On-time Mammography Screening with a Focus on Latinas with Low Income: A Proposed Cultural Model

Background: Initial U.S.A. breast cancer screening rates have risen, but not repeat screening, especially among low-income minority populations. Latinas are particularly at-risk of underscreening. Consequently, late-detection is common, with increased risk of dying after diagnosis. Why women with lo...

Full description

Saved in:
Bibliographic Details
Published in:Anticancer research 2007-11, Vol.27 (6C), p.4325-4338
Main Authors: TERAAN, Lorena, BAEZCONDE-GARBANATI, Lourdes, MARQUEZ, Marcela, CASTELLANOS, Enrique, BELKID, Karen
Format: Article
Language:English
Subjects:
Biological and medical sciences
Breast Neoplasms - prevention & control
Culture
Female
Gynecology. Andrology. Obstetrics
Health Knowledge, Attitudes, Practice
Hispanic Americans - ethnology
Hispanic Americans - psychology
Hispanic Americans - statistics & numerical data
Humans
Mammary gland diseases
Mammography - psychology
Mammography - statistics & numerical data
Mass Screening - psychology
Mass Screening - statistics & numerical data
Medical sciences
Medicin och hälsovetenskap
Poverty - ethnology
Poverty - psychology
Poverty - statistics & numerical data
Psychology
Socioeconomic Factors
Time
Tumors
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Background: Initial U.S.A. breast cancer screening rates have risen, but not repeat screening, especially among low-income minority populations. Latinas are particularly at-risk of underscreening. Consequently, late-detection is common, with increased risk of dying after diagnosis. Why women with low-income, particularly Latinas, who had initial mammography, were not regularly screened was examined. Patients and Methods: An expanded model was tested, incorporating the Theory of Planned Behavior (TPB), cultural factors, potential facilitators and barriers. Participants were 112 women, 72 of whom were Latinas, who had contacted an Early-Detection Program and received a mammogram 3-4 years earlier. Results: The TPB did not explain mammography rescreening behavior among Latinas. The cultural factors: high familism and low fatalism showed significant multivariate associations with recent mammogram among Latinas. A major barrier for Latinas was “distorted familism”: neglecting own health because family was first priority. Conclusion: A cultural model is proposed, which can guide interventions for improving on-time mammography among Latinas.
ISSN:0250-7005
1791-7530