Socio-demographic Moderators of Associations Between Psychological Factors and Latinas’ Breast Cancer Screening Behaviors
- 185 Downloads
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.
KeywordsBreast 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.
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.
Written informed consent was obtained from all individual participants in this study.
- 3.Smith RA, Brooks D, Cokkinides V, Saslow D, Brawley OW. Cancer screening in the United States, 2013: a review of current American Cancer Society guidelines, current issues in cancer screening, and new guidance on cervical cancer screening and lung cancer screening. CA Cancer J Clin. 2013;63(2):88–105. doi: 10.3322/caac.21174.CrossRefPubMedGoogle Scholar
- 4.Sallis JF, Owen N, Fisher EB. Ecological models of health behavior. In: Glanz K, Rimer BK, Viswanath K, editors. Health behavior and health education: theory, research, and practice. 4th ed. San Francisco, CA: Jossey-Bass;2008. pp. 465–82.Google Scholar
- 16.Aggarwal A, Freund K, Sato A, Adams-Campbell LL, Lopez AM, Lessin LS, et al. Are depressive symptoms associated with cancer screening and cancer stage at diagnosis among postmenopausal women? The Women’s Health Initiative observational cohort. J Womens Health. 2008;17(8):1353–61. doi: 10.1089/jwh.2007.0544.CrossRefGoogle Scholar
- 17.Arredondo EM, Haughton J, Ayala GX, Slymen DJ, Sallis JF, Burke K, et al. Fe en Acción/Faith in Action: Design and implementation of a church-based randomized trial to promote physical activity and cancer screening among churchgoing Latinas. Contemp Clin Trials. 2015;45(Pt B):404–15. doi: 10.1016/j.cct.2015.09.008.
- 18.Centers for Disease Control and Prevention (CDC). Behavioral Risk Factor Surveillance System Questionnaire. Atlanta, GA: US Department of Health and Human Services, Centers for Disease Control and Prevention. 2009. http://www.cdc.gov/brfss/questionnaires/pdf-ques/2010brfss.pdf.
- 19.Centers for Disease Control and Prevention (CDC). Behavioral Risk Factor Surveillance System Questionnaire. Atlanta, GA: US Department of Health and Human Services, Centers for Disease Control and Prevention. 2005. http://www.cdc.gov/brfss/annual_data/pdf-ques/2005brfss.pdf.
- 28.Wassertheil-Smoller S, Arredondo EM, Cai J, Castaneda SF, Choca JP, Gallo LC, et al. Depression, anxiety, antidepressant use, and cardiovascular disease among Hispanic men and women of different national backgrounds: results from the Hispanic Community Health Study/Study of Latinos. Ann Epidemiol. 2014;24(11):822–30. doi: 10.1016/j.annepidem.2014.09.003.CrossRefPubMedPubMedCentralGoogle Scholar
- 29.Suarez L, Pulley L. Comparing acculturation scales and their relationship to cancer screening among older Mexican-American women. J Natl Cancer Inst Monogr. 1995;18:41–7.Google Scholar