title: Healthcare Use and Mammography Among Latinas With and Without Health Insurance Near the US-Mexico Border.
abstract: Among Latinas, lacking health insurance and having lower levels of acculturation are associated with disparities in mammography screening.
  
  
  
  We seek to investigate whether differences in lifetime mammography exist between Latina border residents by health insurance status and health care site (i.e., U.S. only or a combination of U.S. and Mexican health care).
  
  
  
  Using data from the 2009 to 2010 Ecological Household Study on Latino Border Residents, mammography screening was examined among (n = 304) Latinas >40 years old.
  
  
  
  While more acculturated women were significantly (p < .05) more likely to report ever having a mammogram than less acculturated women, ever having a mammogram was not predicted by health care site or insurance status.
  
  
  
  Latinas who utilize multiple systems of care have lower levels of acculturation and health insurance, thus representing an especially vulnerable population for experiencing disparities in mammography screening.
authors.affiliation: University of Michigan Flint, Flint, MI, USA. llapeyro@umflint.edu.
authors.forename: Lisa M
authors.initials: LM
authors.lastname: Lapeyrouse
authors.affiliation: Department of Health Policy and Adminstration, Pennsylvania State University, University Park, PA, 16802, USA.
authors.forename: Patricia Y
authors.initials: PY
authors.lastname: Miranda
authors.affiliation: Department of Psychology, University of Texas at El Paso, El Paso, TX, 79902, USA.
authors.forename: Osvaldo F
authors.initials: OF
authors.lastname: Morera
authors.affiliation: Department of Sociology and Anthropology, University of Texas at El Paso, El Paso, TX, 79902, USA.
authors.forename: Josiah McC
authors.initials: JM
authors.lastname: Heyman
authors.affiliation: College of Science and Health, Charles R. Drew University of Medicine and Science, Los Angeles, CA, 90059, USA.
authors.forename: Hector G
authors.initials: HG
authors.lastname: Balcazar
mesh_terms: D000069:Acculturation; D000328:Adult; D000368:Aged; D001943:Breast Neoplasms / Q000000981:diagnostic imaging*; D055088:Early Detection of Cancer / Q000706:statistics & numerical data*; D005260:Female; D006296:Health Services / Q000706:statistics & numerical data*; D054625:Healthcare Disparities / Q000208:ethnology*; D006630:Hispanic or Latino; D006801:Humans; D007348:Insurance, Health; D016015:Logistic Models; D008327:Mammography / Q000706:statistics & numerical data*; D017057:Medically Uninsured; D008800:Mexico; D008875:Middle Aged; D014481:United States
keywords: Mammography Latinas Insurance Status Border Health