Skip to main content
Top
Published in: Journal of Immigrant and Minority Health 5/2021

01-10-2021 | Breast Cancer | Original Paper

Mammography Screening Among Latinas: Does Gender and Ethnic Patient-Physician Concordance Matter?

Authors: Sonia Mendoza-Grey, Jose Ramos-Muniz, Adria N. Armbrister, Ana F. Abraído-Lanza

Published in: Journal of Immigrant and Minority Health | Issue 5/2021

Login to get access

Abstract

Breast cancer is the most commonly diagnosed cancer among Latinas. Dominican women in particular have a higher lifetime risk of breast cancer than do other Latinas in the U.S. This study examines how gender, ethnic, and language concordance between providers and patients are associated with recent mammography screening for Latina immigrant women from the Dominican Republic. We conducted structured interviews, in Spanish, with 419 Dominican women aged 40 years or older living in New York City. Using bivariate analysis and logistic regressions, we tested whether patient-provider gender, ethnic, and language concordance was associated with recent mammography when controlling for demographic covariates, breast cancer screening knowledge, and self-rated health. Gender concordance predicted recent mammography after controlling for covariates (β = 0.13). Neither ethnic nor language concordance significantly predicted recent mammography. Our findings suggest that promotion of patient-provider gender concordance may help reduce health disparities among Latinos/as and other minority groups across the United States.
Footnotes
1
Defined as “risk from age at interview to the hypothetical age that a woman would attain if she survived to age 90 years” (Banegas et al. [3]).
 
Literature
1.
go back to reference American Cancer Society. Cancer Facts and Figures for Hispanics/Latinos, 2018-2020. Atlanta, GA: American Cancer Society, 2018. Accessed March 19, 2020. American Cancer Society. Cancer Facts and Figures for Hispanics/Latinos, 2018-2020. Atlanta, GA: American Cancer Society, 2018. Accessed March 19, 2020.
8.
go back to reference Castañeda SF, Giacinto RE, Medeiros EA, Brongiel I, Cardona O, Perez P, Talavera GA. Academic-community partnership to develop a patient-centered breast cancer risk reduction program for latina primary care patients. J Racial Ethnic Health Disparit. 2016;3(2):189–99. https://doi.org/10.1007/s40615-015-0125-8.CrossRef Castañeda SF, Giacinto RE, Medeiros EA, Brongiel I, Cardona O, Perez P, Talavera GA. Academic-community partnership to develop a patient-centered breast cancer risk reduction program for latina primary care patients. J Racial Ethnic Health Disparit. 2016;3(2):189–99. https://​doi.​org/​10.​1007/​s40615-015-0125-8.CrossRef
11.
go back to reference Smith III, GH, & Scheid, TL. (2014). An application of the andersen model of health utilization to the understanding of the role of race-concordant doctor–patient relationships in reducing health disparities social determinants In: Kronenfeld’s ed, Health Disparities and Linkages to Health and Health Care. Emerald Group Publishing Limited; 2014:187–214. Smith III, GH, & Scheid, TL. (2014). An application of the andersen model of health utilization to the understanding of the role of race-concordant doctor–patient relationships in reducing health disparities social determinants In: Kronenfeld’s ed, Health Disparities and Linkages to Health and Health Care. Emerald Group Publishing Limited; 2014:187–214.
12.
go back to reference Oliver MN, Goodwin MA, Gotler RS, Gregory PM, Stange KC. Time use in clinical encounters: are African-American patients treated differently? J Natl Med Assoc. 2001;93(10):380–5.PubMedPubMedCentral Oliver MN, Goodwin MA, Gotler RS, Gregory PM, Stange KC. Time use in clinical encounters: are African-American patients treated differently? J Natl Med Assoc. 2001;93(10):380–5.PubMedPubMedCentral
18.
go back to reference Noe-Bustamante, L., Flores A., & Shah, S. Facts on Hispanics of Dominican origin in the United States, 2017. Washington, DC: Pew Research Center. Accessed November 11, 2020. Noe-Bustamante, L., Flores A., & Shah, S. Facts on Hispanics of Dominican origin in the United States, 2017. Washington, DC: Pew Research Center. Accessed November 11, 2020.
20.
go back to reference Abraído-Lanza AF, Martins MC, Shelton RC, Flórez KR. Breast cancer screening among Dominican Latinas: A closer look at fatalism and other social and cultural factors. Health education & behavior: the official publication of the Society for Public Health Education, 2015;42(5):633–41. https://doi.org/10.1177/1090198115580975. Abraído-Lanza AF, Martins MC, Shelton RC, Flórez KR. Breast cancer screening among Dominican Latinas: A closer look at fatalism and other social and cultural factors. Health education & behavior: the official publication of the Society for Public Health Education, 2015;42(5):633–41. https://​doi.​org/​10.​1177/​1090198115580975​.
21.
go back to reference Cuellar I, Bastida E, Braccio SM. Residency in the United States, subjective well-being, and depression in an older Mexican-origin sample. J Aging Health. 2004;16(4):447–66.CrossRef Cuellar I, Bastida E, Braccio SM. Residency in the United States, subjective well-being, and depression in an older Mexican-origin sample. J Aging Health. 2004;16(4):447–66.CrossRef
22.
go back to reference Chun KM, Organista BP, Marín G. Acculturation: Advances in Theory, Measurement and Applied Research. Washington, DC: American Psychological Association; 2003.CrossRef Chun KM, Organista BP, Marín G. Acculturation: Advances in Theory, Measurement and Applied Research. Washington, DC: American Psychological Association; 2003.CrossRef
23.
go back to reference Santos-Lozada, A.R., Martinez, M.J. Although self-rated health items have been previously criticized, especially in light of language differences that emerge in English-to-Spanish translations. 2018. Santos-Lozada, A.R., Martinez, M.J. Although self-rated health items have been previously criticized, especially in light of language differences that emerge in English-to-Spanish translations. 2018.
27.
go back to reference Stager JL. The comprehensive Breast Cancer Knowledge Test: validity and reliability. J Adv Nurs. 1993;18(7):1133–40.CrossRef Stager JL. The comprehensive Breast Cancer Knowledge Test: validity and reliability. J Adv Nurs. 1993;18(7):1133–40.CrossRef
33.
go back to reference Garcia RZ, Carvajal SC, Wilkinson AV, Thompson PA, Nodora JN, Komenaka IK, Brewster A, Cruz GI, Wertheim BC, Bondy ML, Martínez ME. Factors that influence mammography use and breast cancer detection among Mexican-American and African-American women. Cancer Causes & Control. 2012;23(1):165–73. https://doi.org/10.1007/s10552-011-9865-x.CrossRef Garcia RZ, Carvajal SC, Wilkinson AV, Thompson PA, Nodora JN, Komenaka IK, Brewster A, Cruz GI, Wertheim BC, Bondy ML, Martínez ME. Factors that influence mammography use and breast cancer detection among Mexican-American and African-American women. Cancer Causes & Control. 2012;23(1):165–73. https://​doi.​org/​10.​1007/​s10552-011-9865-x.CrossRef
40.
go back to reference Malat J. Social distance and patients’ rating of healthcare providers. J Health Soc Behav. 2001;42(4):360–72.CrossRef Malat J. Social distance and patients’ rating of healthcare providers. J Health Soc Behav. 2001;42(4):360–72.CrossRef
Metadata
Title
Mammography Screening Among Latinas: Does Gender and Ethnic Patient-Physician Concordance Matter?
Authors
Sonia Mendoza-Grey
Jose Ramos-Muniz
Adria N. Armbrister
Ana F. Abraído-Lanza
Publication date
01-10-2021
Publisher
Springer US
Published in
Journal of Immigrant and Minority Health / Issue 5/2021
Print ISSN: 1557-1912
Electronic ISSN: 1557-1920
DOI
https://doi.org/10.1007/s10903-021-01170-2

Other articles of this Issue 5/2021

Journal of Immigrant and Minority Health 5/2021 Go to the issue