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Journal of Immigrant and Minority Health
Published in: Journal of Immigrant and Minority Health 4/2014

01-08-2014 | Original Paper

Health Care Access and Breast Cancer Screening Among Latinas Along the California–Mexican Border

Authors: Sheila F. Castañeda, Vanessa L. Malcarne, Pennie G. Foster-Fishman, William S. Davidson, Manpreet K. Mumman, Natasha Riley, Georgia R. Sadler

Published in: Journal of Immigrant and Minority Health | Issue 4/2014

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Abstract

Latinas are more likely to exhibit late stage breast cancers at the time of diagnosis and have lower survival rates compared to white women. A contributing factor may be that Latinas have lower rates of mammography screening. This study was guided by the Behavioral Model of Health Services Use to examine factors associated with mammography screening utilization among middle-aged Latinas. An academic–community health center partnership collected data from community-based sample of 208 Latinas 40 years and older in the San Diego County who completed measures assessing psychosocial factors, health care access, and recent mammography screening. Results showed that 84.6 % had ever had a mammogram and 76.2 % of women had received a mammogram in the past 2 years. Characteristics associated with mammography screening adherence included a lower acculturation (OR 3.663) a recent physician visit in the past year (OR 6.304), and a greater confidence in filling out medical forms (OR 1.743), adjusting for covariates. Results demonstrate that an annual physical examination was the strongest predictor of recent breast cancer screening. Findings suggest that in this community, improving access to care among English-speaking Latinas and addressing health literacy issues are essential for promoting breast cancer screening utilization.
Footnotes
1
Context-specific variables are specifically related to the population, the disease, or the utilization behavior under investigation.
 
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Metadata
Title
Health Care Access and Breast Cancer Screening Among Latinas Along the California–Mexican Border
Authors
Sheila F. Castañeda
Vanessa L. Malcarne
Pennie G. Foster-Fishman
William S. Davidson
Manpreet K. Mumman
Natasha Riley
Georgia R. Sadler
Publication date
01-08-2014
Publisher
Springer US
Published in
Journal of Immigrant and Minority Health / Issue 4/2014
Print ISSN: 1557-1912
Electronic ISSN: 1557-1920
DOI
https://doi.org/10.1007/s10903-013-9938-x

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