County of Residence and Screening Practices among Latinas and Non-Latina Whites in Two Rural Communities.
Ethn Dis
; 29(1): 31-38, 2019.
Article
em En
| MEDLINE
| ID: mdl-30713414
ABSTRACT
Objectives:
Latinas are less likely than non-Latina Whites (NLW) to utilize mammographic screening and are more likely to be diagnosed with late-stage breast cancer. Here, we examine the effects of county-level factors on guideline-concordant breast-cancer screening behaviors in Latinas and NLWs.Design:
Latinas (N=108) and NLW women (N=132) aged >40 years, residing in two adjacent rural, medically underserved counties in eastern Washington State, completed a baseline questionnaire on mammography utilization and demographics. Main OutcomeMeasures:
Differences in socioeconomic variables and knowledge of screening practices were examined by ethnicity and county of residence. Predictors of having had a mammogram within the past two years were analyzed using multivariate logistic regression.Results:
Ethnicity was not associated with having a guideline-concordant mammogram; however, age (odds ratio [OR]=1.04, 95%CI1.01-1.08); having >12 years of education (OR=2.09, 95%CI1.16-3.79); having a regular clinic for health care (OR=2.22, 95%CI1.05-4.70); having had a prior clinical breast exam (OR=5.07, 95%CI1.71-15.02), and county of residence (OR=2.27, 95%CI1.18-4.37) were all associated with having had a guideline-concordant mammogram.Conclusions:
County of residence and having had a prior CBE were strong predictors of screening utilization. Community-level factors in medically underserved areas may influence screening patterns.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
População Rural
/
Neoplasias da Mama
/
Mamografia
/
Hispânico ou Latino
/
Programas de Rastreamento
/
População Branca
/
Detecção Precoce de Câncer
Tipo de estudo:
Clinical_trials
/
Diagnostic_studies
/
Guideline
/
Prognostic_studies
/
Qualitative_research
/
Screening_studies
Limite:
Adolescent
/
Adult
/
Aged
/
Female
/
Humans
/
Middle aged
País/Região como assunto:
America do norte
Idioma:
En
Ano de publicação:
2019
Tipo de documento:
Article