267273 Breast Cancer Knowledge, Attitude and Screening Behaviors of Hispanic Women in South Texas Border Counties

Tuesday, October 30, 2012 : 1:15 PM - 1:30 PM

Thankam Sunil, PhD , Department of Sociology, The University of Texas San Antonio, Texas, TX
Thelma Hurd, MD , Surgery, University of Texas Health Science Center-San Antonio, San Antonio, TX
Carma Deem, BS , Department of Sociology, University of Texas San Antonio, San Antonio, TX
Lucinda Nevarez, PhD , Department of Health and Health Disparities Research, University of Texas MD Anderson Cancer Center, Houston, TX
Jeffrey Guidry, PhD , Department of Health and Kinesiology; Division of Health Education, Texas A&M University, College Station, TX
Rebecca Rios, RN , Southwest Border AHEC Area Health Education Center, University of Texas Health Science Center-San Antonio, Eagle Pass, TX
Hector Guerra , Texas Health and Human Service Commission, Office of Border Affairs, Del Rio, TX
Juanita Ortiz , Texas Health and Human Service Commission, QUAD Counties Counsel Colonia Promotra Program, Del Rio, TX
Lovell Jones, PhD , Dorothy I. Height Center for Health Equity and Evaluation Research, UT MD Anderson Cancer Center, Houston, TX
Recent reports reveal that from 2005 2008 only 61.2% of Latina women aged 40 years and older compared to 67.9% of White women received a mammogram in the previous two years (NCHS 2009). The present study examines the knowledge, attitudes and screening behaviors regarding breast cancer of Hispanic women from two South Texas Border Counties, Maverick and Val Verde Counties. We used Health Belief Model to analyze the effects of HBM constructs on clinical breast exam and mammogram screening. Using a multistage systematic sampling approach, we interviewed 1849 women from colonias of these South Texas Border Counties. Logistic regression analysis was used on two separate dependent variables in this study to predict screening behaviors. The two dependent variables are one each for clinical breast exam (CBE) and mammogram screening. The results indicate that variables such as breast cancer knowledge, perceived susceptibility, barriers and source of health information (positive cues to cancer screening) were statistically significant in predicting CBE among these women. In addition to these variables, background variables such as marital status and health insurance status were also significant in predicting CBE. Findings further indicate that the source of health information, barriers to screening, and health insurance status significantly predict mammogram screening behaviors. Results suggest that for women living in colonias along the South Texas Border Counties socio-demographic variables play a significant role in their CBE and mammogram screening.

Learning Areas:
Administer health education strategies, interventions and programs
Assessment of individual and community needs for health education
Public health or related research
Social and behavioral sciences

Learning Objectives:
Define barriers to clinical breast examination among Hispanic women residing in south Texas. Identify socio-demographic variables which influence clinical breast examination and mammogram screening among Hispanics residing in south Texas.

Keywords: Health Behavior, Breast Cancer Screening

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I was involved in the data collection, analysis, and composition of this manuscript.
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.

Back to: 4213.0: Cancer Epidemiology 1