Journal of Health Care for the Poor and Underserved
Volume 23, Issue 4, 2012, Pages 1768-1792

Sociocultural determinants of breast and cervical cancer screening adherence: An examination of variation among immigrant latinas by country of origin (Article)

Shelton R.C. , Jandorf L. , Thelemaque L. , King S. , Erwin D.O.
  • a Columbia University, Mailman School of Public Health, Department of Sociomedical Sciences, United States
  • b Mount Sinai School of Medicine, Department of Oncological Sciences, United States
  • c Mount Sinai School of Medicine, Department of Oncological Sciences, United States
  • d Columbia University, Mailman School of Public Health, Department of Sociomedical Sciences, United States
  • e Roswell Park Cancer Institute, Department of Cancer Prevention and Population Sciences, United States

Abstract

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. © Meharry Medical College.

Author Keywords

Diversity breast cancer screening Cervical cancer screening Latinas Hispanics

Index Keywords

psychological aspect human statistics Early Detection of Cancer ethnology Arkansas Hispanic Americans United States Young Adult Humans Breast Neoplasms New York Hispanic Emigrants and Immigrants breast tumor female Socioeconomic Factors socioeconomics Article patient compliance adult migration Uterine Cervical Neoplasms uterine cervix tumor early diagnosis
Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-84871323355&doi=10.1353%2fhpu.2012.0191&partnerID=40&md5=6f5333d955a34521f08200691e1a2669
DOI: 10.1353/hpu.2012.0191
ISSN: 10492089
Cited by: 13
Original Language: English