Mammography and Pap test screening among low-income foreign-born Hispanic women in the USA

Abstract

Little is known about the factors influencing screening among low-income Hi s p a n i c women part i c u l a rly among recent immigra n t s . A sample of 148 low -i n c o m e , l ow -l i t e ra t e , f o reign-born Hispanic women residing in the Washington n i n g g u i d e l i n e s . Women in this study had more misconceptions about cancer than Hispanics in other s t u d i e s . Mu l t i variate logistic models for correlates of Pap test and mammography screening behavior indicate that factors such as fear of the screening test, e m b a r ra s s m e n t , and lack of know ledge influenced screening behavior. In conclusion, women in this study had lower rates of mamm o g raphy screening than non-Hispanic women and lower rates of compliance with re c o m m e n ded Ma m m o g raphy and Pap test screening guidelines. Key words Breast Ne o p l a s m s ; Ma m m o g ra p h y ; Ce rvix Ne o p l a s m s ; Hispanic Am e r i c a n s Resumo Este estudo determinou os fatores que influenciam a conduta de mulheres latinas de baixa renda nos EUA , em face do monitoramento pela mamografia (MM) e por meio do teste de Papanicolau (T P ) , em uma amostra de 148 mulheres latinas, residentes na região metro p o l i t a n a de Washington DC. A idade média na amostra foi de 46,2 anos (desvio padrão 11,5), e 84% re l a t avam renda familiar anual menor que quinze mil dólare s . Todas as mulheres falavam espanhol e a p re s e n t a vam níveis reduzidos de acultura ç ã o ; 96% destas informavam ter realizado TP, mas 24% não re l a t a vam adesão às normas recomendadas de ra s t re a m e n t o. En t re aquelas com quare n t a anos ou mais, 62% haviam realizado MM, mas somente 33% de acordo com as normas de ro t i n a . A freqüência de conceitos equivocados sobre o câncer neste grupo de mulheres foi maior que a obs e rvada para mulheres latinas em outros estudos. Modelos logísticos multivariados para va r i á-veis correlacionadas à conduta no ra s t reamento pelo TP e MM indicam que fatores como o medo do teste, vergonha e desconhecimento tive ram influência. Concluiu-se que as mulheres nesse estudo apre s e n t a ram menor freqüência de ra s t reamento por MM que mulheres não latinas, além de a p re s e n t a rem também níveis mais reduzidos de adesão às normas de ra s t reamento por TP e MM. Palavras-chave Ne op l asias Ma m á r i a s ; Ma m o g ra f i a ; Neoplasias do Colo Ut e r i n o ; Hi s p a n o -Am e r i c a n o s

Predictors of Breast Cancer Screening among Immigrant Iranian Women in California

“…Other studies have found lack of English language proficiency to be an important barrier to screening. 22,41,42 Interestingly, only levels of language acculturation were significant predictors for BSE and CBE compliance. This could be because limited proficiency in English is associated with underlying socioeconomic factors that decrease the use of healthcare services.…”

Cervical screening in migrants to Australia

“…[7][8][9][10][11] Studies carried out in Australia found screening rates to be lowest among women born in Vietnam, 12 and also in women living in areas with the highest proportion of non-English speaking background migrants and the lowest socio-economic status. 13 In many studies, migration has been suggested as a social factor that puts women at-risk of falling into lower socio-economic status associated with poor access to screening.…”

Are Health-care Relationships Important for Mammography Adherence in Latinas?

“…[1][2][3] However, mammography screening rates among Latinas are declining. [4][5][6][7][8][9][10] This trend may be due to a number of factors including increases in rates of being uninsured, access to health-care, [11][12][13][14][15][16] not enough Spanish-speaking providers to meet demands, perceptions of provider bias, and/or a lack of sufficient culturally competent services. 12,15,[17][18][19][20][21][22] Though approximately 86% of adult Latinos report having contact with a primary care physician, 23,24 Latinas report lower satisfaction with their care than do non-Latina whites.…”