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. 1999 Feb;89(2):219–227. doi: 10.2105/ajph.89.2.219

Acculturation and breast cancer screening among Hispanic women in New York City.

A S O'Malley 1, J Kerner 1, A E Johnson 1, J Mandelblatt 1
PMCID: PMC1508521  PMID: 9949753

Abstract

OBJECTIVES: This study investigated whether acculturation was associated with the receipt of clinical breast examinations and mammograms among Colombian, Ecuadorian, Dominican, and Puerto Rican women aged 18 to 74 years in New York City in 1992. METHODS: A bilingual, targeted, random-digit-dialed telephone survey was conducted among 908 Hispanic women from a population-based quota sample. Outcome measures included ever and recent use of clinical breast examinations and mammograms. Multivariate logistic regression models were used to assess the effect of acculturation on screening use. RESULTS: When demographic, socioeconomic, and health system characteristics and cancer attitudes and beliefs were controlled for, women who were more acculturated had significantly higher odds of ever and recently receiving a clinical breast examination (P < or = .01) and of ever (P < or = .01) and recently (P < or = .05) receiving a mammogram than did less acculturated women. For all screening measures, there was a linear increase in the adjusted probability of being screened as a function of acculturation. CONCLUSIONS: Neighborhood and health system interventions to increase screening among Hispanic women should target the less acculturated.

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Selected References

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  1. Burnam M. A., Hough R. L., Karno M., Escobar J. I., Telles C. A. Acculturation and lifetime prevalence of psychiatric disorders among Mexican Americans in Los Angeles. J Health Soc Behav. 1987 Mar;28(1):89–102. [PubMed] [Google Scholar]
  2. Calle E. E., Flanders W. D., Thun M. J., Martin L. M. Demographic predictors of mammography and Pap smear screening in US women. Am J Public Health. 1993 Jan;83(1):53–60. doi: 10.2105/ajph.83.1.53. [DOI] [PMC free article] [PubMed] [Google Scholar]
  3. Caplan L. S., Wells B. L., Haynes S. Breast cancer screening among older racial/ethnic minorities and whites: barriers to early detection. J Gerontol. 1992 Nov;47(Spec No):101–110. [PubMed] [Google Scholar]
  4. Donabedian A. Evaluating the quality of medical care. Milbank Mem Fund Q. 1966 Jul;44(3 Suppl):166–206. [PubMed] [Google Scholar]
  5. Elder J. P., Castro F. G., de Moor C., Mayer J., Candelaria J. I., Campbell N., Talavera G., Ware L. M. Differences in cancer-risk-related behaviors in Latino and Anglo adults. Prev Med. 1991 Nov;20(6):751–763. doi: 10.1016/0091-7435(91)90069-g. [DOI] [PubMed] [Google Scholar]
  6. Epstein J. A., Botvin G. J., Dusenbury L., Diaz T., Kerner J. Validation of an acculturation measure for Hispanic adolescents. Psychol Rep. 1996 Dec;79(3 Pt 1):1075–1079. doi: 10.2466/pr0.1996.79.3.1075. [DOI] [PubMed] [Google Scholar]
  7. Feinstein J. S. The relationship between socioeconomic status and health: a review of the literature. Milbank Q. 1993;71(2):279–322. [PubMed] [Google Scholar]
  8. Fox S. A., Stein J. A. The effect of physician-patient communication on mammography utilization by different ethnic groups. Med Care. 1991 Nov;29(11):1065–1082. doi: 10.1097/00005650-199111000-00001. [DOI] [PubMed] [Google Scholar]
  9. Frazier E. L., Jiles R. B., Mayberry R. Use of screening mammography and clinical breast examinations among black, Hispanic, and white women. Prev Med. 1996 Mar-Apr;25(2):118–125. doi: 10.1006/pmed.1996.0037. [DOI] [PubMed] [Google Scholar]
  10. Giuliano A., Alberts D. Cancer prevention among US Hispanics. Arch Intern Med. 1994 May 23;154(10):1057–1058. [PubMed] [Google Scholar]
  11. Gordon N. P., Hiatt R. A., Lampert D. I. Concordance of self-reported data and medical record audit for six cancer screening procedures. J Natl Cancer Inst. 1993 Apr 7;85(7):566–570. doi: 10.1093/jnci/85.7.566. [DOI] [PubMed] [Google Scholar]
  12. Guttfreund D. G. Effects of language usage on the emotional experience of Spanish-English and English-Spanish bilinguals. J Consult Clin Psychol. 1990 Oct;58(5):604–607. doi: 10.1037//0022-006x.58.5.604. [DOI] [PubMed] [Google Scholar]
  13. Hiatt R. A., Pérez-Stable E. J., Quesenberry C., Jr, Sabogal F., Otero-Sabogal R., McPhee S. J. Agreement between self-reported early cancer detection practices and medical audits among Hispanic and non-Hispanic white health plan members in northern California. Prev Med. 1995 May;24(3):278–285. doi: 10.1006/pmed.1995.1045. [DOI] [PubMed] [Google Scholar]
  14. Hu D. J., Covell R. M. Health care usage by Hispanic outpatients as function of primary language. West J Med. 1986 Apr;144(4):490–493. [PMC free article] [PubMed] [Google Scholar]
  15. Hubbell F. A., Mishra S. I., Chavez L. R., Valdez R. B. The influence of knowledge and attitudes about breast cancer on mammography use among Latinas and Anglo women. J Gen Intern Med. 1997 Aug;12(8):505–508. doi: 10.1046/j.1525-1497.1997.00090.x. [DOI] [PMC free article] [PubMed] [Google Scholar]
  16. Johnson C. S., Archer J., Campos-Outcalt D. Accuracy of Pap smear and mammogram self-reports in a southwestern Native American tribe. Am J Prev Med. 1995 Nov-Dec;11(6):360–363. [PubMed] [Google Scholar]
  17. Kerner J. F., Breen N., Tefft M. C., Silsby J. Tobacco use among multi-ethnic Latino populations. Ethn Dis. 1998;8(2):167–183. [PubMed] [Google Scholar]
  18. Mandelblatt J., Andrews H., Kao R., Wallace R., Kerner J. Impact of access and social context on breast cancer stage at diagnosis. J Health Care Poor Underserved. 1995;6(3):342–351. doi: 10.1353/hpu.2010.0449. [DOI] [PubMed] [Google Scholar]
  19. Mandelblatt J., Andrews H., Kerner J., Zauber A., Burnett W. Determinants of late stage diagnosis of breast and cervical cancer: the impact of age, race, social class, and hospital type. Am J Public Health. 1991 May;81(5):646–649. doi: 10.2105/ajph.81.5.646. [DOI] [PMC free article] [PubMed] [Google Scholar]
  20. Marin G., Vanoss Marin B., Perez-Stable E. J., Vanoss B. Feasibility of a telephone survey to study a minority community: Hispanics in San Francisco. Am J Public Health. 1990 Mar;80(3):323–326. doi: 10.2105/ajph.80.3.323. [DOI] [PMC free article] [PubMed] [Google Scholar]
  21. Markides K. S., Krause N., Mendes de Leon C. F. Acculturation and alcohol consumption among Mexican Americans: a three-generation study. Am J Public Health. 1988 Sep;78(9):1178–1181. doi: 10.2105/ajph.78.9.1178. [DOI] [PMC free article] [PubMed] [Google Scholar]
  22. Marks G., Solis J., Richardson J. L., Collins L. M., Birba L., Hisserich J. C. Health behavior of elderly Hispanic women: does cultural assimilation make a difference? Am J Public Health. 1987 Oct;77(10):1315–1319. doi: 10.2105/ajph.77.10.1315. [DOI] [PMC free article] [PubMed] [Google Scholar]
  23. O'Malley A. S., Mandelblatt J., Gold K., Cagney K. A., Kerner J. Continuity of care and the use of breast and cervical cancer screening services in a multiethnic community. Arch Intern Med. 1997 Jul 14;157(13):1462–1470. [PubMed] [Google Scholar]
  24. Potvin L., Camirand J., Béland F. Patterns of health services utilization and mammography use among women aged 50 to 59 years in the Québec Medicare system. Med Care. 1995 May;33(5):515–530. doi: 10.1097/00005650-199505000-00006. [DOI] [PubMed] [Google Scholar]
  25. Pérez-Stable E. J., Otero-Sabogal R., Sabogal F., McPhee S. J., Hiatt R. A. Self-reported use of cancer screening tests among Latinos and Anglos in a prepaid health plan. Arch Intern Med. 1994 May 23;154(10):1073–1081. doi: 10.1001/archinte.1994.00420100041007. [DOI] [PubMed] [Google Scholar]
  26. Pérez-Stable E. J., Sabogal F., Otero-Sabogal R., Hiatt R. A., McPhee S. J. Misconceptions about cancer among Latinos and Anglos. JAMA. 1992 Dec 9;268(22):3219–3223. doi: 10.1001/jama.1992.03490220063029. [DOI] [PubMed] [Google Scholar]
  27. Pérez-Stable E. J., Sabogal F., Otero-Sabogal R. Use of cancer-screening tests in the San Francisco Bay area: comparison of Latinos and Anglos. J Natl Cancer Inst Monogr. 1995;(18):147–153. [PubMed] [Google Scholar]
  28. Quesada G. M. Language and communication barriers for health delivery to a minority group. Soc Sci Med. 1976 Jun;10(6):323–327. doi: 10.1016/0037-7856(76)90078-0. [DOI] [PubMed] [Google Scholar]
  29. Rakowski W., Rimer B. K., Bryant S. A. Integrating behavior and intention regarding mammography by respondents in the 1990 National Health Interview Survey of Health Promotion and Disease Prevention. Public Health Rep. 1993 Sep-Oct;108(5):605–624. [PMC free article] [PubMed] [Google Scholar]
  30. Richardson J. L., Langholz B., Bernstein L., Burciaga C., Danley K., Ross R. K. Stage and delay in breast cancer diagnosis by race, socioeconomic status, age and year. Br J Cancer. 1992 Jun;65(6):922–926. doi: 10.1038/bjc.1992.193. [DOI] [PMC free article] [PubMed] [Google Scholar]
  31. Richardson J. L., Marks G., Solis J. M., Collins L. M., Birba L., Hisserich J. C. Frequency and adequacy of breast cancer screening among elderly Hispanic women. Prev Med. 1987 Nov;16(6):761–774. doi: 10.1016/0091-7435(87)90016-8. [DOI] [PubMed] [Google Scholar]
  32. Schur C. L., Bernstein A. B., Berk M. L. The importance of distinguishing Hispanic subpopulations in the use of medical care. Med Care. 1987 Jul;25(7):627–641. doi: 10.1097/00005650-198707000-00006. [DOI] [PubMed] [Google Scholar]
  33. Stein J. A., Fox S. A. Language preference as an indicator of mammography use among Hispanic women. J Natl Cancer Inst. 1990 Nov 7;82(21):1715–1716. doi: 10.1093/jnci/82.21.1715. [DOI] [PubMed] [Google Scholar]
  34. Suarez L., Goldman D. A., Weiss N. S. Validity of Pap smear and mammogram self-reports in a low-income Hispanic population. Am J Prev Med. 1995 Mar-Apr;11(2):94–98. [PubMed] [Google Scholar]
  35. Suarez L. Pap smear and mammogram screening in Mexican-American women: the effects of acculturation. Am J Public Health. 1994 May;84(5):742–746. doi: 10.2105/ajph.84.5.742. [DOI] [PMC free article] [PubMed] [Google Scholar]
  36. Taylor K. L., Kerner J. F., Gold K. F., Mandelblatt J. S. Ever vs never smoking among an urban, multiethnic sample of Haitian-, Caribbean-, and U.S.-born blacks. Prev Med. 1997 Nov-Dec;26(6):855–865. doi: 10.1006/pmed.1997.0225. [DOI] [PubMed] [Google Scholar]
  37. Wells K. B., Golding J. M., Hough R. L., Burnam M. A., Karno M. Acculturation and the probability of use of health services by Mexican Americans. Health Serv Res. 1989 Jun;24(2):237–257. [PMC free article] [PubMed] [Google Scholar]
  38. Wilcox L. S., Mosher W. D. Factors associated with obtaining health screening among women of reproductive age. Public Health Rep. 1993 Jan-Feb;108(1):76–86. [PMC free article] [PubMed] [Google Scholar]
  39. Woloshin S., Schwartz L. M., Katz S. J., Welch H. G. Is language a barrier to the use of preventive services? J Gen Intern Med. 1997 Aug;12(8):472–477. doi: 10.1046/j.1525-1497.1997.00085.x. [DOI] [PMC free article] [PubMed] [Google Scholar]
  40. Zapka J. G., Stoddard A. M., Costanza M. E., Greene H. L. Breast cancer screening by mammography: utilization and associated factors. Am J Public Health. 1989 Nov;79(11):1499–1502. doi: 10.2105/ajph.79.11.1499. [DOI] [PMC free article] [PubMed] [Google Scholar]

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