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Neighborhood Predictors of Mammography Barriers Among US-Based Latinas

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Journal of Racial and Ethnic Health Disparities Aims and scope Submit manuscript

Abstract

Background

Little is known about how neighborhood factors are associated with Latinas’ barriers to cancer screening, including mammography. To address this gap, we examined barriers to mammography by neighborhood racial/ethnic composition and socioeconomic status among a federally qualified health center (FQHC)-based sample of non-adherent Latinas in Western Washington State.

Methods

Baseline data were drawn from a larger intervention study (n = 536 Latinas). Women indicated why they had not obtained a mammogram in the past 2 years (no reason, knowledge, psychocultural, economic). American Community Survey (2007–2011) data were used to calculate four neighborhood measures that were categorized in tertiles (T): socioeconomic-based concentration, socioeconomic-based segregation, Latino-based concentration, and Latino-based segregation.

Results

The proportion of women reporting knowledge-, psychocultural-, and economic-based reasons for not obtaining mammograms in the past 2 years was, respectively, 0.35, 0.19, and 0.31. Approximately 14 % indicated no particular reason. Relative to women residing in areas with greater Latino-based segregation, women in areas with less Latino-based segregation were less likely to report knowledge-based and economic-based reasons for not obtaining a mammogram (p ≤ 0.05). Relative to women residing in areas with greater concentration of Latinos, women in areas with the lowest concentrations were less likely to report knowledge-based reasons for not obtaining a mammogram (p ≤ 0.05).

Conclusions

Our findings provide important information about the role of neighborhood characteristics and mammography use among Latinas obtaining care from FQHCs. Future research might examine the mediating role of neighborhood characteristics in the efficacy of mammography screening interventions.

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Author information

Authors and Affiliations

  1. Community Health Sciences, University of Illinois-Chicago, Chicago, IL, USA

    Yamile Molina

  2. Cancer Prevention, Fred Hutchinson Cancer Research Center, Seattle, WA, USA

    Yamile Molina, Jesse J. Plascak, Donald L. Patrick, Sonia Bishop & Shirley A. A. Beresford

  3. Department of Health Services, School of Public Health, University of Washington, Seattle, WA, USA

    Jesse J. Plascak & Donald L. Patrick

  4. Kaiser Permanente Research Center for Health Research, Portland, OR, USA

    Gloria D. Coronado

  5. Department of Epidemiology, School of Public Health, University of Washington, Seattle, WA, USA

    Shirley A. A. Beresford

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  1. Yamile Molina
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  2. Jesse J. Plascak
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  3. Donald L. Patrick
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  4. Sonia Bishop
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  5. Gloria D. Coronado
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  6. Shirley A. A. Beresford
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Corresponding author

Correspondence to Yamile Molina.

Ethics declarations

This study protocol was approved by the institutional review boards of the Fred Hutchinson Cancer Research Center, Seattle Cancer Care Alliance, and Sea Mar Community Health Clinics.

Informed Consent

Informed consent was obtained from each study participant.

Conflict of Interest

The authors declare that they have no competing interests.

Funding Support

This work was supported in part by the National Cancer Institute at the National Institutes of Health [P50CA148143, R25CA92408, U54CA203000, U54CA202997, U54CA202995]. Y.M. was also supported by the University of Illinois at Chicago Center for Research on Women and Gender and the University of Illinois Cancer Center.

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Molina, Y., Plascak, J.J., Patrick, D.L. et al. Neighborhood Predictors of Mammography Barriers Among US-Based Latinas. J. Racial and Ethnic Health Disparities 4, 233–242 (2017). https://doi.org/10.1007/s40615-016-0222-3

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  • DOI: https://doi.org/10.1007/s40615-016-0222-3

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