Journal of Health Care for the Poor and Underserved
Volume 7, Issue 4, 1996, Pages 338-354

Cancer-screening determinants among Hispanic women using migrant health clinics (Article)

Skaer T.L.* , Robison L.M. , Sclar D.A. , Harding G.H.
  • a Washington State University, Department of Pharmacy Practice, College of Pharmacy, Washington State University, Pullman, WA 99164, United States
  • b Washington State University, College of Pharmacy, Washington State University, Pullman, WA 99164, United States
  • c Washington State University, Dept. of Hlth. Plcy. and Admin., College of Pharmacy, Washington State University, Pullman, WA 99164, United States
  • d Loma Linda University, SAC Health System, Loma Linda University, School of Public Health, Loma Linda, CA, United States

Abstract

This study was designed to identify determinants of breast and cervical cancer screening among rural, low-income Hispanic women using migrant health clinics in eastern Washington state. Five hundred and twelve foreign-born Hispanic women were interviewed. Odds ratios and 95 percent confidence intervals generated via logistic regression analysis were used to discern the influence of independent factors on use or nonuse of Papanicolaou (Pap) smear, breast self-examination (BSE), and mammography. Being married, having a higher income, more years of education, and longer U.S. residency predicted receipt of Pap smear. Women who performed BSE had higher incomes and were more likely to have been taught how to perform the procedure. Low concern for direct expenditure and increasing years of U.S. residency predicted receipt of mammogram. On the basis of these findings, implications for developing cancer-screening interventions using inreach and outreach strategies to target this high-risk subgroup are discussed.

Author Keywords

Pap smear Hispanic mammography Low income Breast self-examination Migrant health clinic migrant rural

Index Keywords

multicenter study mass screening clinical trial risk human middle aged Odds Ratio statistics Logistic Models Washington Hispanic Americans United States Humans Breast Neoplasms Hispanic breast tumor female Health Knowledge, Attitudes, Practice Article adult Uterine Cervical Neoplasms uterine cervix tumor statistical model attitude to health rural health care Health Services Accessibility health care delivery Rural Health Services
Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-0030292665&doi=10.1353%2fhpu.2010.0465&partnerID=40&md5=903f73acdfdbfa1503b59bbb9a466e53
DOI: 10.1353/hpu.2010.0465
ISSN: 10492089
Cited by: 45
Original Language: English