title: Sociocultural determinants of breast and cervical cancer screening adherence: an examination of variation among immigrant Latinas by country of origin.
abstract: This paper seeks to examine differences in sociodemographic characteristics and culturally-relevant psychosocial and interpersonal factors across four sub-groups of immigrant Latinas, and how these factors are associated with adherence to age-specific breast and cervical cancer screening. Data come from a baseline survey using an electronic audience response system from a randomized controlled trial to test the effectiveness of a cancer screening program in New York and Arkansas (n=1,548). Mexican women were least likely to be adherent to cancer screening tests (clinical breast exam, mammogram, or Pap test). Mexican women also differed from the other sub-groups in terms of sociodemographics, barriers, and interactions within the health care system. Correlates of screening adherence differed by country of origin, with the exception of spouse/partner attendance at the program, which was negatively associated with adherence across several sub-groups. Findings provide important information about Latina sub-group variability that can help inform the development of breast and cervical cancer screening interventions.
authors.affiliation: Columbia University, Mailman School of Public Health, Department of Sociomedical Sciences, 722 West 168th Street, Room 548, New York, NY 10032, USA. rs3108@columbia.edu
authors.forename: Rachel C
authors.initials: RC
authors.lastname: Shelton
authors.forename: Lina
authors.initials: L
authors.lastname: Jandorf
authors.forename: Linda
authors.initials: L
authors.lastname: Thelemaque
authors.forename: Sheba
authors.initials: S
authors.lastname: King
authors.forename: Deborah O
authors.initials: DO
authors.lastname: Erwin
mesh_terms: D000328:Adult; D001131:Arkansas / Q000453:epidemiology; D001943:Breast Neoplasms / Q000175:diagnosis* / Q000208:ethnology; D055088:Early Detection of Cancer / Q000706:statistics & numerical data*; D054242:Emigrants and Immigrants / Q000523:psychology / Q000706:statistics & numerical data*; D005260:Female; D006630:Hispanic or Latino / Q000523:psychology / Q000706:statistics & numerical data*; D006801:Humans; D009518:New York / Q000453:epidemiology; D010349:Patient Compliance / Q000208:ethnology* / Q000706:statistics & numerical data; D012959:Socioeconomic Factors; D002583:Uterine Cervical Neoplasms / Q000175:diagnosis* / Q000208:ethnology; D055815:Young Adult