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American Public Health Association
133rd Annual Meeting & Exposition
December 10-14, 2005
Philadelphia, PA
APHA 2005
5118.0: Wednesday, December 14, 2005 - 12:45 PM

Abstract #106548

Predictors of mammography screening among Hispanic and non-Hispanic white women living in a rural setting

Silvia Tejeda, MPH, Beti Thompson, PhD, and Gloria Coronado, PhD. Fred Hutchinson Cancer Research Center, 1100 Fairview Ave N, Seattle, WA 98109, 206/667-7421, tejedas@u.washington.edu

Objective: To assess the association between socioeconomic status and self-reported barriers on mammography screening participation among Hispanic and non-Hispanic white women living in rural Washington State. Methods: Baseline data were used from a larger study of a randomized community trial on cancer prevention. In-person interviews were conducted with individual household members. Mixed model regression was used to assess the relationship between ethnicity, acculturation level, education level, insurance status, and personal and structural barriers and having ever had or being compliant with mammography screening. Results: A total of 537 Hispanic (28.3%) and non-Hispanic white (71.7%) women over age 40 were included in this analysis. Hispanic women were less likely to have ever received a mammogram than Non-Hispanic white women (OR 0.46, CI 0.30-0.71); this association was attenuated when socioeconomic factors were taken into account (education and insurance) (OR=0.79, 95% CI 0.41-1.53). Among Hispanic women, fear of finding cancer (personal barrier) or fear of finding other diseases was associated with failure for ever having received screening (OR=0.42, 95%CI 0.19-0.95) or failure for having received a recent mammogram (OR=0.29, 95% CI 0.10-0.86). Among non-Hispanic White women, cost of screening (structural barrier) was found to be associated (OR= 0.46, 95% CI 0.25-0.83) with screening non-compliance. Conclusion: Women with less education and those without insurance may need continued local and national resources to receive screening services for breast cancer. Interventions to improve participation in mammography screening among Hispanics should address beliefs and attitudes about breast cancer and screening.

Learning Objectives:

Keywords: Mammography Screening, Rural Populations

Presenting author's disclosure statement:

I wish to disclose that I have NO financial interests or other relationship with the manufactures of commercial products, suppliers of commercial services or commercial supporters.

[ Recorded presentation ] Recorded presentation

Cancer Prevention and Control to Promote Latino Health

The 133rd Annual Meeting & Exposition (December 10-14, 2005) of APHA