consider the role of place and contextual indicators that may otherwise influence disparities in breast cancer screening. While recent patterns of past-year mammography use have been reported [29], the BCS inequalities the authors reported are new, and are the first to describe national patterns of women meeting recommended screening guidelines. These results have important implications for future research conducted on healthcare in the U.S. Aggregating culturally and economically diverse groups yields potentially misleading estimates that limit the utility and value of large federally funded research [10].…”

Section: Discussionmentioning

confidence: 77%

“…Simply put, aggregating Latinos misrepresents their needs and potentially can misdirect healthcare policy and planning. Previous studies that disaggregated Latina cancer screening practices reported lowest rates of cancer screening for Mexican origin women; however, except for one prior study [29], the authors did not make comparisons to Black and non-Latino white women [30,31]. From the literature review, this is the first study to provide national, population-based disaggregated Latina BCS estimates describing concordant BCS practices for mammography and clinical breast exams with comparisons to Black and non-Latino white women.…”

Section: Discussionmentioning

confidence: 84%

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Breast cancer screening and ethnicity in the United States: implications for health disparities research

Miranda

Tarraf

González

2011

Breast Cancer Res Treat

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Ethnic and racial minority women within the U.S. are less likely to use breast cancer screening (BCS) procedures than non-Latina White women, and are more likely to be diagnosed with cancer at later stages of disease. Previous studies examining Latina rates of screening and disease have used aggregated populations for comparison, possibly attenuating important ethnic healthcare disparities and yielding misleading findings. The purpose of this study was to examine if ethnicity matters in understanding current estimates of BCS patterns among U.S. women; to test if healthcare disparities in BCS are present, and if any ethnic/racial groups are primarily affected. The authors used multivariate multinomial regression to examine self-reported mammogram and clinical breast exam in the 2007 full-year U.S. Medical Expenditure Panel Survey. Mexican origin women reported the lowest rates of past-year mammograms and clinical breast examination. Factors enabling healthcare moderated the group's lower likelihood of mammograms and clinical breast examination. Some breast cancer screening parity appears to have been achieved in 2007 for Black and some Latina groups; however, those rates lag behind for the largest Latino ethnic group, Mexican. Factors enabling healthcare access, such as education, income and insurance, attenuated the BCS inequalities found for Mexican origin women. Findings suggest that successful efforts to reduce BCS disparities be strategically redirected to include women of Mexican origin in addition to other underserved populations.

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Section: Discussionmentioning

confidence: 77%

Section: Discussionmentioning

confidence: 84%

Breast cancer screening and ethnicity in the United States: implications for health disparities research

Miranda

Tarraf

González

2011

Breast Cancer Res Treat

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“…Another possible reason for this conflict with the literature may be linked to the lack of health insurance for some of older Hispanic women in this sample. Empirical literature indicates the lack of health insurance is a negative predictor for participation in cancer screening services (Bustamante, Chen, Rodriguez, Rizzo, & Ortega, 2010), and approximately 30% of the sample did not have health insurance. ACS (2012a) indicated that 3.5% of Hispanic women do not have health insurance and associated lack of health insurance with lower participation in breast cancer screening services.…”

Section: Discussionmentioning

confidence: 99%

The Relationship between Psychosocial Factors and Breast Cancer Screening Behaviors of Older Hispanic Women

Cadet

2015

Social Work in Public Health

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Guided by the theory of planned behavior, this study utilized data from the 2008 wave of the Health and Retirement Study to investigate psychosocial factors associated with older Hispanic women's participation in breast cancer screening services. Hierarchical logistic regression models were used to assess the odds of breast cancer screening participation. Findings indicate that satisfaction with aging and constraints were associated with a reduced likelihood of participating in breast cancer screening. These findings suggest the continued importance to assess older women's attitudes when discussing preventive services.

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“…For undocumented immigrants, barriers to healthcare access are even more severe with approximately 60 % lacking health insurance coverage [5,6]. While in general Mexican immigrants are relatively healthy, providing healthcare coverage would help ensure that they maintain their health through preventive care and treatment of serious illnesses [7,8].…”

Section: Introductionmentioning

confidence: 99%

Redressing the Limitations of the Affordable Care Act for Mexican Immigrants Through Bi-National Health Insurance: A Willingness to Pay Study in Los Angeles

González-Block

Bustamante

Sierra

et al. 2012

J Immigrant Minority Health

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The 12.4 million Mexican migrants in the United States (US) face considerable barriers to access health care, with 45 % of them being uninsured. The Affordable Care Act (ACA) does not address lack of insurance for some immigrants, and the excluded groups are a large proportion of the Mexican-American community. To redress this, innovative forms of health insurance coverage have to be explored. This study analyses factors associated with willingness to pay for cross-border, bi-national health insurance (BHI) among Mexican immigrants in the US. Surveys were administered to 1,335 Mexican migrants in the Mexican Consulate of Los Angeles to assess their health status, healthcare utilization, and willingness to purchase BHI. Logistic regression was used to identify predictors of willingness to pay for BHI.Having a job, not having health insurance in the US, and relatives in Mexico attending public health services were significant predictors of willingness to pay for BHI. In addition, individuals identified quality as the most important factor when considering BHI. In spite of the interest for BHI among 54 % of the sampled population, our study concludes that this type of coverage is unlikely to solve access to care challenges due to ACA eligibility among different Mexican immigrant populations.

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Use of Preventive Care Services Among Latino Subgroups

Cited by 110 publications

References 33 publications

Breast cancer screening and ethnicity in the United States: implications for health disparities research

Breast cancer screening and ethnicity in the United States: implications for health disparities research

The Relationship between Psychosocial Factors and Breast Cancer Screening Behaviors of Older Hispanic Women

Redressing the Limitations of the Affordable Care Act for Mexican Immigrants Through Bi-National Health Insurance: A Willingness to Pay Study in Los Angeles

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