RT Journal Article
SR Electronic
T1 On-time Mammography Screening with a Focus on Latinas with Low Income: A Proposed Cultural Model
JF Anticancer Research
JO Anticancer Res
FD International Institute of Anticancer Research
SP 4325
OP 4338
VO 27
IS 6C
A1 TERÁN, LORENA
A1 BAEZCONDE-GARBANATI, LOURDES
A1 MÁRQUEZ, MARCELA
A1 CASTELLANOS, ENRIQUE
A1 BELKIĆ, KAREN
YR 2007
UL http://ar.iiarjournals.org/content/27/6C/4325.abstract
AB Background: Initial U.S.A. breast cancer screening rates have risen, but not repeat screening, especially among low-income minority populations. Latinas are particularly at-risk of underscreening. Consequently, late-detection is common, with increased risk of dying after diagnosis. Why women with low-income, particularly Latinas, who had initial mammography, were not regularly screened was examined. Patients and Methods: An expanded model was tested, incorporating the Theory of Planned Behavior (TPB), cultural factors, potential facilitators and barriers. Participants were 112 women, 72 of whom were Latinas, who had contacted an Early-Detection Program and received a mammogram 3-4 years earlier. Results: The TPB did not explain mammography rescreening behavior among Latinas. The cultural factors: high familism and low fatalism showed significant multivariate associations with recent mammogram among Latinas. A major barrier for Latinas was “distorted familism”: neglecting own health because family was first priority. Conclusion: A cultural model is proposed, which can guide interventions for improving on-time mammography among Latinas. Copyright© 2007 International Institute of Anticancer Research (Dr. John G. Delinassios), All rights reserved