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

O’Malley, Ann S.; Kerner, Jon; Johnson, Ann; Mandelblatt, Jeanne

doi:10.2105/ajph.89.2.219

Cited by 151 publications

(107 citation statements)

References 53 publications

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“…Latinas in the US underutilize mammography, 2,13,18,60,61 and foreign-born Latinas have even lower usage rates. 14,18,[62][63] However, the rate at which Latinas in our study underwent recent mammography (73%) was higher than that reported in a national study of Latinas (59%) [63][64] and much higher than rates in other studies of Latina immigrants (39-47%). 13 Our results may partially reflect the fact that most of the women had access to health care and/or health information and that the region includes several low-cost screening services.…”

Section: Discussionmentioning

confidence: 55%

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

Sheppard

Wang

et al. 2008

J GEN INTERN MED

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BACKGROUND: Latinas are the fastest growing racial ethnic group in the United States and have an incidence of breast cancer that is rising three times faster than that of non-Latino white women, yet their mammography use is lower than that of non-Latino women. OBJECTIVES:We explored factors that predict satisfaction with health-care relationships and examined the effect of satisfaction with health-care relationships on mammography adherence in Latinas. DESIGN AND SETTING:We conducted a cross-sectional survey of 166 Latinas who were ≥40 years old. Women were recruited from Latino-serving clinics and a Latino health radio program.MEASUREMENTS: Mammography adherence was based on self-reported receipt of a mammogram within the past 2 years. The main independent variable was overall satisfaction with one's health-care relationship. Other variables included: self report of patient-provider communication, level of trust in providers, primary language, country of origin, discrimination experiences, and perceptions of racism.RESULTS: Forty-three percent of women reported very high satisfaction in their health-care relationships. Women with high trust in providers and those who did not experience discrimination were more satisfied with their health-care relationships compared to women with lower trust and who experienced discrimination (p<.01). Satisfaction with the health-care relationship was, in turn, significantly associated with mammography adherence (OR: 3.34, 95% CI: 1.47-7.58), controlling for other factors.CONCLUSIONS: Understanding the factors that impact Latinas' mammography adherence may inform intervention strategies. Efforts to improve Latina's satisfaction with physicians by building trust may lead to increased use of necessary mammography.

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Section: Discussionmentioning

confidence: 55%

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

Sheppard

Wang

et al. 2008

J GEN INTERN MED

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“…Thus, our findings are similar to those in previous studies reporting that physician recommendation, acculturation and length of stay in the United States, and barriers to mammography were significantly associated with screening behavior. 16,25,37,[77][78][79][80][81][82][83][84] Self-efficacy is a key variable in the Health Belief Model (HBM). Interestingly, self-efficacy was significant in distinguishing between women who had never had a mammogram and those who had had at least one but was not a predictor for adherence to screening guidelines.…”

Section: Discussionmentioning

confidence: 99%

Breast Cancer Screening Practices Among First-Generation Immigrant Muslim Women

Hasnain

Menon

Ferrans

et al. 2014

Journal of Women's Health

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Background: The purpose of this study was to identify beliefs about breast cancer, screening practices, and factors associated with mammography use among first-generation immigrant Muslim women in Chicago, IL. Methods: A convenience sample of 207 first-generation immigrant Muslim women (Middle Eastern 51%; South Asian 49%) completed a culturally adapted questionnaire developed from established instruments. The questionnaire was administered in Urdu, Hindi, Arabic, or English, based on participant preference. Internalconsistency reliability was demonstrated for all scales (alpha coefficients ranged from 0.64 to 0.91). Associations between enabling, predisposing, and need variables and the primary outcome of mammography use were explored by fitting logistic regression models. Results: Although 70% of the women reported having had a mammogram at least once, only 52% had had one within the past 2 years. Four factors were significant predictors of ever having had a mammogram: years in the United States, self-efficacy, perceived importance of mammography, and intent to be screened. Five factors were significant predictors of adherence (having had a mammogram in the past 2 years): years in the United States, having a primary care provider, perceived importance of mammography, barriers, and intent to be screened. Conclusions: This article sheds light on current screening practices and identifies theory-based constructs that facilitate and hinder Muslim women's participation in mammography screening. Our findings provide insights for reaching out particularly to new immigrants, developing patient education programs grounded in culturally appropriate approaches to address perceived barriers and building women's self-efficacy, as well as systemslevel considerations for ensuring access to primary care providers.

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“…14,62,63 Somewhat surprisingly, however, Dominican women also screened at equivalent rates, 64 a result that is inconsistent with some previous research. 30,65,66 The rates of the remaining immigrant groups-two of African descent and one of European descent-had odds ratios that differed significantly from the European-American comparison group. Before the entry of the cognitive and socioemotional variables, women from the English-speaking territories of the Caribbean, women from Haiti, and women from Eastern Europe were 55-74% less likely to be screened regularly compared with U.S.-born European Americans.…”

Section: Discussionmentioning

confidence: 99%

Diversity matters: Unique populations of women and breast cancer screening

Magai

Consedine

Conway

et al. 2004

Cancer

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BACKGROUND. Ethnic differences in breast cancer screening behaviors are well established. However, there is a lack of understanding regarding exactly what causes these differences and which characteristics in low-screening populations should be targeted in an effort to modify screening behavior. METHODS.Stratified cluster sampling was used to recruit 1364 women (ages 50 -70 years) from 6 ethnic groups: African-American women; U.S.-born white women;English-speaking Caribbean, Haitian, and Dominican women; and immigrant Eastern-European women. In interviews, respondents provided information concerning demographic and structural variables related to mammogram utilization (age, education, income, marital status, physician recommendation, access, and insurance) and a set of cognitive variables (fatalism, perception of personal risk, health beliefs concerning cancer) and socioemotional variables (stress, cancer worry, embarrassment, and pain). RESULTS.For data analysis, the authors used a 2-step logistic regression with frequency of mammograms over a 10-year period (Յ 4 mammograms over 10 years or Ն 5 mammograms over 10 years) as a dependent variable. U.S.-born AfricanAmerican women and Dominican women were screened as frequently as European-American women, but the remaining minority groups were screened with less frequency. With one exception, ethnicity ceased to predict screening frequency once cognitive and emotional variables were controlled. CONCLUSIONS.Although women from clearly operationalized ethnic groups continue to screen at rates substantially below those of the majority groups, these differences appear to be explained substantially by differences in psychologic variables. This is encouraging because, rather than targeting culture for interven- B reast cancer is the second most common malignancy in women. 1 Although there has been some recent controversy, 2 a number of studies and reviews have shown that mammography reduces mortality, 3,4 and several authors have argued that early detection and screening represent our best means for decreasing breast cancer mortality. [5][6][7] Across the last 2 decades, a large body of descriptive research has documented the background factors that are believed to act barriers to, and facilitators of, mammography. In general, greater age, 8 -13 lower income and education, 14 -16 single marital status, 10 the absence of insurance, 17 and lack of physician recommendation 6,18 -20 all were reported to be predictive of poorer mammography utilization. Minority women also are less likely to have regular mammograms, a finding that is attributed commonly to lower education and income. What is of interest, however, is that ethnic differences in screening behavior persist even when variables such as socioeconomic status or education do not differ or are controlled statistically. 7,21,22 A growing number of screening studies also have examined an array of cognitive, attitudinal, and emotional factors that act as barriers to regular screening: patient perceptions of vulnerability,...

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

Cited by 151 publications

References 53 publications

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

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

Breast Cancer Screening Practices Among First-Generation Immigrant Muslim Women

Diversity matters: Unique populations of women and breast cancer screening

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