Heterogeneity in Breast and Cervical Cancer Screening Practices Among Female Hispanic Immigrants in the United States |
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Authors: | Catalina Lawsin Deborah Erwin Zoran Bursac Lina Jandorf |
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Institution: | (1) Department of Psychology, Baruch College, CUNY One Bernard Baruch Way, Box 8-210, New York, NY 10010, USA;(2) Division of Cancer Prevention and Population Sciences, Roswell Park Cancer Institute, Buffalo, NY, USA;(3) Department of Biostatistics, Colleges of Medicine and Public Health, University of Arkansas for Medical Sciences, Little Rock, AR, USA;(4) Department of Oncological Sciences, Mount Sinai School of Medicine, New York, NY, USA |
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Abstract: | This study examined differences in cervical and breast cancer (CC and BC) screening among a heterogeneous group of Hispanic
women. Data from 247 women (mean age = 38.7 ± 13.3) from Mexico, the Dominican Republic, Puerto Rico, and countries throughout
Central and South America regarding participation in Pap smears, mammography, clinical breast exam (CBE) and breast self-exams
(BSE), CC and BC knowledge, and acculturation were analyzed. Differences in CBE and BSE screening behaviors were found based
on country of origin (P < .01). However, after adjusting for the independent variables, only acculturation and knowledge remained significant correlates
to BSE and CBE (P < .01). Dominican women had higher BC knowledge scores (P < .01) adhered most to BC screening guidelines. Heterogeneity in BC and CC screening was found among Hispanic sub-groups
and suggests that health promotion programs should be tailored appropriately, particularly among recent immigrants. |
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