Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress
Clinical Collections
Advances in Alzheimer’s

At a glance: The STEP trials

A round-up of the STEP phase 3 clinical trials evaluating semaglutide for weight loss in people with overweight or obesity.
ADVANCED SEARCH
Log in
Top
Journal of General Internal Medicine
Published in: Journal of General Internal Medicine 12/2008

01-12-2008 | Original Article

Are Health-care Relationships Important for Mammography Adherence in Latinas?

Authors: Vanessa B. Sheppard, PhD, Judy Wang, PhD, Bin Yi, Toni Michelle Harrison, Shibao Feng, PhD, Elmer E. Huerta, MD, MPH, Jeanne S. Mandelblatt, MD, MPH, For the Latin American Cancer Research Coalition

Published in: Journal of General Internal Medicine | Issue 12/2008

Login to get access

Abstract

Background

Latinas are the fastest growing racial ethnic group in the United States and have an incidence of breast cancer that is rising three times faster than that of non-Latino white women, yet their mammography use is lower than that of non-Latino women.

Objectives

We explored factors that predict satisfaction with health-care relationships and examined the effect of satisfaction with health-care relationships on mammography adherence in Latinas.

Design and Setting

We conducted a cross-sectional survey of 166 Latinas who were ≥40 years old. Women were recruited from Latino-serving clinics and a Latino health radio program.

Measurements

Mammography adherence was based on self-reported receipt of a mammogram within the past 2 years. The main independent variable was overall satisfaction with one’s health-care relationship. Other variables included: self report of patient-provider communication, level of trust in providers, primary language, country of origin, discrimination experiences, and perceptions of racism.

Results

Forty-three percent of women reported very high satisfaction in their health-care relationships. Women with high trust in providers and those who did not experience discrimination were more satisfied with their health-care relationships compared to women with lower trust and who experienced discrimination (p < .01). Satisfaction with the health-care relationship was, in turn, significantly associated with mammography adherence (OR: 3.34, 95% CI: 1.47–7.58), controlling for other factors.

Conclusions

Understanding the factors that impact Latinas’ mammography adherence may inform intervention strategies. Efforts to improve Latina’s satisfaction with physicians by building trust may lead to increased use of necessary mammography.
Literature
1.
Schettino MR, Hernández-Valero MA, Moguel R, Hajek RA, Jones LA. Assessing breast cancer knowledge, beliefs, and misconceptions among Latinas in Houston, Texas. J Cancer Educ. 2006;21(1 Suppl):S42–46. Spring.PubMedCrossRef
2.
3.
4.
Fernandez M, Tortotero-Luna G, Gold RS. Mammography and Pap test screening among low income foreign born Hispanic women in USA. Cad Saude Publica. 1998;14(Suppl. 3):133–47.PubMed
5.
Wu ZH, Black SA, Markides KS. Prevalence and associated factors of cancer screening: why are so many older Mexican American women never screened. Prev Med. 2001;33(4):268–73. Oct.PubMedCrossRef
6.
Gorin SS, Heck JE. Cancer screening among Latino subgroups in the United States. Prev Med. 2005;40(5):515–26. May.PubMedCrossRef
7.
Fernandez ME, Palmer RC, Leong-Wu CA. Repeat mammography screening among low income and minority women; a qualitative study. Cancer Control. 2005;12(Suppl 2):77–83. Nov.PubMed
8.
Darnell JS, Chang CH, Calhoun EA. Knowledge about breast cancer and participation in faith-based breast cancer program and other predictors of mammography screening among African-American women and Latinas. Health Promot Pract. 2006;7(3 Suppl):201S–12S. Jul, Epub 2006 Jun 7.PubMedCrossRef
9.
Warren AG, Londono GE, Wessel LA, Warren RD. Breaking down barriers to breast and cervical cancer screening: a university -based prevention program for Latinas. J Health Care Poor Underserved. 2006;17(3):512–21. Aug.PubMedCrossRef
10.
Mahnken JD, Freeman DH, DiNuzzo AR, Freeman JL. Mammography use among older Mexican-American women: correcting for over-reports of breast cancer screening. Women Health. 2007;45(3):53–64.PubMedCrossRef
11.
Zambrana RE, Breen N, Fox SA, Gutierrez-Mohamed ML. Use of cancer screening practices by Hispanic women: analyses by subgroup. Prev Med. 1999;29(6 Pt 1):466–77. Dec.PubMedCrossRef
12.
Qureshi M, Thacker HL, Litaker DG, Kippes C. Differences in breast cancer screening rates: an issue of ethnicity or socioeconomics? J. Womens Health Gend Based Med. 2000;9(9):1025–31. Nov.CrossRef
13.
Rodriguez MA, Ward LM, Perez-Stable EJ. Breast and cervical cancer screening: impact of health insurance status, ethnicity, and nativity of Latinas. Ann Fam Med. 2005;3(3):235–241. May-Jun.PubMedCrossRef
14.
Borrayo EA, Guarnaccia CA. Differences in Mexican-born and U.S.-born women of Mexican descent regarding factors related to breast cancer screening behaviors. Health Care for Women International21:599–613.
15.
Welsh AL, Sauaua A, Jacobellis J, Min SJ, Byers T. The effect of two church-based interventions on breast cancer screening rates among Medicaid-insured Latinas. Prev Chronic Dis. 2005;2(4):A07. Oct, Epub 2005 Sep 15.PubMed
16.
DeLaet DE, Shea S, Carrasquillo O. Receipt of preventive services among privately insured minorities in managed care versus fee-for-service insurance plans. J Gen Intern Med. 2002;17(6):451–57. Jun.PubMedCrossRef
17.
Garbers S, Jessop DJ, Foti H, Uribelarrea M, Chiasson MA. Barriers to breast cancer screening for low-income Mexican and Dominican women in New York City. J Urban Health. 2003;80(1):81–91. Mar.PubMed
18.
Goel MS, Wee CC, McCarthy EP, Davis RB, Ngo-Metzger Q, Phillips RS. Racial and ethnic disparities in cancer screening: the importance of foreign birth as a barrier to care. J Gen Intern Med. 2003;18(12):1028–35. Dec.PubMedCrossRef
19.
Van Houtven CH, Voils CI, Oddone EZ, et al. Perceived discrimination and reported delay of pharmacy prescriptions and medical tests. J Gen Intern Med. 2005;20(7):578–583. Jul.PubMedCrossRef
20.
Trivedi AN, Ayanian JZ. Perceived discrimination and use of preventive health services. J Gen Intern Med. 2006;21(6):553–8. Jun.PubMedCrossRef
21.
Chen FM, Fryer GE, Phillips RL, Wilson E, Pathman DE. Patients’ beliefs about racism, preferences for physician race, and satisfaction with care. Ann Fam Med. 2005;3(2):138–43. Mar-Apr.PubMedCrossRef
22.
Nápoles-Springer AM, Santoyo J, Houston K, Pérez-Stable EJ, Stewart AL. Patients’ perceptions of cultural factors affecting the quality of their medical encounters. Health Expect. 2005;8(1):4–17. Mar.PubMedCrossRef
23.
Kreling BA, Cañar J, Catipon E, et al. Latin American Cancer Research Coalition. Community primary care/academic partnership model for cancer control. Cancer. 2006;107(8 Suppl):2015–22. Oct 15.PubMedCrossRef
24.
Angel RJ, Angel JL, Markides KS. Stability and change in health insurance among older Mexican Americans: longitudinal evidence from the Hispanic established populations for epidemiologic study of the elderly. Am J Public Health. 2002;92(8):1264–71. Aug.PubMedCrossRef
25.
Morales LS, Reise SP, Hays RD. Evaluating the equivalence of health care ratings by whites and Hispanics. Med Care. 2000;38(5):517–27. May.PubMedCrossRef
26.
Zambrana RE. A research agenda on issues affecting poor and minority women: a model for understanding their health needs. Women Health. 1987;12(3–4):137–60.PubMed
27.
Ashton CM, Haidet P, Paterniti DA, et al. Racial and ethnic disparities in the use of health services: bias, preferences, or poor communication. J Gen Intern Med. 2003;18(2):146–52. Feb.PubMedCrossRef
28.
Tucker CM, Herman KC, Pedersen TR, Higley B, Montrichard M, Ivery P. Cultural sensitivity in physician-patient relationships: perspectives of an ethnically diverse sample of low-income primary care patients. Med Care. 2003;41(7):859–70. Jul.PubMedCrossRef
29.
Collins KS, Tenney K, Hughes DL. Quality Health Care for African-Americans: findings from the commonwealth fund 2001 health care quality study. New York, NY: The Commonwealth Fund; 2002.
30.
Marshall G. A comparative study of re-attenders and non-re-attenders for second triennial National Breast Screening Programme appointments. J Public Health Med. 1994;16(1):79–86. Mar.PubMed
31.
Miller AM, Champion VL. Mammography in women > or = 50 years of age. Predisposing and enabling characteristics. Cancer Nurs. 1993;16(4):260–269. Aug.
32.
Orton M, Fitzpatrick R, Fuller A, Mant D, Mlynek C, Thorogood M. Factors affecting women’s response to an invitation to attend for a second breast cancer screening examination. Br J Gen Pract. 1991;41(349):320—2. Aug.PubMed
33.
Peipins LA, Shapiro JA, Bobo JK, Berkowitz Z. Impact of women’s experiences during mammography on adherence to rescreening (United States). Cancer Causes Control. 2006;17(4):439—47. May.PubMedCrossRef
34.
Somkin CP, McPhee SJ, Nguyen T, et al. The effect of access and satisfaction on regular mammogram and Papanicolaou test screening in a multiethnic population. Med Care. 2004;42(9):914—26. Sep.PubMedCrossRef
35.
Crow R, Gage H, Hampson S, et al. The measurement of satisfaction with healthcare: implications for practice from a systematic review of the literature. Health Technol Assess. 2002;6(32):1—244.PubMed
36.
Gritz ER, Bastani R. Cancer prevention-behavior changes: the short and the long of it. Prev Med. 1993;22(5):676–88. Sep.PubMedCrossRef
37.
O’Malley AS, Sheppard VB, Schwartz M, Mandelblatt J. The role of trust in use of preventive services among low-income African-American women. Prev Med. 2004;38(6):777–85. Jun.PubMedCrossRef
38.
Otero-Sabogal R, Owens D, Canchola J, Golding JM, Tabnak F, Fox P. Mammography rescreening among women of diverse ethnicities: patient, provider, and health care system factors. J Health Care Poor Underserved. 2004;15(3):390–412. Aug.PubMedCrossRef
39.
Sheppard VB, Zambrana RE, O’Malley AS. Providing health care to low-income women: a matter of trust. Fam Pract. 2004;21(5):484–91. Oct.PubMedCrossRef
40.
Sheppard VB, Figueiredo M, Cañar J, et al. Latina a Latina(SM): developing a breast cancer decision support intervention. Psychooncology. 2007 Jul 13; [Epub ahead of print].
41.
Diaz V. Cultural factors in preventive care: Latinos. Prim Care. 2002;29(3):503–17. Sep, viii.PubMed
42.
Lauderdale DS, Wen M, Jacobs EA, Kandula NR. Immigrant perceptions of discrimination in health care: the California Health Interview Survey 2003. Med Care. 2006;44(10):914–20. Oct.PubMedCrossRef
43.
Peragallo NP, Fox PG, Alba ML. Breast care among Latino immigrant women in the U.S. Health Care Women Int. 1998;19(2):165–72. Mar-Apr.PubMedCrossRef
44.
O’Malley AS, Beaton E, Yabroff KR, Abramson R, Mandelblatt J. Patient and provider barriers to colorectal cancer screening in the primary care safety-net. Prev Med. 2004;39(1):56–63. Jul.PubMedCrossRef
45.
Sheppard VB, Cox LS, Kanamori MJ, et al. Latin American Cancer Research Coalition. Brief report: if you build it, they will come: methods for recruiting Latinos into cancer research. J Gen Intern Med. 2005;20(5):444–7. May.PubMedCrossRef
46.
O’Malley CD, Le GM, Glaser SL, Shema SJ, West DW. Socioeconomic status and breast carcinoma survival in four racial/ethnic groups: a population-based study. Cancer. 2003;97(5):1303–11. Mar 1.PubMedCrossRef
47.
48.
Bastani R, Marcus AC, Hollatz-Brown A. Screening mammography rates and barriers to use: a Los Angeles County survey. Prev Med. 1991;20(3):350–363. May.PubMedCrossRef
49.
Bastani R, Marcus AC, Maxwell AE, Das IP, Yan KX. Evaluation of an intervention to increase mammography screening in Los Angeles. Prev Med. 1994;23(1):83–90. Jan.PubMedCrossRef
50.
Dimatteo MR, Hays RD, Gritz ER, Bastani R, Crane L, Elashoff R. Patient adherence to cancer control regimens: Scale development and initial validation. Psych Assess. 1993;5(1):102–12.CrossRef
51.
Bastani R, Maxwell AE, Bradford C, Das IP, Yan KX. Tailored risk notification for women with a family history of breast cancer. Prev Med. 1999;29(5):355–64. Nov.PubMedCrossRef
52.
O’Malley AS, Gonzalez RM, Sheppard VB, Huerta E, Mandelblatt J. Primary care cancer control interventions including Latinos: a review. Am J Prev Med. 2003;25(3):264–71. Oct.PubMedCrossRef
53.
Mandelblatt JS, Gold K, O’Malley AS, et al. Breast and cervix cancer screening among multiethnic women: role of age, health, and source of care. Prev Med. 1999;28(4):418–25. Apr.PubMedCrossRef
54.
O’Malley AS, Forrest CB. Beyond the examination room: primary care performance and the patient-physician relationship for low-income women. J Gen Intern Med. 2002;17(1):66—74. Jan.PubMedCrossRef
55.
Mojica CM, Bastani R, Ponce NA, Boscardin WJ. Latinas with abnormal breast findings: patient predictors of timely diagnostic resolution. J Womens Health (Larchmt). 2007;16(10):1468–77. Dec.
56.
Graves KD, Huerta E, Cullen J, et al. Perceived risk of breast cancer among Latinas attending community clinics: risk comprehension and relationship with mammography adherence. Cancer Causes Control. 2008 Aug 15.
57.
Bird ST, Bogart LM. Perceived race-based and socioeconomic status (SES)-based discrimination in interactions with health care providers. Ethn Dis. 2001;11(3):554–63. Autumn.PubMed
58.
LaVeist TA, Nickerson KJ, Boulware LE, Powe NR. The Medical Mistrust Index: A Measure of Mistrust of the Medical Care System 2001.
59.
60.
Bazargan M, Bazargan SH, Calderón JL, Husaini BA, Baker RS. Mammography screening and breast self-examination among minority women in public housing projects: the impact of physician recommendation. Cell Mol Biol (Noisy-le-grand). 2003;49(8):1213–8. Dec.
61.
Jibaja ML, Kingery P, Neff NE, Smith Q, Bowman J, Holcomb JD. Tailored, interactive soap operas for breast cancer education of high-risk Hispanic women. J Cancer Educ. 2000;15(4):237–42. Winter.PubMed
62.
O’Malley AS, Kerner J, Johnson AE, Mandelblatt J. Acculturation and breast cancer screening among Hispanic women in New York City. Am J Public Health. 1999;89(2):219–27. Feb.PubMedCrossRef
63.
Breen N, A Cronin K, Meissner HI, et al. Reported drop in mammography: is this cause for concern. Cancer. 2007;Jun 15;109(12):2405–9.PubMedCrossRef
64.
Agency for Healthcare Research and Quality. 2007 National Healthcare Disparities Report. Rockville, MD: U.S. Department of Health and Human Services, Agency for Healthcare Research and Quality; February 2008. AHRQ Pub. No. 08-0041.
65.
Aldridge ML, Daniels JL, Jukic AM. Mammograms and healthcare access among US Hispanic and non-Hispanic women 40 years and older. Fam Community Health. 2006;29(2):80–8. Apr-Jun.PubMed
66.
Saha S, Komaromy M, Koepsell TD, Bindman AB. Patient-physician racial concordance and the perceived quality and use of health care. Arch Intern Med. 1999;159(9):997–1004. May 10.PubMedCrossRef
67.
Gorin SS, Ashford AR, Lantigua R, Desai M, Troxel A, Gemson D. Implementing academic detailing for breast cancer screening in underserved communities. Implement Sci. 2007;2:43. Dec 17.PubMedCrossRef
68.
Flores G. Culture and the patient-physician relationship: achieving cultural competency in health care. J Pediatr. 2000;136(1):14–23. Jan.PubMedCrossRef
69.
Moy B, Park ER, Feibelmann S, Chiang S, Weissman JS. Barriers to repeat mammography: cultural perspectives of African-American, Asian, and Hispanic women. Psychooncology. 2006;15(7):623–34. Jul.PubMedCrossRef
70.
Saha S, Arbelaez JJ, Cooper LA. Patient-physician relationships and racial disparities in the quality of health care. Am J Public Health. 2003;93(10):1713–9. Oct.PubMedCrossRef
71.
Derose KP, Baker DW. Limited English proficiency and Latinos’ use of physician services. Med Care Res Rev. 2000;57(1):76–91. Mar.PubMed
72.
Levy-Storms L, Bastani R, Reuben DB. Predictors of varying levels of nonadherence to mammography screening in older women. J Am Geriatr Soc. 2004;52(5):768–773. May.PubMedCrossRef
73.
Gany FM, Herrera AP, Avallone M, Changrani J. Attitudes, knowledge, and health-seeking behaviors of five immigrant minority communities in the prevention and screening of cancer: a focus group approach. Ethn Health. 2006;11(1):19–39. Feb.PubMedCrossRef
74.
Erwin DO, Johnson VA, Trevino M, Duke K, Feliciano L, Jandorf L. A comparison of African American and Latina social networks as indicators for culturally tailoring a breast and cervical cancer education intervention. Cancer. 2007;109(2 Suppl):368–77. Jan 15.PubMedCrossRef
75.
Thompson HS, Valdimarsdottir HB, Winkel G, Jandorf L, Redd W. The Group-Based Medical Mistrust Scale: psychometric properties and association with breast cancer screening. Prev Med. 2004;38(2):209–18. Feb.PubMedCrossRef
76.
O’Malley AS, Forrest CB, Mandelblatt J. Adherence of low-income women to cancer screening recommendations. J Gen Intern Med. 2002;17(2):144–54. Feb.PubMedCrossRef
77.
Yarbroff KS, Mandelblatt JS. Interventions targeted toward patients to increase mammography use. Cancer Epidemiol Biomarkers Prev. 1999;8(9):749–57. Sep.
78.
Williams SA, Swanson MS. The effect of reading ability and response formats on patients’ abilities to respond to a patient satisfaction scale. J Contin Educ Nurs. 2001;32:60–67.PubMed
79.
Terán L, Baezconde-Garbanati L, Márquez M, Castellanos E, Belkić K. On-time mammography screening with a focus on Latinas with low income: a proposed cultural model. Anticancer Res. 2007;27(6C):4325–38. Nov-Dec.PubMed
80.
Luquis RR, Villanueva Cruz IJ. Knowledge, attitudes, and perceptions about breast cancer and breast cancer screening among Hispanic women residing in South Central Pennsylvania. J Community Health. 2006;31(1):25–42. Feb.PubMedCrossRef
81.
Wells KJ, Roetzheim RG. Health disparities in receipt of screening mammography in Latinas: a critical review of recent literature. Cancer Control. 2007;14(4):369–79. Oct.PubMed
82.
Madlensky L, Vierkant RA, Vachon CM, et al. Preventive health behaviors and familial breast cancer. Cancer Epidemiol Biomarkers Prev. 2005;14(10):2340–5. Oct.PubMedCrossRef
83.
Koval AE, Riganti AA, Foley KL. CAPRELA (Cancer Prevention for Latinas): findings of a pilot study in Winston-Salem, Forsyth County. N C Med J. 2006;67(1):9–15. Jan-Feb.PubMed
Metadata
Title
Are Health-care Relationships Important for Mammography Adherence in Latinas?
Authors
Vanessa B. Sheppard, PhD
Judy Wang, PhD
Bin Yi
Toni Michelle Harrison
Shibao Feng, PhD
Elmer E. Huerta, MD, MPH
Jeanne S. Mandelblatt, MD, MPH
For the Latin American Cancer Research Coalition
Publication date
01-12-2008
Publisher
Springer-Verlag
Published in
Journal of General Internal Medicine / Issue 12/2008
Print ISSN: 0884-8734
Electronic ISSN: 1525-1497
DOI
https://doi.org/10.1007/s11606-008-0815-6

Other articles of this Issue 12/2008

Journal of General Internal Medicine 12/2008 Go to the issue

Editorial

Thanks to Reviewers

Original Article

When Is Social Support Important? The Association of Family Support and Professional Support with Specific Diabetes Self-management Behaviors

Brief Report

Pneumococcal Vaccination in General Internal Medicine Practice: Current Practice and Future Possibilities

Original Article

Community Volunteerism of US Physicians

Perspectives

Publication Guidelines for Quality Improvement Studies in Health Care: Evolution of the SQUIRE Project

Populations at Risk

Engaging Homeless Persons in End of Life Preparations
Obesity Clinical Trial Summary

At a glance: The STEP trials

Read more

A round-up of the STEP phase 3 clinical trials evaluating semaglutide for weight loss in people with overweight or obesity.

Developed by: Springer Medicine

Highlights from the ACC 2024 Congress

Year in Review: Pediatric cardiology

Pediatric Cardiology Video

Watch Dr. Anne Marie Valente present the last year's highlights in pediatric and congenital heart disease in the official ACC.24 Year in Review session.

Year in Review: Pulmonary vascular disease

Cardiopulmonary Comorbidity Video

The last year's highlights in pulmonary vascular disease are presented by Dr. Jane Leopold in this official video from ACC.24.

Year in Review: Valvular heart disease

Valvular Heart Disease Video

Watch Prof. William Zoghbi present the last year's highlights in valvular heart disease from the official ACC.24 Year in Review session.

Year in Review: Heart failure and cardiomyopathies

Heart Failure Video

Watch this official video from ACC.24. Dr. Biykem Bozkurt discuss last year's major advances in heart failure and cardiomyopathies.

ACC 2024 Congress Coverage

Year in Review: Heart failure and cardiomyopathies

Heart Failure Video

Watch this official video from ACC.24. Dr. Biykem Bozkurt discuss last year's major advances in heart failure and cardiomyopathies.

Watch now

Semaglutide benefits people with type 2 diabetes and obesity-related heart failure

16-04-2024 Type 2 Diabetes News

Incentivised to exercise

11-04-2024 Lifestyle Modifications News

New intervention for STEMI-related cardiogenic shock

10-04-2024 Myocardial Infarction News

» View more highlights on the ACC 2024 congress hub page

Image Credits