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Cancer Causes & Control
Published in: Cancer Causes & Control 1/2012

01-01-2012 | Original Paper

Factors that influence mammography use and breast cancer detection among Mexican-American and African-American women

Authors: Rachel Zenuk Garcia, Scott C. Carvajal, Anna V. Wilkinson, Patricia A. Thompson, Jesse N. Nodora, Ian K. Komenaka, Abenaa Brewster, Giovanna I. Cruz, Betsy C. Wertheim, Melissa L. Bondy, María Elena Martínez

Published in: Cancer Causes & Control | Issue 1/2012

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Abstract

Objective

This study examined factors that influence mammography use and breast cancer detection, including education, health insurance, and acculturation, among Mexican-American (MA) and African-American (AA) women.

Methods

The study included 670 breast cancer cases (388 MAs and 282 AAs), aged 40–86 years at diagnosis. Data on mammography use, detection, and delay in seeking care were collected via questionnaires and medical records. Using a language-based bidimensional acculturation measure, MAs were classified as English-dominant (n = 67), bilingual (n = 173), and Spanish-dominant (n = 148). Mammography prior to diagnosis was assessed by racial/ethnic acculturation subgroup using logistic regression.

Results

In age-adjusted models, mammography use was non-significantly lower among English-dominant (OR = 0.84; 95% CI: 0.45–1.59) and bilingual (OR = 0.86; 95% CI: 0.55–1.35) MAs and significantly lower among Spanish-dominant MAs (OR = 0.53; 95% CI: 0.34–0.83) than among AA women. After adjustment for education or insurance, there was no difference in mammography use by race/ethnicity and acculturation subgroup. Despite high self-reported mammography use (75%), a large proportion of cases reported self-detection (59%) and delay in seeking care >90 days (17%).

Conclusions

These findings favor promoting culturally appropriate messaging about the benefits and limitations of mammography, education about breast awareness, and prompt reporting of findings to a health professional.
Literature
1.
American Cancer S (2009) Cancer facts and figures for African Americans 2009–2010. American Cancer Society, Atlanta
2.
Chlebowski RT, Chen Z, Anderson GL et al (2005) Ethnicity and breast cancer: factors influencing differences in incidence and outcome. J Natl Cancer Inst 97:439PubMedCrossRef
3.
Smigal C, Jemal A, Ward E, Cokkinides V, Smith R, Howe HL, Thun M (2006) Trends in breast cancer by race, ethnicity: update 2006. CA Cancer J Clin 56(3):168PubMedCrossRef
4.
American Cancer S (2009) Cancer facts and figures for Hispanics/Latinos 2009–2011
5.
Gøtzcsche PC, Nielsen M (2009) Screening for breast cancer with mammography. Cochrane Database Syst Rev (4):CD001877
6.
Anderson TJ, Waller M, Ellis IO, Bobrow L, Moss S (2004) Influence of annual mammography from age 40 on breast cancer pathology. Hum Pathol 35:1252PubMedCrossRef
7.
Duffy SW, Agbaje O, Tabar L et al (2005) Overdiagnosis and overtreatment of breast cancer: estimates of overdiagnosis from two trials of mammographic screening for breast cancer. Breast Cancer Res 7:258PubMedCrossRef
8.
Elkin EB, Hudis C, Begg CB, Schrag D (2005) The effect of changes in tumor size on breast carcinoma survival in the United States: 1975–1999. Cancer 104(6):1149PubMedCrossRef
9.
Swedish Organized Service Screening Evaluation G (2007) Effect of mammographic service screening on stage at presentation of breast cancers in Sweden. Cancer 109:2205
10.
Bird Y, Moraros J, Banegas MP, King S, Prapasiri S, Thompson B (2010) Breast cancer knowledge and early detection among Hispanic women with a family history of breast cancer along the U.S.-Mexico border. J Health Care Poor Underserved 21(2):475–488
11.
Swan J, Breen N, Coates RJ (2003) Progress in cancer screening practices in the United States: results from the 2000 National Health Interview Survey. Cancer 97:1528PubMedCrossRef
12.
Peek ME, Han JH (2004) Disparities in screening mammography. Current status, interventions and implications. J Gen Intern Med 19(2):184PubMed
13.
Smith-Bindman R, Miglioretti DL, Lurie N, Abraham L, Barbash RB, Strzelczyk J, Dignan M, Barlow WE, Beasley CM, Kerlikowske K (2006) Does utilization of screening mammography explain racial and ethnic differences in breast cancer? Ann Fam Med 144(8):541
14.
Berry DA, Cronin KA, Plevritis SK, Fryback DG, Clarke L, Zelen M, Mandelblatt JS, Yakovlev AY, Habbema JD, Feuer EJ, Cancer I, Surveillance Modeling Network C (2005) Effect of screening and adjuvant therapy on mortality from breast cancer. N Engl J Med 353(17):1784PubMedCrossRef
15.
Sassi F, Luft HS, Guadagnoli E (2006) Reducing racial/ethnic disparities in female breast cancer: screening rates and stage at diagnosis. Am J Public Health 96(12):2165PubMedCrossRef
16.
Borrayo EA, Hines L, Byers T, Risendal B, Slattery ML, Sweeney C, Baumgartner KB, Giuliano A (2009) Characteristics associated with mammography screening among both Hispanic and non-Hispanic white women. J Womens Health (Larchmt) 18(10):1585–1894CrossRef
17.
Rahman SM, Dignan MB, Shelton BJ (2003) Factors influencing adherence to guidelines for screening mammography among women aged 40 years and older. Ethn Dis 13(4):477–484PubMed
18.
Jacobs EA, Karavolos K, Rathouz PJ, Ferris TG, Powell LH (2005) Limited English proficiency and breast and cervical cancer screening in a multiethnic population. Am J Public Health 95(8):1410–1416PubMedCrossRef
19.
Ramirez AG, Talavera GA, Villarreal R et al (2000) Breast cancer screening in regional Hispanic populations. Health Educ Res 15:559PubMedCrossRef
20.
21.
Rodríguez MA, Ward LM, Pérez-Stable EJ (2005) Breast and cervical cancer screening: impact of health insurance status, ethnicity, and nativity of Latinas. Ann Fam Med 3(3):235PubMedCrossRef
22.
Suarez L, Pulley L (1995) Comparing acculturation scales and their relationship to cancer screening among older Mexican-American women. J Natl Cancer Inst 18:41
23.
Wells KJ, Roetzheim RG (2007) Health disparities in receipt of screening mammography in Latinas: a critical review of recent literature. Cancer Control 14(4):369PubMed
24.
25.
Smith RA, Cokkinides V, Brooks D, Saslow D, Brawley OW (2010) Cancer screening in the United States, 2010: a review of current American Cancer Society guidelines and issues in cancer screening. CA Cancer J Clin 60(2):99PubMedCrossRef
26.
Hawley ST, Griggs JJ, Hamilton AS, Graff JJ, Janz NK, Morrow M, Jagsi R, Salem B, Katz SJ (2009) Decision involvement and receipt of mastectomy among racially and ethnically diverse breast cancer patients. J Natl Cancer Inst 101(19):1337PubMedCrossRef
27.
Rauscher GH, Ferrans CE, Kaiser K, Campbell RT, Calhoun EE, Warnecke RB (2010) Misconceptions about breast lumps and delayed medical presentation in urban breast cancer patients. Cancer Epidemiol Biomarkers Prev 19(3):640PubMedCrossRef
28.
Richards MA, Westcombe AM, Love SB, Littlejohns P, Ramirez AJ (1999) Influence of delay on survival in patients with breast cancer: a systematic review. Lancet 353:1119PubMedCrossRef
29.
Tejeda S, Thompson B, Coronado GD, Martin DP (2009) Barriers and facilitators related to mammography use among lower educated Mexican women in the USA. Soc Sci Med 68(5):832PubMedCrossRef
30.
Marín G, Gamba RJ (1996) A new measurement of acculturation for Hispanics: the bidimensional acculturation scale for Hispanics (BAS). Hisp J Behav Sci 18(297):316
31.
Hamilton A, Hofer T, Hawley ST et al (2009) Latinas and breast cancer outcomes: population-based sampling, ethnic identity and acculturation assessment. Cancer Epidemiol Biomarkers Prev 18(7):2022PubMedCrossRef
32.
Mainous AG, Dias VA, Geesy ME (2008) Acculturation and healthy lifestyle among Latinos with diabetes. Ann Fam Med 6(2):131PubMedCrossRef
33.
Thomson MD, Hoffman-Goetz L (2009) Defining and measuring acculturation: a systematic review of public health studies with Hispanic populations in the United States. Soc Sci Med 69(7):983PubMedCrossRef
34.
Abraído-Lanza AF, Chao MT, Gammon MD (2004) Breast and cervical cancer screening among Latinas and non-Latina whites. Am J Public Health 94(8):1393PubMedCrossRef
35.
Risendal B, Hines LM, Sweeney C, Slattery ML, Giuliano AR, Baumgartner KB, Curtin K, Byers TE (2008) Family history and age at onset of breast cancer in Hispanic and non-Hispanic white women. Cancer Causes Control 19(10):1349PubMedCrossRef
36.
American Cancer S (2009) Cancer prevention and early detection facts and figures 2009
37.
Jones AR, Caplan LS, Davis MK (2003) Racial/ethnic differences in the self-reported use of screening mammography. J Community Health 28:303PubMedCrossRef
38.
Hill DA, Nibbe A, Royce ME, Wallace AM, Kang H, Wiggins CL, Rosenberg RD (2010) Method of detection and breast cancer survival disparities in Hispanic women. Cancer Epidemiol Biomarkers Prev 19(10):2453–2460PubMedCrossRef
39.
Malmgren JA, Atwood MK, Kaplan HG (2008) Increase in mammography detected breast cancer over time at a community based regional cancer center: a longitudinal cohort study 1990–2005. BMC Cancer 8:131PubMedCrossRef
40.
Buist DS, Porter PL, Lehman C, Taplin SH, White E (2004) Factors contributing to mammography failure in women aged 40–49 years. J Natl Cancer Inst 96:1432PubMedCrossRef
41.
Kerlikowske K, Walker R, Miglioretti DL, Desai A, Ballard-Barbash R, Buist DS (2008) Obesity, mammography use and accuracy, and advanced breast cancer risk. J Natl Cancer Inst 100(23):1724–1733PubMedCrossRef
42.
Jones BA, Patterson EA, Calvocoressi L (2003) Mammography screening in African American women: evaluating the research. Cancer 97(1 Suppl):258–272PubMedCrossRef
43.
Pisano ED, Gatsonis C, Hendrick E et al (2005) Diagnostic performance of digital versus film mammography for breast-cancer screening. N Engl J Med 353:1773PubMedCrossRef
44.
Carey LA, Perou CM, Livasy CA, Dressler LG, Cowan D, Conway K, Karaca G, Troester MA, Tse CK, Edmiston S, Deming SL, Geradts J, Cheang MC, Nielsen TO, Moorman PG, Earp HS, Millikan RC (2006) Race, breast cancer subtypes, and survival in the Carolina Breast Cancer Study. JAMA 295(21):2492PubMedCrossRef
45.
Martinez ME, Nielson CM, Nagle R, Lopez AM, Kim C, Thompson P (2007) Breast cancer among Hispanic and non-Hispanic White women in Arizona. J Health Care Poor Underserved 18(4 suppl):130PubMedCrossRef
46.
Gwyn K, Bondy ML, Cohen DS, Lund MJ, Liff JM, Flagg EW, Brinton LA, Eley JW, Coates RJ (2005) Racial differences in diagnosis, treatment, and clinical delays in a population-based study of patients with newly diagnosed breast carcinoma. Cancer 100(8):1595CrossRef
47.
Kösters JP, Gøtzsche PC (2008) Regular self-examination or clinical examination for early detection of breast cancer (Review). Cochrane Database Syst Rev (2):CD003373
48.
McPhee SJ, Nguyen TT, Shema SJ et al (2002) Validation of recall of breast and cervical cancer screening by women in an ethnically diverse population. Prev Med 35:463PubMedCrossRef
49.
Zapka JG, Bigelow C, Hurley T et al (1996) Mammography use among sociodemographically diverse women: the accuracy of self-report. Am J Public Health 86:1016PubMedCrossRef
50.
Orom H, Coté ML, González HM, Underwood W, Schwartz AG (2008) Family history of cancer: is it an accurate indicator of cancer risk in the immigrant population? Cancer 112:399PubMedCrossRef
51.
Smith RA, Cokkinides V, Brawley OW (2009) Cancer screening in the United States, 2009: a review of current American Cancer Society guidelines and issues in cancer screening. CA Cancer J Clin 59(1):27PubMedCrossRef
52.
Lee K, Lim HT, Park SM (2010) Factors associated with use of breast cancer screening services by women aged > or = 40 years in Korea: the third Korea national health and nutrition examination survey 2005 (NHANES III). BMC Cancer 10:144PubMedCrossRef
53.
Lim JW (2010) Linguistic and ethnic disparities in breast and cervical cancer screening and health risk behaviors among Latina and Asian American Women. J Womens Health 19(6):1097CrossRef
54.
Summers C, Saltzstein SL, Blair SL, Tsukamoto TT, Sadler GR (2010) Racial-ethnic differences in early detection of breast cancer: a study of 250, 985 cases from the California Cancer Registry. J Womens Health 19(2):203CrossRef
55.
Lee S, Nguyen HA, Tsui J (2009) Interview language: a proxy measure for acculturation among Asian Americans in a population-based survey. J Immigr Minor Health 13(2):244–252
56.
Arcia E, Skinner M, Bailey D, Correa V (2001) Models of acculturation and health behaviors among Latino immigrants to the US. Soc Sci Med 53(1):41PubMedCrossRef
57.
Cuellar I, Harris LC, Jasso R (1980) An acculturation scale for Mexican American normal and clinical populations. Hisp J Behav Sci 2(3):199
58.
Marín G, Sabogal F, VanOss Marín B, Otero-Sabogal F, Pérez-Stable EJ (1987) Development of a short acculturation scale for Hispanics. Hisp J Behav Sci 9(2):183CrossRef
59.
Carter-Pokras O, Bethune L (2009) Defining and measuring acculturation: a systematic review of public health studies with Hispanic populations in the United States. A commentary on Thomson and Hoffman-Goetz. Soc Sci Med 69(7):983CrossRef
60.
Hunt LM, Schneider S, Comer B (2004) Should “acculturation” be available in health research? A critical review of research on US Hispanics. Soc Sci Med 59(5):973PubMedCrossRef
61.
Zambrana RE, Carter-Pokras O (2010) Role of acculturation research in advancing science and practice in reducing health care disparities among Latinos. Am J Public Health 100(1):18PubMedCrossRef
62.
Nelson HD, Tyne K, Naik A, Bougatsos C, Chan BK, Humphrey L (2009) Screening for Breast Cancer: An Update for the U.S. Preventive Services Task Force. Ann Fam Med 151:727
63.
Screening for Breast Cancer: U.S. Preventive Services Task Force Recommendation Statement (2009). Ann Fam Med 151(10):716
64.
Miranda PY, Wilkinson AV, Etzel CJ, Zhou R, Jones LA, Thompson P, Bondy ML (2010) Policy implications of early onset breast cancer among Mexican-origin women. Cancer 117(2):390–397CrossRef
65.
Ramirez AG, Gallion KJ, Suarez L, Giachello AL, Marti JR, Medrano MA, Pérez-Stable EJ, Talavera GA, Trapido EJ (2005) A national agenda for Latino cancer prevention and control. Cancer 103(11):2209PubMedCrossRef
Metadata
Title
Factors that influence mammography use and breast cancer detection among Mexican-American and African-American women
Authors
Rachel Zenuk Garcia
Scott C. Carvajal
Anna V. Wilkinson
Patricia A. Thompson
Jesse N. Nodora
Ian K. Komenaka
Abenaa Brewster
Giovanna I. Cruz
Betsy C. Wertheim
Melissa L. Bondy
María Elena Martínez
Publication date
01-01-2012
Publisher
Springer Netherlands
Published in
Cancer Causes & Control / Issue 1/2012
Print ISSN: 0957-5243
Electronic ISSN: 1573-7225
DOI
https://doi.org/10.1007/s10552-011-9865-x

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