Predictors of breast and cervical cancer screening among a cohort of low-acculturated Latinas in Dane County, Wiscosin

Low adherence to breast and cervical cancer (BCC) screening results in higher BCC mortality among Latinas than other ethnic groups. The purpose of this study is to identify predictors of BCC screening among a cohort of Latinas who participated in Cuidándome (Taking Care of Me), an intervention to promote BCC screening. Participants' BCC practices and theoretical correlates were evaluated at baseline (N=353, mean age=34.2; SD=9.6; 59.4% monolingual Spanish) and at 1-month and 3-months follow up. Multiple logistic regression models for cluster data with a robust estimate of the variance to account for the presence of repeated observations were estimated. A total of 542 follow-up evaluations were accrued. Having a regular health care provider (OR: 3.98; 95%CI=1.06, 14.86) and knowledge of breast cancer screening recommendations (OR: 1.73; 95%CI=0.97, 3.10) were significant predictors of last 12-months mammogram receipt (women ³40 years). Knowing where to get a mammogram and higher likelihood of getting it annually were significantly associated but did not remain in the model. Age (OR: 0.94; 95%CI=0.92, 0.97), knowing where to get a Pap smear (OR: 3.98; 95%CI=1.75, 9.07), having concern about test may cause pain (OR: 0.81; 95%CI=0.67, 0.99), having the intention to get a Pap smear in the next 12-months (OR: 2.34; 95%CI=1.18, 4.63), and higher likelihood of getting a Pap smear annually (OR: 1.82; 95%CI=1.46, 2.28) were significant predictors of last 12-months Pap smear receipt. Interventions aimed at increasing continuity of care and education about BCC screening among low-acculturated Latinas could help promote BCC screening in this population.