Perceived discrimination and cancer screening behaviors in US Hispanics: the Hispanic Community Health Study/Study of Latinos Sociocultural Ancillary Study

Cristina Valdovinos, Frank J. Penedo, Carmen R. Isasi, Molly Jung, Robert C. Kaplan, Rebeca Espinoza Giacinto, Patricia Gonzalez, Vanessa L. Malcarne, Krista Perreira, Hugo Salgado, Melissa A. Simon, Lisa M. Wruck, Heather A. Greenlee

Research output: Contribution to journalArticle

9 Citations (Scopus)

Abstract

Purpose: Perceived discrimination has been associated with lower adherence to cancer screening guidelines. We examined whether perceived discrimination was associated with adherence to breast, cervical, colorectal, and prostate cancer screening guidelines in US Hispanic/Latino adults. Methods: Data were obtained from the Hispanic Community Health Study/Study of Latinos Sociocultural Ancillary Study, including 5,313 Hispanic adults aged 18–74 from Bronx, NY, Chicago, IL, Miami, FL, and San Diego, CA, and those who were within appropriate age ranges for specific screening tests were included in the analysis. Cancer screening behaviors were assessed via self-report. Perceived discrimination was measured using the Perceived Ethnic Discrimination Questionnaire. Confounder-adjusted multivariable polytomous logistic regression models assessed the association between perceived discrimination and adherence to cancer screening guidelines. Results: Among women eligible for screening, 72.1 % were adherent to cervical cancer screening guidelines and 71.3 % were adherent to breast cancer screening guidelines. In participants aged 50–74, 24.6 % of women and 27.0 % of men were adherent to fecal occult blood test guidelines; 43.5 % of women and 34.8 % of men were adherent to colonoscopy/sigmoidoscopy guidelines; 41.0 % of men were adherent to prostate-specific antigen screening guidelines. Health insurance coverage, rather than perceived ethnic discrimination, was the variable most associated with receiving breast, cervical, colorectal, or prostate cancer screening. Conclusions: The influence of discrimination as a barrier to cancer screening may be modest among Hispanics/Latinos in urban US regions. Having health insurance facilitates cancer screening in this population. Efforts to increase cancer screening in Hispanics/Latinos should focus on increasing access to these services, especially among the uninsured.

Original languageEnglish (US)
Pages (from-to)27-37
Number of pages11
JournalCancer Causes and Control
Volume27
Issue number1
DOIs
StatePublished - Jan 1 2016

Fingerprint

Early Detection of Cancer
Hispanic Americans
Guidelines
Health
Uterine Cervical Neoplasms
Health Insurance
Colorectal Neoplasms
Prostatic Neoplasms
Logistic Models
Breast Neoplasms
Sigmoidoscopy
Occult Blood
Insurance Coverage
Hematologic Tests
Colonoscopy
Prostate-Specific Antigen
Self Report
Breast

Keywords

  • Cancer disparities
  • Cancer screening
  • Epidemiology
  • Perceived discrimination
  • Prevention

ASJC Scopus subject areas

  • Oncology
  • Cancer Research

Cite this

Perceived discrimination and cancer screening behaviors in US Hispanics : the Hispanic Community Health Study/Study of Latinos Sociocultural Ancillary Study. / Valdovinos, Cristina; Penedo, Frank J.; Isasi, Carmen R.; Jung, Molly; Kaplan, Robert C.; Espinoza Giacinto, Rebeca; Gonzalez, Patricia; Malcarne, Vanessa L.; Perreira, Krista; Salgado, Hugo; Simon, Melissa A.; Wruck, Lisa M.; Greenlee, Heather A.

In: Cancer Causes and Control, Vol. 27, No. 1, 01.01.2016, p. 27-37.

Research output: Contribution to journalArticle

Valdovinos, C, Penedo, FJ, Isasi, CR, Jung, M, Kaplan, RC, Espinoza Giacinto, R, Gonzalez, P, Malcarne, VL, Perreira, K, Salgado, H, Simon, MA, Wruck, LM & Greenlee, HA 2016, 'Perceived discrimination and cancer screening behaviors in US Hispanics: the Hispanic Community Health Study/Study of Latinos Sociocultural Ancillary Study', Cancer Causes and Control, vol. 27, no. 1, pp. 27-37. https://doi.org/10.1007/s10552-015-0679-0
Valdovinos, Cristina ; Penedo, Frank J. ; Isasi, Carmen R. ; Jung, Molly ; Kaplan, Robert C. ; Espinoza Giacinto, Rebeca ; Gonzalez, Patricia ; Malcarne, Vanessa L. ; Perreira, Krista ; Salgado, Hugo ; Simon, Melissa A. ; Wruck, Lisa M. ; Greenlee, Heather A. / Perceived discrimination and cancer screening behaviors in US Hispanics : the Hispanic Community Health Study/Study of Latinos Sociocultural Ancillary Study. In: Cancer Causes and Control. 2016 ; Vol. 27, No. 1. pp. 27-37.
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abstract = "Purpose: Perceived discrimination has been associated with lower adherence to cancer screening guidelines. We examined whether perceived discrimination was associated with adherence to breast, cervical, colorectal, and prostate cancer screening guidelines in US Hispanic/Latino adults. Methods: Data were obtained from the Hispanic Community Health Study/Study of Latinos Sociocultural Ancillary Study, including 5,313 Hispanic adults aged 18–74 from Bronx, NY, Chicago, IL, Miami, FL, and San Diego, CA, and those who were within appropriate age ranges for specific screening tests were included in the analysis. Cancer screening behaviors were assessed via self-report. Perceived discrimination was measured using the Perceived Ethnic Discrimination Questionnaire. Confounder-adjusted multivariable polytomous logistic regression models assessed the association between perceived discrimination and adherence to cancer screening guidelines. Results: Among women eligible for screening, 72.1 {\%} were adherent to cervical cancer screening guidelines and 71.3 {\%} were adherent to breast cancer screening guidelines. In participants aged 50–74, 24.6 {\%} of women and 27.0 {\%} of men were adherent to fecal occult blood test guidelines; 43.5 {\%} of women and 34.8 {\%} of men were adherent to colonoscopy/sigmoidoscopy guidelines; 41.0 {\%} of men were adherent to prostate-specific antigen screening guidelines. Health insurance coverage, rather than perceived ethnic discrimination, was the variable most associated with receiving breast, cervical, colorectal, or prostate cancer screening. Conclusions: The influence of discrimination as a barrier to cancer screening may be modest among Hispanics/Latinos in urban US regions. Having health insurance facilitates cancer screening in this population. Efforts to increase cancer screening in Hispanics/Latinos should focus on increasing access to these services, especially among the uninsured.",
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AU - Valdovinos, Cristina

AU - Penedo, Frank J.

AU - Isasi, Carmen R.

AU - Jung, Molly

AU - Kaplan, Robert C.

AU - Espinoza Giacinto, Rebeca

AU - Gonzalez, Patricia

AU - Malcarne, Vanessa L.

AU - Perreira, Krista

AU - Salgado, Hugo

AU - Simon, Melissa A.

AU - Wruck, Lisa M.

AU - Greenlee, Heather A.

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N2 - Purpose: Perceived discrimination has been associated with lower adherence to cancer screening guidelines. We examined whether perceived discrimination was associated with adherence to breast, cervical, colorectal, and prostate cancer screening guidelines in US Hispanic/Latino adults. Methods: Data were obtained from the Hispanic Community Health Study/Study of Latinos Sociocultural Ancillary Study, including 5,313 Hispanic adults aged 18–74 from Bronx, NY, Chicago, IL, Miami, FL, and San Diego, CA, and those who were within appropriate age ranges for specific screening tests were included in the analysis. Cancer screening behaviors were assessed via self-report. Perceived discrimination was measured using the Perceived Ethnic Discrimination Questionnaire. Confounder-adjusted multivariable polytomous logistic regression models assessed the association between perceived discrimination and adherence to cancer screening guidelines. Results: Among women eligible for screening, 72.1 % were adherent to cervical cancer screening guidelines and 71.3 % were adherent to breast cancer screening guidelines. In participants aged 50–74, 24.6 % of women and 27.0 % of men were adherent to fecal occult blood test guidelines; 43.5 % of women and 34.8 % of men were adherent to colonoscopy/sigmoidoscopy guidelines; 41.0 % of men were adherent to prostate-specific antigen screening guidelines. Health insurance coverage, rather than perceived ethnic discrimination, was the variable most associated with receiving breast, cervical, colorectal, or prostate cancer screening. Conclusions: The influence of discrimination as a barrier to cancer screening may be modest among Hispanics/Latinos in urban US regions. Having health insurance facilitates cancer screening in this population. Efforts to increase cancer screening in Hispanics/Latinos should focus on increasing access to these services, especially among the uninsured.

AB - Purpose: Perceived discrimination has been associated with lower adherence to cancer screening guidelines. We examined whether perceived discrimination was associated with adherence to breast, cervical, colorectal, and prostate cancer screening guidelines in US Hispanic/Latino adults. Methods: Data were obtained from the Hispanic Community Health Study/Study of Latinos Sociocultural Ancillary Study, including 5,313 Hispanic adults aged 18–74 from Bronx, NY, Chicago, IL, Miami, FL, and San Diego, CA, and those who were within appropriate age ranges for specific screening tests were included in the analysis. Cancer screening behaviors were assessed via self-report. Perceived discrimination was measured using the Perceived Ethnic Discrimination Questionnaire. Confounder-adjusted multivariable polytomous logistic regression models assessed the association between perceived discrimination and adherence to cancer screening guidelines. Results: Among women eligible for screening, 72.1 % were adherent to cervical cancer screening guidelines and 71.3 % were adherent to breast cancer screening guidelines. In participants aged 50–74, 24.6 % of women and 27.0 % of men were adherent to fecal occult blood test guidelines; 43.5 % of women and 34.8 % of men were adherent to colonoscopy/sigmoidoscopy guidelines; 41.0 % of men were adherent to prostate-specific antigen screening guidelines. Health insurance coverage, rather than perceived ethnic discrimination, was the variable most associated with receiving breast, cervical, colorectal, or prostate cancer screening. Conclusions: The influence of discrimination as a barrier to cancer screening may be modest among Hispanics/Latinos in urban US regions. Having health insurance facilitates cancer screening in this population. Efforts to increase cancer screening in Hispanics/Latinos should focus on increasing access to these services, especially among the uninsured.

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KW - Prevention

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