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01-12-2008 | Original Paper

Perceived risk of breast cancer among Latinas attending community clinics: risk comprehension and relationship with mammography adherence

Authors: Kristi D. Graves, Elmer Huerta, Jennifer Cullen, Elizabeth Kaufman, Vanessa Sheppard, George Luta, Claudine Isaacs, Marc D. Schwartz, Jeanne Mandelblatt

Published in: Cancer Causes & Control | Issue 10/2008

Abstract

Objective

To describe breast cancer risk perceptions, determine risk comprehension, and evaluate mammography adherence among Latinas.

Methods

Latina women age ≥35, primarily from Central and South America, were recruited from community-based clinics to complete in-person interviews (n = 450). Risk comprehension was calculated as the difference between numeric perceived risk and Gail risk score. Based on recommended guidelines from the year data were collected (2002), mammography adherence was defined as having a mammogram every one to two years for women ≥40 years of age.

Results

Breast cancer risk comprehension was low, as 81% of women overestimated their risk and only 6.9% of women were high risk based on Gail risk scores. Greater cancer worry and younger age were significantly associated with greater perceived risk and risk overestimation. Of women age eligible for mammography (n = 328), 29.0% were non-adherent to screening guidelines. Adherence was associated with older age, (OR = 2.99, 95% CI = 1.76–5.09), having insurance (OR = 1.81, 95% CI = 1.03–3.17), greater acculturation (OR = 1.18, 95% CI = 1.02–1.36), and higher breast cancer knowledge (OR = 2.03, 95% CI = 1.21–3.40).

Conclusions

While most Latinas over-estimated their breast cancer risk, older age, having insurance, being more acculturated, and having greater knowledge were associated with greater screening adherence in this Latino population. Perceived risk, risk comprehension, and cancer worry were not associated with adherence. In Latinas, screening interventions should emphasize knowledge and target education efforts at younger, uninsured, and less acculturated mammography-eligible women.

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Title: Perceived risk of breast cancer among Latinas attending community clinics: risk comprehension and relationship with mammography adherence
Authors: Kristi D. Graves
Elmer Huerta
Jennifer Cullen
Elizabeth Kaufman
Vanessa Sheppard
George Luta
Claudine Isaacs
Marc D. Schwartz
Jeanne Mandelblatt
Publication date: 01-12-2008
Publisher: Springer Netherlands
Published in: Cancer Causes & Control / Issue 10/2008
Print ISSN: 0957-5243
Electronic ISSN: 1573-7225
DOI: https://doi.org/10.1007/s10552-008-9209-7

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