Annals of Behavioral Medicine

, Volume 29, Issue 1, pp 22–28

Acculturation and cancer screening among latinas: Results From the National Health Interview Survey

  • Ana F. Abraído-Lanza
  • Maria T. Chao
  • Charisse Y. Gates
Article

DOI: 10.1207/s15324796abm2901_4

Cite this article as:
Abraído-Lanza, A.F., Chao, M.T. & Gates, C.Y. ann. behav. med. (2005) 29: 22. doi:10.1207/s15324796abm2901_4

Abstract

Background: Although early detection of breast and cervical cancer is one of the most effective means of assuring timely treatment and survival, the cultural hypothesis proposes that traditional norms, values, and beliefs deter Latinas from being screened.Purpose:We assessed whether acculturation is associated with Latinas'receipt ofarecentmammogram,clinical breast examination (CBE), andPapanicolaou (Pap) test, and the contribution of acculturation to screening after adjusting for sociodemographic variables.Methods:We used data from the Health Promotion and Disease Prevention Supplement of the 1991 National Health Interview Survey. The sample for analyses of Pap test utilization included 1,370 Latinas age 18 and over, and for mammography and CBE, 525 Latinawomenage 40 and over.Results: Acculturation was associated with a higher likelihood of having had a recent mammogram, but this effect was not significant when controlling for sociodemographic factors. In both adjusted and unadjusted analyses, acculturation did not predict recent Pap smears. Acculturation was associated with greater likelihood of recent CBE, controlling for sociodemographic factors.Conclusions: The association between acculturation and cancer screening is inconsistent. Theoretical models are needed to explain the mechanisms involved in the association (or lack thereof) between acculturation and screening.

Copyright information

© The Society of Behavioral Medicine 2005

Authors and Affiliations

  • Ana F. Abraído-Lanza
    • 1
  • Maria T. Chao
    • 1
  • Charisse Y. Gates
    • 1
  1. 1.Department of Sociomedical Sciences Mailman School of Public HealthColumbia UniversityUSA
  2. 2.Mailman School of Public HealthColumbia University, Department of Sociomedical SciencesNew York