Mammography and Pap test screening among low-income foreign-born Hispanic women in USA

Little is known about the factors influencing screening among low-income Hispanic women particularly among recent immigrants. A sample of 148 low-income, low-literate, foreign-born Hispanic women residing in the Washington DC metropolitan area participated in the study. The mean age of the sample wa...

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Bibliographic Details
Published in:Cadernos de saúde pública 1998, Vol.14 Suppl 3 (suppl 3), p.133-S147
Main Authors: Fernández, M A, Tortolero-Luna, G, Gold, R S
Format: Article
Language:English
Subjects:
Adult
Breast Neoplasms - ethnology
Breast Neoplasms - prevention & control
Central America - ethnology
District of Columbia
Female
Health Knowledge, Attitudes, Practice
Hispanic Americans - statistics & numerical data
Humans
Mammography - statistics & numerical data
Mass Screening - statistics & numerical data
Mexico - ethnology
Middle Aged
Papanicolaou Test
Poverty - ethnology
Poverty - statistics & numerical data
PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Socioeconomic Factors
South America - ethnology
Uterine Cervical Neoplasms - ethnology
Uterine Cervical Neoplasms - prevention & control
Vaginal Smears - statistics & numerical data
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Summary:Little is known about the factors influencing screening among low-income Hispanic women particularly among recent immigrants. A sample of 148 low-income, low-literate, foreign-born Hispanic women residing in the Washington DC metropolitan area participated in the study. The mean age of the sample was 46.2 (SD=11.5), 84% reported annual household incomes ($15,000. All women were Spanish speakers and had low acculturation levels. Ninety six percent had reported having a Pap smear, but 24% were not in compliance with recommended screening (Pap test within the last 3 years). Among women 40 and older, 62% had received a mammogram, but only 33% were compliant with age appropriate recommended mammography screening guidelines. Women in this study had more misconceptions about cancer than Hispanics in other studies. Multivariate logistic models for correlates of Pap test and mammography screening behavior indicate that factors such as fear of the screening test, embarrassment, and lack of knowledge influenced screening behavior. In conclusion, women in this study had lower rates of mammography screening than non-Hispanic women and lower rates of compliance with recommended Mammography and Pap test screening guidelines.
ISSN:0102-311X
1678-4464
0102-311X
DOI:10.1590/s0102-311x1998000700014