Breast cancer screening in regional Hispanic populations

Ramirez, Amelie G.; Talavera, Greg; Villarreal, Roberto; Suarez, Lucina; McAlister, Alfred L.; Trapido, Edward; Pérez‐Stable, Eliseo J.; Martí, José

doi:10.1093/her/15.5.559

Cited by 57 publications

(38 citation statements)

References 18 publications

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“…69,76,[108][109][110] Similar to data presented here, research demonstrates that Latina women are underscreened and the extent of underscreening varies by specific ethnicity and U.S. region of residence. [111][112][113][114][115][116][117][118] Results vary of studies examining reasons for lower screening rates among Latinas. In New York City and California, when sociodemographic factors were controlled, the effect of ethnicity disappeared.…”

Section: Cancer Risk Factorsmentioning

confidence: 99%

Annual report to the nation on the status of cancer, 1975–2003, featuring cancer among U.S. Hispanic/Latino populations

Howe

Ries

et al. 2006

Cancer

372

280

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BACKGROUNDThe American Cancer Society, Centers for Disease Control and Prevention, National Cancer Institute, and North American Association of Central Cancer Registries collaborate annually to provide U.S. cancer information, this year featuring the first comprehensive compilation of cancer information for U.S. Latinos.METHODSCancer incidence was obtained from 90% of the Hispanic/Latino and 82% of the U.S. populations. Cancer deaths were obtained for the entire U.S. population. Cancer screening, risk factor, incidence, and mortality data were compiled for Latino and non‐Latino adults and children (incidence only). Long‐term (1975–2003) and fixed‐interval (1995–2003) trends and comparative analyses by disease stage, urbanicity, and area poverty were evaluated.RESULTSThe long‐term trend in overall cancer death rates, declining since the early 1990s, continued through 2003 for all races and both sexes combined. However, female lung cancer incidence rates increased from 1975 to 2003, decelerating since 1991 and breast cancer incidence rates stabilized from 2001 to 2003. Latinos had lower incidence rates in 1999–2003 for most cancers, but higher rates for stomach, liver, cervix, and myeloma (females) than did non‐Latino white populations. Latino children have higher incidence of leukemia, retinoblastoma, osteosarcoma, and germ‐cell tumors than do non‐Latino white children. For several common cancers, Latinos were less likely than non‐Latinos to be diagnosed at localized stages.CONCLUSIONSThe lower cancer rates observed in Latino immigrants could be sustained by maintenance of healthy behaviors. Some infection‐related cancers in Latinos could be controlled by evidence‐based interventions. Affordable, culturally sensitive, linguistically appropriate, and timely access to cancer information, prevention, screening, and treatment are important in Latino outreach and community networks. Cancer 2006. Published 2006 by the American Cancer Society.

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Section: Cancer Risk Factorsmentioning

confidence: 99%

Annual report to the nation on the status of cancer, 1975–2003, featuring cancer among U.S. Hispanic/Latino populations

Howe

Ries

et al. 2006

Cancer

372

280

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“…A study investigating the predictors of mammography utilization among urban Latinas in Massachusetts revealed that higher fatalismo was strongly associated with a lower probability of screening [21]. Ramirez et al [22] found that Mexican-Americans and Puerto Ricans had more negative or fatalistic attitudes towards breast and cervical cancer screening than do other Latino communities.…”

Section: Introductionmentioning

confidence: 99%

Mexican Immigrant Male Knowledge and Support Toward Breast and Cervical Cancer Screening

Bocanegra

Trinh‐Shevrin

Herrera

et al. 2008

J Immigrant Minority Health

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“…Previous studies suggest that Latinas face added challenges in gaining access to needed preventive health services compared with nonLatina whites because they are less educated, [7][8][9] have lower incomes, [7][8][9] have lower rates of health insurance coverage, [9][10][11][12][13][14] and have limited English profi ciency. 15 Studies that examined utilization of cancer screening services by nativity suggest that immigrants are less likely to receive a Papanicolaou LATINAS AND CANCER SCREENING (Pap) smear. 16,17 Other studies, however, either suggest that birthplace is not a signifi cant predictor of cancer screening utilization [18][19][20] or that foreign-born status increases the chances of cancer screening utilization.…”

mentioning

confidence: 99%

Breast and Cervical Cancer Screening: Impact of Health Insurance Status, Ethnicity, and Nativity of Latinas

Rodríguez

Ward²,

Pérez‐Stable

2005

The Annals of Family Medicine

174

154

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PURPOSE Although rates of cancer screening for Latinas are lower than for nonLatina whites, little is known about how insurance status, ethnicity, and nativity interact to infl uence these disparities. Using a large statewide database, our study examined the relationship between breast and cervical cancer screening rates and socioeconomic and health insurance status among foreign-born Latinas, US-born Latinas, and non-Latina whites in California.METHODS Data from the1998 California Women's Health Survey (CWHS) were analyzed (n = 3,340) using multiple logistic regression models. Utilization rates of mammography, clinical breast examinations, and Papanicolaou (Pap) smear screening among foreign-born Latinas, US-born Latinas, and non-Latina whites were the outcome measures.RESULTS Foreign-born Latinas had the highest rates of never receiving mammography, clinical breast examinations, and Pap smears (21%, 24%, 9%, respectively) compared with US-born Latinas (12%, 11%, 7%, respectively) and non-Latina whites (9%, 5%, 2%, respectively). After controlling for socioeconomic factors, foreign-born Latinas were more likely to report mammography use in the previous 2 years and Pap smear in the previous 3 years than non-Latina whites. Lack of health insurance coverage was the strongest independent predictor of low utilization rates for mammography (odds ratio [OR] = 2.05; 95% confi dence interval [CI], 1.53-2.76), clinical breast examinations (OR = 2.29; 95% CI, 1.80-2.90) and Pap smears (OR = 2.89; 95% CI, 2.17-3.85.) CONCLUSIONS Breast and cervical cancer screening rates vary by ethnicity and nativity, with foreign-born Latinas experiencing the highest rates of never being screened. After accounting for socioeconomic factors, differences by ethnicity and nativity are reversed or eliminated. Lack of health insurance coverage remains the strongest predictor of cancer screening underutilization.

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Breast cancer screening in regional Hispanic populations

Cited by 57 publications

References 18 publications

Annual report to the nation on the status of cancer, 1975–2003, featuring cancer among U.S. Hispanic/Latino populations

Annual report to the nation on the status of cancer, 1975–2003, featuring cancer among U.S. Hispanic/Latino populations

Mexican Immigrant Male Knowledge and Support Toward Breast and Cervical Cancer Screening

Breast and Cervical Cancer Screening: Impact of Health Insurance Status, Ethnicity, and Nativity of Latinas

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