Sociocultural determinants of breast and cervical cancer screening adherence: an examination of variation among immigrant Latinas by country of origin.

Publisher: Johns Hopkins University Press Country of Publication: United States NLM ID: 9103800 Publication Model: Print Cited Medium: Internet ISSN: 1548-6869 (Electronic) Linking ISSN: 10492089 NLM ISO Abbreviation: J Health Care Poor Underserved Subsets: MEDLINE

Publication: 2004- : Baltimore, MD : Johns Hopkins University Press
Original Publication: Nashville, TN : Institute on Health Care for the Poor and Underserved, Meharry Medical College, c1990-

Breast Neoplasms/*diagnosis ; Early Detection of Cancer/*statistics & numerical data ; Emigrants and Immigrants/*statistics & numerical data ; Hispanic or Latino/*statistics & numerical data ; Patient Compliance/*ethnology ; Uterine Cervical Neoplasms/*diagnosis; Adult ; Arkansas/epidemiology ; Breast Neoplasms/ethnology ; Emigrants and Immigrants/psychology ; Female ; Hispanic or Latino/psychology ; Humans ; New York/epidemiology ; Patient Compliance/statistics & numerical data ; Socioeconomic Factors ; Uterine Cervical Neoplasms/ethnology ; Young Adult

This paper seeks to examine differences in sociodemographic characteristics and culturally-relevant psychosocial and interpersonal factors across four sub-groups of immigrant Latinas, and how these factors are associated with adherence to age-specific breast and cervical cancer screening. Data come from a baseline survey using an electronic audience response system from a randomized controlled trial to test the effectiveness of a cancer screening program in New York and Arkansas (n=1,548). Mexican women were least likely to be adherent to cancer screening tests (clinical breast exam, mammogram, or Pap test). Mexican women also differed from the other sub-groups in terms of sociodemographics, barriers, and interactions within the health care system. Correlates of screening adherence differed by country of origin, with the exception of spouse/partner attendance at the program, which was negatively associated with adherence across several sub-groups. Findings provide important information about Latina sub-group variability that can help inform the development of breast and cervical cancer screening interventions.

Date Created: 20130524 Date Completed: 20140219 Latest Revision: 20220317

20221213

10.1353/hpu.2012.0191

23698689