Journal of Immigrant and Minority Health

, Volume 20, Issue 4, pp 823–830 | Cite as

Socio-demographic Moderators of Associations Between Psychological Factors and Latinas’ Breast Cancer Screening Behaviors

  • L. G. PerezEmail author
  • J. P. Elder
  • J. Haughton
  • M. E. Martinez
  • E. M. Arredondo
Original Paper


This study tested whether socio-demographic factors moderated associations between psychological factors and Latinas’ breast cancer screening behaviors. 222 churchgoing Latinas (40–65 years) in San Diego, CA completed surveys assessing socio-demographics (e.g., income and acculturation), psychological factors (e.g., perceived barriers to screening), and cancer screening behaviors. Multilevel models examined associations of socio-demographic and psychological factors (and their interactions) with adherence to annual mammography or clinical breast exam (CBE) screening. Although no main effects were found, there were moderation effects. Acculturation moderated associations between perceived barriers to screening and both screening outcomes, with inverse associations only among the high-acculturation group. Education moderated the relationship between perceived barriers to screening and CBE screening, with an inverse association only among the low-education group. Marital status moderated the relationship between depressive symptoms and CBE screening, with an inverse association only among single/non-partnered participants. Interventions are needed targeting psychological barriers to breast cancer screening among Latinas.


Breast cancer Cancer prevention and screening Depression Stress Latino 



This work was funded by the National Cancer Institute (R01CA138894, U54CA132384, and F31CA206334).

Compliance with Ethical Standards

Conflict of interest

The authors declare that they have no conflicts of interest.

Ethical Approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/nor national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

Informed Consent

Written informed consent was obtained from all individual participants in this study.


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Copyright information

© Springer Science+Business Media, LLC 2017

Authors and Affiliations

  • L. G. Perez
    • 1
    • 2
    Email author
  • J. P. Elder
    • 2
    • 3
  • J. Haughton
    • 2
  • M. E. Martinez
    • 4
    • 5
  • E. M. Arredondo
    • 2
    • 3
  1. 1.Joint Doctoral Program in Public HealthUniversity of California, San Diego/San Diego State UniversitySan DiegoUSA
  2. 2.Institute for Behavioral and Community HealthSan DiegoUSA
  3. 3.Division of Health Promotion and Behavioral ScienceSan Diego State UniversitySan DiegoUSA
  4. 4.Moores Cancer CenterUniversity of California, San DiegoLa JollaUSA
  5. 5.Department of Family Medicine and Public HealthUniversity of California, San DiegoLa JollaUSA

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