Use of Cancer Screening Practices by Hispanic Women: Analyses by Subgroup

Jackson Heart Study, Jackson State University, Jackson, Mississippi, 39216-4506
Preventive Medicine (Impact Factor: 2.93). 01/2000; 29(6):466-477. DOI: 10.1006/pmed.1999.0566
Source: PubMed

ABSTRACT Objectives. This study compares the use of three cancer screening practices (Pap smear, mammogram, and clinical breast examination) 3 years prior to interview among five subgroups of Hispanic women, and examines whether sociodemographic; access; health behavior, perception, and knowledge; and acculturation factors predict screening practices for any subgroup.Methods. Descriptive and multiple logistic regression analyses were conducted with data pooled from the 1990 and 1992 National Health Interview Surveys on women who reported that they were Hispanic. The study sample includes 2,391 respondents: 668 Mexican-American, 537 Mexican, 332 Puerto Rican, 143 Cuban, and 711 other Hispanic women.Results. Subgroup profiles reveal differences in education, health insurance, use of English language, and screening use. Mexican women were the least likely to be screened with any procedure. Logistic regression results for each screening practice show that having a usual source of care was a positive predictor for obtaining each of the three screening practices within the last 3 years. Being married, being more than 50 years of age, and having knowledge of breast self-examination were all predictors of having a Pap smear. Having health insurance and ever having had a clinical breast examination and Pap smear were predictors of having a mammography, while age, knowledge of breast self-examination, ever having had a Pap smear and mammogram, and being a nonsmoker all predicted having a clinical breast examination.Conclusions. We conclude that access factors and prior screening are more strongly associated with current screening than are language and ethnic factors. Our data confirm that a disproportionate percentage of Hispanic women are low income and at risk of being underscreened. Our findings from a nationally representative sample of Hispanics have implications for provider practices, ethnic-specific community interventions, and future development of measures and data collection approaches.

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Available from: Ruth E Zambrana, Aug 18, 2015
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    • "Rarely are ethnic/racial groups disaggregated in studies that allow adequate examination of national trends in healthcare practices. The practice of inappropriate aggregation is carried forward into national healthcare reports and " masks " within-Latino disparities in healthcare (Bustamante et al., 2010; Gonzalez et al., 2010; Miranda et al., 2011a; Zambrana et al., 1999). Consequently, national healthcare policies set goals for reducing disparities in healthcare that have missed important healthcare parity targets among the most vulnerable populations. "
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    • "Physicians play a key role in informing women of the benefits of screening (O'Malley , 2001) . Similar results were observed in previous evidence (Zambrana et al , 1999). The respect for authority is an important characteristic of Hispanic culture. "
    Topics on Cervical Cancer With an Advocacy for Prevention, 03/2012; , ISBN: 978-953-51-0183-3
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    • "Once information on the 4 P's is collected, it is used to determine whether the audience should be segmented based on Hispanic ethnicity, or if another characteristic (e.g., acculturation, perception of family risk, or fatalistic beliefs) is more salient in determining various audience segments. While the currently available information supports the idea that educational interventions based on ethnicity and/or cultural relevance will be most effective (Glanz 2003; Vadaparampil 2003; Zambrana et al. 1999), other factors such as knowledge and attitudes may also serve as the basis for segmenting the Hispanic population so that the appropriate mix of the 4 P's is designed for each. "
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