Breast and cervical cancer screening utilization among hispanic women living near the United States-Mexico border

Tomas Nuño, Philip E. Castle, Robin Harris, Antonio Estrada, Francisco García

Research output: Contribution to journalArticle

34 Citations (Scopus)

Abstract

Objective: Hispanic women who reside in low-resource settings are especially at risk for nonparticipation in cancer screening programs. The purpose of this study was to assess characteristics that influence breast and cervical cancer screening among older Hispanic women living along the United States-Mexico border. Methods: A cross-sectional study of women aged ≥50 years (n=504) residing in Yuma County, Arizona, were randomly selected for interviews. Logistic regression analyses were conducted to identify determinants of compliance with mammography and Pap smear use. Results: Women who received a recommendation from a clinician to get both mammography and Pap smears were more likely to receive a mammogram within the past year (adjusted odds ratio [AOR] 5.1, 95% confidence interval [CI] 3.0-8.9) compared to women who received no recommendation. Likewise, women who received both recommendations were more likely to receive a Pap smear within the past 3 years (AOR 9.7, 95% CI 4.6-20.7) compared to women who received no recommendation. Other factors, such as current health insurance and a visit with their healthcare provider in the past year, were also associated with getting a mammogram within 1 year or Pap smear within 3 years. Conclusions: Enabling characteristics were significantly associated with breast and cervical cancer screening use compared to predisposing and need characteristics among older Hispanic women residing near the U.S.-Mexico border. Clinician recommendation of both mammograms and Pap smears and opportunistic clinic visits to medical providers may increase breast and cervical cancer screening coverage and reduce the burden of these two cancers in this high-risk population.

Original languageEnglish (US)
Pages (from-to)685-693
Number of pages9
JournalJournal of Women's Health
Volume20
Issue number5
DOIs
StatePublished - May 1 2011
Externally publishedYes

Fingerprint

Mexico
Early Detection of Cancer
Hispanic Americans
Uterine Cervical Neoplasms
Papanicolaou Test
Breast Neoplasms
Mammography
Odds Ratio
Confidence Intervals
Health Insurance
Ambulatory Care
Health Personnel
Cross-Sectional Studies
Logistic Models
Regression Analysis
Interviews
Population
Neoplasms

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Breast and cervical cancer screening utilization among hispanic women living near the United States-Mexico border. / Nuño, Tomas; Castle, Philip E.; Harris, Robin; Estrada, Antonio; García, Francisco.

In: Journal of Women's Health, Vol. 20, No. 5, 01.05.2011, p. 685-693.

Research output: Contribution to journalArticle

Nuño, Tomas ; Castle, Philip E. ; Harris, Robin ; Estrada, Antonio ; García, Francisco. / Breast and cervical cancer screening utilization among hispanic women living near the United States-Mexico border. In: Journal of Women's Health. 2011 ; Vol. 20, No. 5. pp. 685-693.
@article{e8c662c443624702a5ec0df35af1d047,
title = "Breast and cervical cancer screening utilization among hispanic women living near the United States-Mexico border",
abstract = "Objective: Hispanic women who reside in low-resource settings are especially at risk for nonparticipation in cancer screening programs. The purpose of this study was to assess characteristics that influence breast and cervical cancer screening among older Hispanic women living along the United States-Mexico border. Methods: A cross-sectional study of women aged ≥50 years (n=504) residing in Yuma County, Arizona, were randomly selected for interviews. Logistic regression analyses were conducted to identify determinants of compliance with mammography and Pap smear use. Results: Women who received a recommendation from a clinician to get both mammography and Pap smears were more likely to receive a mammogram within the past year (adjusted odds ratio [AOR] 5.1, 95{\%} confidence interval [CI] 3.0-8.9) compared to women who received no recommendation. Likewise, women who received both recommendations were more likely to receive a Pap smear within the past 3 years (AOR 9.7, 95{\%} CI 4.6-20.7) compared to women who received no recommendation. Other factors, such as current health insurance and a visit with their healthcare provider in the past year, were also associated with getting a mammogram within 1 year or Pap smear within 3 years. Conclusions: Enabling characteristics were significantly associated with breast and cervical cancer screening use compared to predisposing and need characteristics among older Hispanic women residing near the U.S.-Mexico border. Clinician recommendation of both mammograms and Pap smears and opportunistic clinic visits to medical providers may increase breast and cervical cancer screening coverage and reduce the burden of these two cancers in this high-risk population.",
author = "Tomas Nu{\~n}o and Castle, {Philip E.} and Robin Harris and Antonio Estrada and Francisco Garc{\'i}a",
year = "2011",
month = "5",
day = "1",
doi = "10.1089/jwh.2010.2205",
language = "English (US)",
volume = "20",
pages = "685--693",
journal = "Journal of Women's Health",
issn = "1540-9996",
publisher = "Mary Ann Liebert Inc.",
number = "5",

}

TY - JOUR

T1 - Breast and cervical cancer screening utilization among hispanic women living near the United States-Mexico border

AU - Nuño, Tomas

AU - Castle, Philip E.

AU - Harris, Robin

AU - Estrada, Antonio

AU - García, Francisco

PY - 2011/5/1

Y1 - 2011/5/1

N2 - Objective: Hispanic women who reside in low-resource settings are especially at risk for nonparticipation in cancer screening programs. The purpose of this study was to assess characteristics that influence breast and cervical cancer screening among older Hispanic women living along the United States-Mexico border. Methods: A cross-sectional study of women aged ≥50 years (n=504) residing in Yuma County, Arizona, were randomly selected for interviews. Logistic regression analyses were conducted to identify determinants of compliance with mammography and Pap smear use. Results: Women who received a recommendation from a clinician to get both mammography and Pap smears were more likely to receive a mammogram within the past year (adjusted odds ratio [AOR] 5.1, 95% confidence interval [CI] 3.0-8.9) compared to women who received no recommendation. Likewise, women who received both recommendations were more likely to receive a Pap smear within the past 3 years (AOR 9.7, 95% CI 4.6-20.7) compared to women who received no recommendation. Other factors, such as current health insurance and a visit with their healthcare provider in the past year, were also associated with getting a mammogram within 1 year or Pap smear within 3 years. Conclusions: Enabling characteristics were significantly associated with breast and cervical cancer screening use compared to predisposing and need characteristics among older Hispanic women residing near the U.S.-Mexico border. Clinician recommendation of both mammograms and Pap smears and opportunistic clinic visits to medical providers may increase breast and cervical cancer screening coverage and reduce the burden of these two cancers in this high-risk population.

AB - Objective: Hispanic women who reside in low-resource settings are especially at risk for nonparticipation in cancer screening programs. The purpose of this study was to assess characteristics that influence breast and cervical cancer screening among older Hispanic women living along the United States-Mexico border. Methods: A cross-sectional study of women aged ≥50 years (n=504) residing in Yuma County, Arizona, were randomly selected for interviews. Logistic regression analyses were conducted to identify determinants of compliance with mammography and Pap smear use. Results: Women who received a recommendation from a clinician to get both mammography and Pap smears were more likely to receive a mammogram within the past year (adjusted odds ratio [AOR] 5.1, 95% confidence interval [CI] 3.0-8.9) compared to women who received no recommendation. Likewise, women who received both recommendations were more likely to receive a Pap smear within the past 3 years (AOR 9.7, 95% CI 4.6-20.7) compared to women who received no recommendation. Other factors, such as current health insurance and a visit with their healthcare provider in the past year, were also associated with getting a mammogram within 1 year or Pap smear within 3 years. Conclusions: Enabling characteristics were significantly associated with breast and cervical cancer screening use compared to predisposing and need characteristics among older Hispanic women residing near the U.S.-Mexico border. Clinician recommendation of both mammograms and Pap smears and opportunistic clinic visits to medical providers may increase breast and cervical cancer screening coverage and reduce the burden of these two cancers in this high-risk population.

UR - http://www.scopus.com/inward/record.url?scp=79955784236&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=79955784236&partnerID=8YFLogxK

U2 - 10.1089/jwh.2010.2205

DO - 10.1089/jwh.2010.2205

M3 - Article

C2 - 21428792

AN - SCOPUS:79955784236

VL - 20

SP - 685

EP - 693

JO - Journal of Women's Health

JF - Journal of Women's Health

SN - 1540-9996

IS - 5

ER -