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Latinas’ Mammography Intention Following a Home-Based Promotores-Led Intervention

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Abstract

Despite increases in mammography rates among Latinas, screening rates remain lower than in non-Latina Whites and Latinas typically present with breast cancer at a later stage. Trained lay community workers (promotores) have been successfully used to increase screening mammography intention in Latinas. Little is known, however, about the potential mechanisms of these interventions, such as increased breast cancer knowledge (knowledge) and social interactions concerning mammography practices (social engagement). This prospective pre-post study examined this gap in the literature by (1) documenting changes in knowledge and social engagement after receipt of a promotores-based intervention; and (2) establishing if post-intervention knowledge and social engagement predicted mammography intention, after adjusting for socio-demographic and lifetime mammography history. There were significant increases in knowledge and social engagement about mammography. Finally, post-intervention social engagement was a significant predictor of mammography intention. Future promotores-based interventions should focus on enhancing social engagement to improve mammography intention and use.

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Acknowledgments

We would like to thank all the participants who agreed to take part in this study. We would also like to thank all the promotores who delivered home health parties. This work was supported by Grants 3P30CA015704-38S2, U54CA153502, R25CA92408 from the National Cancer Institute and UL1 RR025014 from NCRR/NIH. J.R.S. is an American Roentgen Ray Society (ARRS) Scholar.

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Authors and Affiliations

  1. Department of Radiology, Seattle Cancer Care Alliance, University of Washington, 825 Eastlake Avenue East, G2-600, Seattle, WA, 98109, USA

    John R. Scheel & Constance D. Lehman

  2. Cancer Prevention Program, Fred Hutchinson Cancer Research Center, P.O. Box 19024, M3-B232, Seattle, WA, 98109, USA

    Yamile Molina, Katherine J. Briant & Beti Thompson

  3. Center for Community Health Promotion, Fred Hutchinson Cancer Research Center, 320 North 16th Street, Sunnyside, WA, 98944, USA

    Genoveva Ibarra

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  1. John R. Scheel
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  2. Yamile Molina
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Correspondence to John R. Scheel.

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Scheel, J.R., Molina, Y., Briant, K.J. et al. Latinas’ Mammography Intention Following a Home-Based Promotores-Led Intervention. J Community Health 40, 1185–1192 (2015). https://doi.org/10.1007/s10900-015-0046-9

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