title: Understanding factors influencing Latina women's screening behavior: a qualitative approach.
abstract: The purpose of this qualitative study was to understand influential factors associated with decisions to obtain breast or cervical cancer screening by diverse Latinas after attending a community-based educational program. Forty-five interviews were conducted in Arkansas, New York City and Buffalo, New York. Thematic data analyses were conducted to understand influential factors following from the intervention. Four major themes emerged from the interviews: Social Capital, Screening Utilization, Health Care Provider (HCP) Communication and Social Networks. Social Capital included resources, access or screening knowledge women had prior to participation in the program and new resources and contacts gained through the program that influenced care seeking. Screening Utilization factors included past health experiences and participation in the program. HCP Communication included perceptions of quality of care and communication issues with HCPs that positively and negatively impacted screening. Social Networks included women's networks regarding emotional support, encouragement to discuss health issues, overall family network and how these may influence health-seeking behaviors. These findings suggest that participating in group-based health outreach programs empowered women by increasing their knowledge and awareness about the health care system and enabled them, with the tools provided, to become proactive in their health care-seeking behaviors.
authors.affiliation: Department of Cancer Control Prevention and Population Sciences, Roswell Park Cancer Institute, Buffalo, NY 14263 and Department of Oncological Sciences, Mount Sinai School of Medicine, New York, NY 10029-6574, USA. Present address: Department of Health Education and Promotion, East Carolina University, Greenville, NC, USA.
authors.forename: Essie
authors.initials: E
authors.lastname: Torres
authors.forename: Deborah O
authors.initials: DO
authors.lastname: Erwin
authors.forename: Michelle
authors.initials: M
authors.lastname: Treviño
authors.forename: Lina
authors.initials: L
authors.lastname: Jandorf
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D001943:Breast Neoplasms / Q000517:prevention & control; D003142:Communication; D005260:Female; D006630:Hispanic or Latino / Q000523:psychology*; D006801:Humans; D008403:Mass Screening / Q000523:psychology* / Q000706:statistics & numerical data; D008875:Middle Aged; D010342:Patient Acceptance of Health Care / Q000208:ethnology* / Q000523:psychology*; D036301:Qualitative Research; D012944:Social Support; D014481:United States; D002583:Uterine Cervical Neoplasms / Q000517:prevention & control; D055815:Young Adult