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 low-income, particularly Latinas, who had initial mammography, were not regularly screened was examined.


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.


CONCLUSIONS
A cultural model is proposed, which can guide interventions for improving on-time mammography among Latinas.
Terán
Lorena
L
Institute for Prevention Research, the Keck School of Medicine of the University of Southern California, Los Angeles, California, USA.
Baezconde-Garbanati
Lourdes
L
Márquez
Marcela
M
Castellanos
Enrique
E
Belkić
Karen
K
D001943:Breast Neoplasms / Q000517:prevention & control*; D003469:Culture; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006630:Hispanic or Latino / Q000208:ethnology* / Q000523:psychology / Q000706:statistics & numerical data; D006801:Humans; D008327:Mammography / Q000523:psychology / Q000706:statistics & numerical data*; D008403:Mass Screening / Q000523:psychology / Q000706:statistics & numerical data*; D011203:Poverty / Q000208:ethnology* / Q000523:psychology / Q000706:statistics & numerical data; D011584:Psychology; D012959:Socioeconomic Factors; D013995:Time