Women's Health Issues
Volume 27, Issue 2, 2017, Pages 237-244

Predictors of Breast Cancer Worry in a Hispanic and Predominantly Immigrant Mammography Screening Population (Article)

April-Sanders A. , Oskar S. , Shelton R.C. , Schmitt K.M. , Desperito E. , Protacio A. , Tehranifar P.*
  • a Department of Epidemiology, Mailman School of Public Health, Columbia University, New York, United States
  • b Department of Epidemiology, Mailman School of Public Health, Columbia University, New York, United States
  • c Department of Sociomedical Sciences, Mailman School of Public Health, Columbia University, New York, United States
  • d Herbert Irving Comprehensive Cancer Center, Columbia University Medical Center, New York, United States, Division of Academics, School of Nursing, Columbia University, New York, United States, Avon Foundation Breast Imaging Center-New York Presbyterian, New York, United States
  • e Department of Radiology, Columbia University Medical Center-New York Presbyterian, New York, United States
  • f Department of Epidemiology, Mailman School of Public Health, Columbia University, New York, United States
  • g Department of Epidemiology, Mailman School of Public Health, Columbia University, New York, United States, Herbert Irving Comprehensive Cancer Center, Columbia University Medical Center, New York, United States

Abstract

Objective Worry about developing breast cancer (BC) has been associated with participation in screening and genetic testing and with follow-up of abnormal screening results. Little is known about the scope and predictors of BC worry in Hispanic and immigrant populations. Methods We collected in-person interview data from 250 self-identified Hispanic women recruited from an urban mammography facility (average age 50.4 years; 82% foreign-born). Women reported whether they worried about developing breast cancer rarely/never (low worry), sometimes (moderate worry), or often/all the time (high worry). We examined whether sociocultural and psychological factors (e.g., acculturation, education, perceived risk), and risk factors and objective risk for BC (e.g., family history, Gail model 5-year risk estimates, parity) predicted BC worry using multinomial and logistic regression. Results In multivariable models, women who perceived higher absolute BC risk (odds ratio, 1.66 [95% confidence interval, 1.28–2.14] for a one-unit increase in perceived lifetime risk) and comparative BC risk (e.g., odds ratio, 2.73, 95% confidence interval, 1.23–6.06) were more likely to report high BC worry than moderate or low BC worry. There were no associations between BC worry and indicators of objective risk or acculturation. Conclusions In Hispanic women undergoing screening mammography, higher perceptions of BC risk, in both absolute and comparative terms, were associated independently with high BC worry, and were stronger predictors of BC worry than indicators of objective BC risk, including family history, mammographic density, and personal BC risk estimates. © 2016 Jacobs Institute of Women's Health

Author Keywords

[No Keywords available]

Index Keywords

anxiety information seeking urban area educational status immigrant breast cancer risk human middle aged controlled study cancer risk cancer screening ethnology Hispanic Americans interview Humans Breast Neoplasms migrant Mammography Hispanic New York psychology Emigrants and Immigrants breast tumor female prediction Multivariate Analysis cultural factor Article adult New York City age correlational study parity family history patient worry health literacy attitude to health
Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-85006789807&doi=10.1016%2fj.whi.2016.10.003&partnerID=40&md5=79ea21bede7c0e2a5d34ce722d15927b
DOI: 10.1016/j.whi.2016.10.003
ISSN: 10493867
Cited by: 2
Original Language: English