The role of physician involvement in Latinas' mammography screening adherence

Womens Health Issues. Mar-Apr 2011;21(2):165-70. doi: 10.1016/j.whi.2010.09.001. Epub 2011 Jan 13.


Background: Disparities in breast cancer (BC) screening continue to affect Latinas significantly, but the factors that explain these disparities remain unclear.

Objective: The objective of this study was to investigate whether physician's instruction on breast examination and mammography recommendations predicted Latinas' adherence to mammography screening above and beyond other influential variables.

Methods: A cross-sectional, descriptive design was utilized. Convenience and snowball sampling techniques were followed to recruit 344 Latinas aged 41 years and older from predominantly Latino neighborhoods in Denver, Colorado.

Main outcome measures: Latinas' adherence to mammography screening recommendations by the American Cancer Society.

Results: Characteristics that were significantly associated with mammography adherence were age, Pap smear adherence, physician's breast examination instructions, and physician's mammography recommendations.

Conclusion: The study provides evidence that the BC screening disparities that significantly affect Latinas can be addressed by increasing physician's involvement through BC screening instruction and referral.

Publication types

  • Research Support, N.I.H., Extramural

MeSH terms

  • Adult
  • Aged
  • Breast Neoplasms / diagnostic imaging*
  • Breast Neoplasms / ethnology*
  • Breast Neoplasms / prevention & control
  • Colorado
  • Cross-Sectional Studies
  • Early Detection of Cancer
  • Female
  • Health Behavior / ethnology
  • Healthcare Disparities
  • Hispanic Americans / statistics & numerical data*
  • Humans
  • Logistic Models
  • Mammography / psychology
  • Mammography / statistics & numerical data*
  • Mass Screening / statistics & numerical data
  • Middle Aged
  • Patient Acceptance of Health Care / ethnology*
  • Patient Compliance / ethnology*
  • Physician's Role*
  • Socioeconomic Factors
  • Surveys and Questionnaires