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Use of cancer screening practices by Hispanic women: analyses by subgroup.
Prev Med. 1999 Dec; 29(6 Pt 1):466-77.PM

Abstract

OBJECTIVES

This study compares the use of three cancer screening practices (Pap smear, mammogram, and clinical breast examination) 3 years prior to interview among five subgroups of Hispanic women, and examines whether sociodemographic; access; health behavior, perception, and knowledge; and acculturation factors predict screening practices for any subgroup.

METHODS

Descriptive and multiple logistic regression analyses were conducted with data pooled from the 1990 and 1992 National Health Interview Surveys on women who reported that they were Hispanic. The study sample includes 2,391 respondents: 668 Mexican-American, 537 Mexican, 332 Puerto Rican, 143 Cuban, and 711 other Hispanic women.

RESULTS

Subgroup profiles reveal differences in education, health insurance, use of English language, and screening use. Mexican women were the least likely to be screened with any procedure. Logistic regression results for each screening practice show that having a usual source of care was a positive predictor for obtaining each of the three screening practices within the last 3 years. Being married, being more than 50 years of age, and having knowledge of breast self-examination were all predictors of having a Pap smear. Having health insurance and ever having had a clinical breast examination and Pap smear were predictors of having a mammography, while age, knowledge of breast self-examination, ever having had a Pap smear and mammogram, and being a nonsmoker all predicted having a clinical breast examination.

CONCLUSIONS

We conclude that access factors and prior screening are more strongly associated with current screening than are language and ethnic factors. Our data confirm that a disproportionate percentage of Hispanic women are low income and at risk of being underscreened. Our findings from a nationally representative sample of Hispanics have implications for provider practices, ethnic-specific community interventions, and future development of measures and data collection approaches.

Authors+Show Affiliations

Social Work Program, George Mason University, Fairfax, Virginia 22030, USA. rz23@umail.umd.eduNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

10600427

Citation

Zambrana, R E., et al. "Use of Cancer Screening Practices By Hispanic Women: Analyses By Subgroup." Preventive Medicine, vol. 29, no. 6 Pt 1, 1999, pp. 466-77.
Zambrana RE, Breen N, Fox SA, et al. Use of cancer screening practices by Hispanic women: analyses by subgroup. Prev Med. 1999;29(6 Pt 1):466-77.
Zambrana, R. E., Breen, N., Fox, S. A., & Gutierrez-Mohamed, M. L. (1999). Use of cancer screening practices by Hispanic women: analyses by subgroup. Preventive Medicine, 29(6 Pt 1), 466-77.
Zambrana RE, et al. Use of Cancer Screening Practices By Hispanic Women: Analyses By Subgroup. Prev Med. 1999;29(6 Pt 1):466-77. PubMed PMID: 10600427.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Use of cancer screening practices by Hispanic women: analyses by subgroup. AU - Zambrana,R E, AU - Breen,N, AU - Fox,S A, AU - Gutierrez-Mohamed,M L, PY - 1999/12/22/pubmed PY - 1999/12/22/medline PY - 1999/12/22/entrez SP - 466 EP - 77 JF - Preventive medicine JO - Prev Med VL - 29 IS - 6 Pt 1 N2 - OBJECTIVES: This study compares the use of three cancer screening practices (Pap smear, mammogram, and clinical breast examination) 3 years prior to interview among five subgroups of Hispanic women, and examines whether sociodemographic; access; health behavior, perception, and knowledge; and acculturation factors predict screening practices for any subgroup. METHODS: Descriptive and multiple logistic regression analyses were conducted with data pooled from the 1990 and 1992 National Health Interview Surveys on women who reported that they were Hispanic. The study sample includes 2,391 respondents: 668 Mexican-American, 537 Mexican, 332 Puerto Rican, 143 Cuban, and 711 other Hispanic women. RESULTS: Subgroup profiles reveal differences in education, health insurance, use of English language, and screening use. Mexican women were the least likely to be screened with any procedure. Logistic regression results for each screening practice show that having a usual source of care was a positive predictor for obtaining each of the three screening practices within the last 3 years. Being married, being more than 50 years of age, and having knowledge of breast self-examination were all predictors of having a Pap smear. Having health insurance and ever having had a clinical breast examination and Pap smear were predictors of having a mammography, while age, knowledge of breast self-examination, ever having had a Pap smear and mammogram, and being a nonsmoker all predicted having a clinical breast examination. CONCLUSIONS: We conclude that access factors and prior screening are more strongly associated with current screening than are language and ethnic factors. Our data confirm that a disproportionate percentage of Hispanic women are low income and at risk of being underscreened. Our findings from a nationally representative sample of Hispanics have implications for provider practices, ethnic-specific community interventions, and future development of measures and data collection approaches. SN - 0091-7435 UR - https://www.unboundmedicine.com/medline/citation/10600427/Use_of_cancer_screening_practices_by_Hispanic_women:_analyses_by_subgroup_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0091-7435(99)90566-2 DB - PRIME DP - Unbound Medicine ER -