title: Predisposing and enabling factors associated with mammography use among Hispanic and non-Hispanic white women living in a rural area.
abstract: BACKGROUND
  Women who do not receive regular mammograms are more likely than others to have breast cancer diagnosed at an advanced stage.
  
  
  OBJECTIVE
  To examine predisposing and enabling factors associated with mammography use among Hispanic and non-Hispanic White women.
  
  
  METHODS
  Baseline data were used from a larger study on cancer prevention in rural Washington state. In a sample of 20 communities, 537 women formed the sample for this study. The main outcomes were ever having had a mammogram and having had a mammogram within the past 2 years.
  
  
  RESULTS
  Reporting ever having had a mammogram was inversely associated with lack of health insurance (OR = 0.37, 95% CI: 0.16-0.84), ages under 50 years (OR = 0.23, 95% CI: 0.12-0.45), high cost of exams (OR = 0.48, 95% CI: 0.27-0.87), and lack of mammography knowledge (OR = 0.16, 95% CI: 0.07-0.37), while increasing education levels were positively associated (OR = 1.72, 95% CI: 1.09-2.70). Reporting mammography use within the past 2 years was inversely associated with ages under 50 years (OR = 0.49, 95% CI: 0.27-0.88) and over 70 years (OR = 0.47, 95% CI: 0.24-0.94), lack of health insurance (OR = 0.23, 95% CI: 0.10-0.50), and high cost of exams (OR = 0.55, 95% CI: 0.35-0.87).
  
  
  CONCLUSIONS
  Continued resources and programs for cancer screening are needed to improve mammography participation among women without health insurance or low levels of education.
authors.affiliation: Program for Cancer Control and Population Science, University of Illinois, Chicago, Ill 60608, USA. stejeda@uic.edu
authors.forename: Silvia
authors.initials: S
authors.lastname: Tejeda
authors.forename: Beti
authors.initials: B
authors.lastname: Thompson
authors.forename: Gloria D
authors.initials: GD
authors.lastname: Coronado
authors.forename: Diane P
authors.initials: DP
authors.lastname: Martin
authors.forename: Patrick J
authors.initials: PJ
authors.lastname: Heagerty
mesh_terms: D000328:Adult; D000367:Age Factors; D000368:Aged; D001943:Breast Neoplasms / Q000000981:diagnostic imaging* / Q000208:ethnology; D015984:Causality; D005260:Female; D015438:Health Behavior / Q000208:ethnology*; D006630:Hispanic or Latino / Q000523:psychology*; D006801:Humans; D008327:Mammography / Q000191:economics / Q000706:statistics & numerical data*; D008403:Mass Screening / Q000191:economics / Q000706:statistics & numerical data*; D008875:Middle Aged; D010342:Patient Acceptance of Health Care / Q000208:ethnology*; D012424:Rural Population / Q000706:statistics & numerical data*; D014861:Washington; D044465:White People / Q000523:psychology*