Barriers for Compliance to Breast, Colorectal, and Cervical Screening Cancer Tests among Hispanic Patients

Miranda-Diaz, Christine; Betancourt, Elba; Ruiz-Candelaria, Yelitza; Hunter-Mellado, Robert F.

doi:10.3390/ijerph13010021

Cited by 32 publications

(19 citation statements)

References 10 publications

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“…Moreover, they are at higher risk of infection-related cancers such as stomach and liver ( 16 ). Determinants of health that contribute to this disparity include low rate of medical insurance coverage ( 17 , 18 ), lack of knowledge about services ( 19 ), scarce availability and access to genetic counseling ( 20 ), limited access to and use of cancer screening programs ( 9 , 21 , 22 ), poverty, neighborhood socioeconomic status, ( 23 , 24 ) and other complex sociocultural and geographic factors, such as living in an ethnic enclave ( 25 – 27 ). Distinct from non-Hispanic whites, Siegel et al ( 28 ) reported cancer as the leading cause of death for Hispanics, surpassing heart disease ( 28 ).…”

Section: Introductionmentioning

confidence: 99%

Unpacking Hispanic Ethnicity—Cancer Mortality Differentials Among Hispanic Subgroups in the United States, 2004–2014

Tyson

Medina-Ramírez

Flores

et al. 2018

Front. Public Health

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Introduction: National data on the epidemiology of cancer are commonly reported by broad racial/ethnic categories, such as “Hispanic.” However, few studies have disaggregated Hispanic groups and explored mortality differentials in this heterogeneous population. This paper aims to further examine cancer mortality differentials among Hispanic subgroups in the U.S.Materials and Methods: The study examined cancer deaths in the United States from 2004 to 2014 among decedents classified as Mexican, Puerto Rican, Cuban, Dominican, Central/South American and non-Hispanic white on the death certificate among those who were 20 years or older at the time of death. Data were obtained from the National Vital Statistics System. Sex-specific age-adjusted mortality rates were computed for a 10-year period and each individual year, for all cancers combined. Differences by age group, cancer sites, and age distribution were also assessed.Results: A total of 296,486 Hispanic cancer deaths were identified. Mortality rates of the Hispanic subgroups compare favorably with those of non-Hispanic whites. The mortality rates for Mexicans are very similar to those of all Hispanics combined, whereas the rates for Cuban and Puerto Ricans are higher. Dominicans and Central/South Americans had the overall lowest mortality rates. Statistically significant decreases in cancer mortality rates were noted in some sub-groups, but rates increased among Dominican women. Age-adjusted mortality rates by cancer site varied among Hispanics subgroups and gender. Among Cubans, only 5% of cancer deaths occurred before the age of 50 compared to 16% of cancer deaths among Central/South American.Conclusion: While it is common to present data on the burden of cancer among Hispanics as an aggregate group, this study illustrates that the burden of cancer varies by Hispanic subgroups. The disaggregation of Hispanics by ancestry/country of origin allows for a clearer understanding of the health status of this growing population and is needed if health disparities are to be adequately identified, understood and addressed.

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Section: Introductionmentioning

confidence: 99%

Unpacking Hispanic Ethnicity—Cancer Mortality Differentials Among Hispanic Subgroups in the United States, 2004–2014

Tyson

Medina-Ramírez

Flores

et al. 2018

Front. Public Health

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“…And yet, a number of barriers to cancer screening have been identified, including cost, fear, trust, time and lack of knowledge [10–13]. These barriers have been highlighted as a major contributor to the lower cancer screening rates for Latinas and Black/African American women [14–16], and higher mortality rates for certain cancers, including breast and colon, among Black/African American women [17] and cervical among Latinas [18]. …”

Section: Introductionmentioning

confidence: 99%

Latina and Black/African American Women’s Perspectives on Cancer Screening and Cancer Screening Reminders

Brandzel

Chang

Tuzzio

et al. 2016

J. Racial and Ethnic Health Disparities

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Introduction Racial and ethnic disparities continue to exist in cancer screening rates, especially among U.S. Latina and Black/African American populations. We conducted six focus groups among 41 women from these communities in order to better understand their preferences about cancer screening reminders and the motivators and deterrents they face in obtaining recommended breast, cervical and colon cancer screening. Methods Using self-reported patient race/ethnicity from electronic medical records of a large, integrated health care system in Seattle, we recruited women ages 30–60 to participate in one of five two-hour focus groups. Using verbatim transcripts from these discussions, we conducted a qualitative analysis to identify common themes. Results The focus group participants were primarily strong endorsers and utilizers of recommended breast, cervical and colon cancer screening services. Insurance and belief in preventive care were the most common motivators that they cited in obtaining cancer screening. However, they still reported multiple barriers to getting recommended cancer screening for themselves and community members, including lack of time, conflicting information about screening intervals, distrust in the health care system, and a lack of understanding of the benefits of preventive care. Conclusions Efforts to improve understanding about the benefits of cancer screening, clarify cancer screening guideline recommendations, increase cultural competency among health care professionals, and expand the times and locations where cancer screening is available are all options that may improve cancer screening rates among Latinas and Black/African American women.

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“… 14 Similarly, others note that the main reason why many Hispanic women avoid mammography is because of fear, busy schedules, and also feeling uncomfortable during the screening procedure. 15 In contrast, various studies have indicated that fear can motivate routine screening for cancer and that worry about breast cancer risk appears to be associated with mammography use in an inverted u-shaped pattern in which most of the women who reported moderate levels of worry were more likely to use mammography annually than those who were either mildly or severely worried. 16 Another study revealed that self-regulation and cancer worry were both positively associated with mammography screening and clinical breast examination frequency.…”

Section: Introductionmentioning

confidence: 99%

Breast Cancer Fear Among Mexican American Women in the United States

Flores-Luevano

Shokar

Dwivedi

et al. 2020

Breast Cancer�(Auckl)

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Introduction: Fear has been described as potentially important in affecting breast cancer screening completion. Limited information is available on the prevalence and determinants of fear among Mexican American women. This study describes perceived breast cancer fear and its association with personal characteristics and screening behavior among Mexican American women. Methods: This is a secondary analysis of data collected during the implementation of the Breast Cancer Education, Screening and NavigaTion program among eligible uninsured women in two Texas border counties. Participants completed a 26-item survey to assess eligibility, risk status, prior screening, and breast cancer fear. Descriptive statistics and multivariable analyses were used to determine associations between the fear score, personal characteristics, and mammography screening. Results: In all, 1916 of 2012 eligible women completed the study. The mean age was 57.3 years, 99.2% were Hispanic, and 88% were born in Mexico; 15% had a family history of breast cancer and 14% had never had a mammogram. The mean breast cancer fear score was 25.5 (standard deviation: 10.52; range: 8-40); 54.0 % (95% confidence interval: 52.1%-56.7%) had a high fear level. In multivariable analyses, better health status ( P < .001), older age ( P = .039), birth in the United States ( P = .020), and having a regular doctor ( P = .056) were associated with lower fear scores. There was no association between breast cancer fear and mammography screening. Conclusion: Breast cancer fear is high and varies by personal characteristics and health status among uninsured Mexican American border-residing women due for screening, but is not associated with screening behavior. Further research is needed to clarify the effect of interventions designed to help reduce breast cancer fear among these women, including educational interventions to reduce breast cancer fear.

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Barriers for Compliance to Breast, Colorectal, and Cervical Screening Cancer Tests among Hispanic Patients

Cited by 32 publications

References 10 publications

Unpacking Hispanic Ethnicity—Cancer Mortality Differentials Among Hispanic Subgroups in the United States, 2004–2014

Unpacking Hispanic Ethnicity—Cancer Mortality Differentials Among Hispanic Subgroups in the United States, 2004–2014

Latina and Black/African American Women’s Perspectives on Cancer Screening and Cancer Screening Reminders

Breast Cancer Fear Among Mexican American Women in the United States

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