Journal of Immigrant and Minority Health
Volume 16, Issue 4, 2014, Pages 670-681

Health care access and breast cancer screening among Latinas along the California-Mexican border (Article)

Castañeda S.F.* , Malcarne V.L. , Foster-Fishman P.G. , Davidson W.S. , Mumman M.K. , Riley N. , Sadler G.R.
  • a Institute for Behavioral and Community Health, Graduate School of Public Health, San Diego State University, 9245 Sky Park Court, San Diego, CA 92123, United States
  • b SDSU/UCSD Joint Doctoral Program in Clinical Psychology, San Diego, CA, United States
  • c Department of Psychology, Michigan State University, East Lansing, MI, United States
  • d Department of Psychology, Michigan State University, East Lansing, MI, United States
  • e Institute for Behavioral and Community Health, Graduate School of Public Health, San Diego State University, 9245 Sky Park Court, San Diego, CA 92123, United States
  • f Vista Community Clinic, Vista, CA, United States
  • g Moores UCSD Cancer Center, University of California, San Diego, San Diego, CA, United States

Abstract

Latinas are more likely to exhibit late stage breast cancers at the time of diagnosis and have lower survival rates compared to white women. A contributing factor may be that Latinas have lower rates of mammography screening. This study was guided by the Behavioral Model of Health Services Use to examine factors associated with mammography screening utilization among middle-aged Latinas. An academic-community health center partnership collected data from community-based sample of 208 Latinas 40 years and older in the San Diego County who completed measures assessing psychosocial factors, health care access, and recent mammography screening. Results showed that 84.6 % had ever had a mammogram and 76.2 % of women had received a mammogram in the past 2 years. Characteristics associated with mammography screening adherence included a lower acculturation (OR 3.663) a recent physician visit in the past year (OR 6.304), and a greater confidence in filling out medical forms (OR 1.743), adjusting for covariates. Results demonstrate that an annual physical examination was the strongest predictor of recent breast cancer screening. Findings suggest that in this community, improving access to care among English-speaking Latinas and addressing health literacy issues are essential for promoting breast cancer screening utilization. © 2013 Springer Science+Business Media New York.

Author Keywords

Breast cancer Latinas Community-academic partnership research Health services utilization mammography screening

Index Keywords

demography human middle aged early cancer diagnosis Early Detection of Cancer ethnology Mexico Hispanic Americans diagnostic imaging Humans Breast Neoplasms Mammography Hispanic California breast tumor female adult utilization patient attitude Patient Acceptance of Health Care Health Services Accessibility health care delivery
Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-84904403753&doi=10.1007%2fs10903-013-9938-x&partnerID=40&md5=98462ae31da552321d8f122bb666fa97
DOI: 10.1007/s10903-013-9938-x
ISSN: 15571912
Cited by: 16
Original Language: English