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01.01.2012 | Original Paper

Factors that influence mammography use and breast cancer detection among Mexican-American and African-American women

verfasst von: Rachel Zenuk Garcia, Scott C. Carvajal, Anna V. Wilkinson, Patricia A. Thompson, Jesse N. Nodora, Ian K. Komenaka, Abenaa Brewster, Giovanna I. Cruz, Betsy C. Wertheim, Melissa L. Bondy, María Elena Martínez

Erschienen in: Cancer Causes & Control | Ausgabe 1/2012

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Abstract

Objective

This study examined factors that influence mammography use and breast cancer detection, including education, health insurance, and acculturation, among Mexican-American (MA) and African-American (AA) women.

Methods

The study included 670 breast cancer cases (388 MAs and 282 AAs), aged 40–86 years at diagnosis. Data on mammography use, detection, and delay in seeking care were collected via questionnaires and medical records. Using a language-based bidimensional acculturation measure, MAs were classified as English-dominant (n = 67), bilingual (n = 173), and Spanish-dominant (n = 148). Mammography prior to diagnosis was assessed by racial/ethnic acculturation subgroup using logistic regression.

Results

In age-adjusted models, mammography use was non-significantly lower among English-dominant (OR = 0.84; 95% CI: 0.45–1.59) and bilingual (OR = 0.86; 95% CI: 0.55–1.35) MAs and significantly lower among Spanish-dominant MAs (OR = 0.53; 95% CI: 0.34–0.83) than among AA women. After adjustment for education or insurance, there was no difference in mammography use by race/ethnicity and acculturation subgroup. Despite high self-reported mammography use (75%), a large proportion of cases reported self-detection (59%) and delay in seeking care >90 days (17%).

Conclusions

These findings favor promoting culturally appropriate messaging about the benefits and limitations of mammography, education about breast awareness, and prompt reporting of findings to a health professional.

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Titel: Factors that influence mammography use and breast cancer detection among Mexican-American and African-American women
verfasst von: Rachel Zenuk Garcia
Scott C. Carvajal
Anna V. Wilkinson
Patricia A. Thompson
Jesse N. Nodora
Ian K. Komenaka
Abenaa Brewster
Giovanna I. Cruz
Betsy C. Wertheim
Melissa L. Bondy
María Elena Martínez
Publikationsdatum: 01.01.2012
Verlag: Springer Netherlands
Erschienen in: Cancer Causes & Control / Ausgabe 1/2012
Print ISSN: 0957-5243
Elektronische ISSN: 1573-7225
DOI: https://doi.org/10.1007/s10552-011-9865-x

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Factors that influence mammography use and breast cancer detection among Mexican-American and African-American women