title: Breast cancer screening and health behaviors among African American and Caribbean Women in New York City.
abstract: A telephone-based survey regarding breast cancer screening practices among 300 African American and Caribbean women age 40 and over in New York City revealed that while U.S.-born women had significantly different sociodemographic profiles (in terms of insurance status, marital status, educational attainment), they were no more likely to have had a mammogram than the foreign-born women. Adjusting for insurance status and source of care, women with a provider recommendation were 8 times more likely ever to have had a mammogram (AOR 8.01, 95%CI: 3.74-17.14). Among foreign-born Caribbean women in the U.S. for less than half their lives, only 52% ever had a provider recommend a mammogram, compared with 77% of U.S.-born women. The findings confirm previous reports of the importance of physician recommendation in increasing mammography screening among urban Black women, and suggest that efforts to reach Caribbean-born women with breast cancer screening messages should emphasize the important role of providers.
authors.affiliation: Medical & Health Research Association of New York City, Inc., USA. sgarbers@mhra.org
authors.forename: Samantha
authors.initials: S
authors.lastname: Garbers
authors.forename: Mary Ann
authors.initials: MA
authors.lastname: Chiasson
mesh_terms: D000328:Adult; D001741:Black or African American / Q000523:psychology / Q000706:statistics & numerical data; D000368:Aged; D000704:Analysis of Variance; D001943:Breast Neoplasms / Q000517:prevention & control*; D004641:Emigration and Immigration; D005260:Female; D006801:Humans; D016015:Logistic Models; D008327:Mammography / Q000706:statistics & numerical data*; D008403:Mass Screening / Q000523:psychology / Q000706:statistics & numerical data*; D008875:Middle Aged; D009519:New York City; D010342:Patient Acceptance of Health Care / Q000523:psychology; D012017:Referral and Consultation; D012959:Socioeconomic Factors; D014900:West Indies / Q000208:ethnology