skip to main content
Idioma:

Breast and cervical cancer screening: impact of health insurance status, ethnicity, and nativity of Latinas

Rodríguez, Michael A ; Ward, Lisa M ; Pérez-Stable, Eliseo J

Annals of family medicine, 2005-05, Vol.3 (3), p.235-241 [Periódico revisado por pares]

United States: Copyright 2005 Annals of Family Medicine, Inc

Texto completo disponível

Citações Citado por
  • Título:
    Breast and cervical cancer screening: impact of health insurance status, ethnicity, and nativity of Latinas
  • Autor: Rodríguez, Michael A ; Ward, Lisa M ; Pérez-Stable, Eliseo J
  • Assuntos: Adolescent ; Adult ; Breast Neoplasms - diagnosis ; Female ; Hispanic Americans - ethnology ; Humans ; Insurance, Health ; Mass Screening - statistics & numerical data ; Middle Aged ; Multivariate Analysis ; Original Research ; Surveys and Questionnaires ; Uterine Cervical Neoplasms - diagnosis
  • É parte de: Annals of family medicine, 2005-05, Vol.3 (3), p.235-241
  • Notas: ObjectType-Article-1
    SourceType-Scholarly Journals-1
    ObjectType-Feature-2
    content type line 23
    Funding support: California Program on Access to Care, grant P30-AG15272 under the Resource Centers for Minority Aging Research program by the National Institute on Aging, the National Institute of Nursing Research, the National Center on Minority Health and Health Disparities, and the National Institutes of Health. This study was also supported by a grant from a National Cancer Institute (NCI) Special Populations Network grant for Redes en Acción (U01CA86117).
    Conflicts of interest: none reported
    CORRESPONDING AUTHOR: Michael A. Rodríguez, MD, David Geffen School of Medicine at UCLA, Oppenheimer Tower, Suite 1800, 10880 Wilshire Blvd, Los Angeles, CA 90024, mrodriguez@mednet.ucla.edu
  • Descrição: Although rates of cancer screening for Latinas are lower than for non-Latina whites, little is known about how insurance status, ethnicity, and nativity interact to influence these disparities. Using a large statewide database, our study examined the relationship between breast and cervical cancer screening rates and socioeconomic and health insurance status among foreign-born Latinas, US-born Latinas, and non-Latina whites in California. Data from the1998 California Women's Health Survey (CWHS) were analyzed (n = 3,340) using multiple logistic regression models. Utilization rates of mammography, clinical breast examinations, and Papanicolaou (Pap) smear screening among foreign-born Latinas, US-born Latinas, and non-Latina whites were the outcome measures. Foreign-born Latinas had the highest rates of never receiving mammography, clinical breast examinations, and Pap smears (21%, 24%, 9%, respectively) compared with US-born Latinas (12%, 11%, 7%, respectively) and non-Latina whites (9%, 5%, 2%, respectively). After controlling for socioeconomic factors, foreign-born Latinas were more likely to report mammography use in the previous 2 years and Pap smear in the previous 3 years than non-Latina whites. Lack of health insurance coverage was the strongest independent predictor of low utilization rates for mammography (odds ratio [OR] = 2.05; 95% confidence interval [CI], 1.53-2.76), clinical breast examinations (OR = 2.29; 95% CI, 1.80-2.90) and Pap smears (OR = 2.89; 95% CI, 2.17-3.85.) Breast and cervical cancer screening rates vary by ethnicity and nativity, with foreign-born Latinas experiencing the highest rates of never being screened. After accounting for socioeconomic factors, differences by ethnicity and nativity are reversed or eliminated. Lack of health insurance coverage remains the strongest predictor of cancer screening underutilization.
  • Editor: United States: Copyright 2005 Annals of Family Medicine, Inc
  • Idioma: Inglês
Links
Voltar para lista de resultados
Ir para página anteriorAnterior Resultado  6 AvançarIr para próxima página

  • Realização: ABCD-USP USP   Logos de Redes Sociais: Freepik

Buscando em bases de dados remotas. Favor aguardar.