Mammography use.
OBJECTIVE
The goal of this study was to compare mammography use in Haitian women versus that of other racial/ethnic groups in the same neighborhoods and to identify factors associated with mammography use in subpopulations that are seldom studied.


METHODS
A community-based, cross-sectional survey sampled a multiethnic group of inner-city women from eastern Massachusetts. Bivariate analyses and logistic regression models were used to predict lifetime and recent (within two years) mammography screening.


RESULTS
Self-reported lifetime mammography use was similar for Haitian (82%), African-American (78%), Caribbean (81%) and Latina women (86%) but higher for white women (94%, p = 0.008). Mammography use in the past two years was also similar in all groups (66-82%, p = 0.41). In multivariate models, African-American (adjusted odds ratio [AOR]; 0.3; 95% CI 0.1-0.9) and Haitian women (AOR 0.3; 95% CI 0.1-0.9) had lower odds of lifetime mammography compared to white women. Factors independently related to lifetime and recent mammography included having a regular healthcare provider, greater knowledge of breast cancer screening; higher education, and private health insurance.


CONCLUSIONS
Haitian women with a regular provider and knowledge of breast cancer screening reported recent mammography use similar to women from other racial/ethnic groups. The racial/ethnic patterns of mammography use in our study do not explain racial/ethnic differences in breast cancer stage or mortality.
David
Michele M
MM
Haitian Health Institute, Boston Medical Center, MA, USA. midavid@bmc.org
Ko
Linda
L
Prudent
Nicole
N
Green
Eric H
EH
Posner
Michael A
MA
Freund
Karen M
KM
D000328:Adult; D001741:Black or African American / Q000523:psychology; D000368:Aged; D001943:Breast Neoplasms / Q000175:diagnosis* / Q000517:prevention & control; D003430:Cross-Sectional Studies; D005260:Female; D006205:Haiti / Q000208:ethnology; D015438:Health Behavior / Q000208:ethnology*; D019538:Health Care Surveys; D007722:Health Knowledge, Attitudes, Practice; D006630:Hispanic or Latino / Q000523:psychology; D006801:Humans; D008327:Mammography / Q000706:statistics & numerical data*; D008403:Mass Screening / Q000706:statistics & numerical data*; D008404:Massachusetts; D008875:Middle Aged; D010342:Patient Acceptance of Health Care / Q000208:ethnology*; D014504:Urban Health; D044465:White People / Q000523:psychology