225255 Prevalence and correlates of breast and cervical cancer screening among a community sample of Latino women in Dane County, Wisconsin

Sunday, November 7, 2010

Lina Vera-Cala, MD, MSc , Department of Population Health Sciences - Department of Public Health, University of Wisconsin at Madison - Universidad Industrial de Santander at Colombia, Madison, WI
Ana P. Martinez-Donate, PhD , Department of Population Health Sciences, University of Wisconsin-Madison, Madison, WI
Rhea Vedro, MSc , Community Education Department, Planned Parenthood of Wisconsin, Inc., Madison, WI
Rosario Angulo , Community Education Department, Planned Parenthood of WI, Inc., Madison, WI
Low adherence to breast and cervical cancer screening results in higher BCC mortality among Latinas compared to other ethnic groups. This study estimates the prevalence of and factors associated with BCC screening among a community-sample of Latinas participating in Cuidándome (Taking Care of Me), an intervention to increase BCC screening among low-acculturated Latinas in Dane County, Wisconsin. At baseline, participants (N=274; mean age = 35; SD =10.3; 63% monolingual Spanish) completed a self-administered questionnaire on demographics, BCC screening history, knowledge, and barriers. 66.1% of women aged 40 or over (N=92) and 92.5% of all women reported ever having had a mammogram and a Pap smear, respectively. In contrast, only 32.8% and 55.9%, respectively, reported receipt of these tests during the last 12 months. Univariate analyses indicated that education (OR= 6.7; 95%CI: 2.2, 20.0), length of stay in the US (OR= 1.1; 95%CI: 1.0, 1.2), having children (OR= 1.2; 95%CI: 1.0, 1.5), having health insurance (OR= 3.3; 95%CI: 1.2, 9.4), concern about cost (OR= 4.5; 95%CI: 1.5, 13.3), lack of English fluency (OR= 4.1; 95%CI: 1.5, 11.7), and fear of an abnormal result (OR= 2.6; 95%CI: 0.8, 7.9) were significantly associated with last 12-month mammogram receipt. Last 12-month Pap smear receipt was significantly associated with knowledge on risk and protective factors (OR= 1.1; 95%CI: 1.0, 1.3) and having health insurance (OR= 1.9; 95%CI: 1.1, 3.4). These results highlight the need for multilevel interventions that address individual, cultural, and structural barriers to BCC screening among low-acculturated Latino women.

Learning Areas:
Assessment of individual and community needs for health education
Diversity and culture
Planning of health education strategies, interventions, and programs
Social and behavioral sciences

Learning Objectives:
Learning objective 1: To evaluate the level of adherence to BCC screening guidelines among immigrant Latino women in Dane County. Learning objective 2: To identify factors associated with having a mammogram and Pap smear during the last year among immigrant Latino women in Dane County.

Keywords: Mammography Screening, Cervical Cancer

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am qualified because I am medical doctor with a master degree in Epidemiology who has studied the factors related with the adherence of breast and cervical cancer screening guidelines in Colombia (as a researcher) and among the Latino community in Dane County, Wisconsin (as a PhD student)
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.