Breast and cervical cancer screening among Latinas and non-Latina whites

Am J Public Health. 2004 Aug;94(8):1393-8. doi: 10.2105/ajph.94.8.1393.

Abstract

Objectives: We examined whether Latinas differ from non-Latinas in having undergone recent mammography, clinical breast examination, or Papanicolaou testing, as well as the contribution of sociodemographic and health care variables to screening.

Methods: We used data from the 1991 National Health Interview Survey Health Promotion and Disease Prevention supplement.

Results: Latinas were less likely than non-Latina Whites to have undergone mammography (odds ratio [OR] = 0.71; 95% confidence interval [CI] = 0.57, 0.88), but this difference was attenuated when we controlled for socioeconomic factors (OR = 0.90; 95% CI = 0.70, 1.15). Latinas did not differ from Whites on Papanicolaou tests or clinical breast examinations. Quality of and access to health care predicted screening.

Conclusions: Latina ethnicity does not predict breast and cervical cancer screening behavior independent of sociodemographic and structural factors.

Publication types

  • Comparative Study
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Adult
  • Breast Neoplasms / diagnosis*
  • Educational Status
  • European Continental Ancestry Group / education
  • European Continental Ancestry Group / ethnology*
  • Female
  • Health Care Surveys
  • Health Knowledge, Attitudes, Practice
  • Health Services Accessibility / standards
  • Hispanic Americans / education
  • Hispanic Americans / ethnology*
  • Humans
  • Mammography / psychology
  • Mammography / statistics & numerical data
  • Mass Screening* / psychology
  • Mass Screening* / statistics & numerical data
  • Middle Aged
  • Papanicolaou Test
  • Patient Acceptance of Health Care / ethnology*
  • Patient Acceptance of Health Care / statistics & numerical data
  • Physical Examination / psychology
  • Physical Examination / statistics & numerical data
  • Predictive Value of Tests
  • Socioeconomic Factors
  • Surveys and Questionnaires
  • United States
  • Uterine Cervical Neoplasms / diagnosis*
  • Vaginal Smears / psychology
  • Vaginal Smears / statistics & numerical data
  • Women / education
  • Women / psychology*