This study examined differences in cervical and breast cancer (CC and BC) screening among a heterogeneous group of Hispanic women. Data from 247 women (mean age = 38.7 ± 13.3) from Mexico, the Dominican Republic, Puerto Rico, and countries throughout Central and South America regarding participation in Pap smears, mammography, clinical breast exam (CBE) and breast self-exams (BSE), CC and BC knowledge, and acculturation were analyzed. Differences in CBE and BSE screening behaviors were found based on country of origin (P < .01). However, after adjusting for the independent variables, only acculturation and knowledge remained significant correlates to BSE and CBE (P < .01). Dominican women had higher BC knowledge scores (P < .01) adhered most to BC screening guidelines. Heterogeneity in BC and CC screening was found among Hispanic sub-groups and suggests that health promotion programs should be tailored appropriately, particularly among recent immigrants.
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US Census Bureau. Current Population Survey, Annual Social and Economic Supplement, 2008.
Ferlay J, Bray F. Pisani P, Parkin DM. GLOBOCAN, Cancer incidence, mortality and prevalence worldwide. IARC CancerBase No. 5, version 2.0. Lyon: IARC Press; 2004.
Howe HL, Wu X, Ries LA, Cokkinides V, Ahmed F, Jemal A, Miller B, Williams M, Ward E, Wingo PA, Ramirez A, Edwards BK. Annual report to the nation on the status of cancer, 1975–2003, featuring cancer among U.S. Hispanic/Latino populations. Cancer. 2006;107:1711–42.
Jacobs EA, Karavolos K, Rathouz PJ, Ferris TG, Powell LH. Limited English proficiency and breast and cervical cancer screening in a multiethnic population. Am J Public Health. 2005;95(8):1410–6.
Joslyn SA, Foote ML, Nasseri K, Coughlin SS, Howe HL. Racial and ethnic disparities in breast cancer rates by age: NAACCR breast cancer project. Breast Cancer Res Treatment. 2005;92:97–105.
McDougall JA, Madeleine MM, Daling JR, Li CI. Racial and ethnic disparities in cervical cancer incidence rates in the United States, 1992–2003. Cancer Causes Control. 2007;18:1175–86.
Wells KJ, Roetzheim RG. Health disparities in receipt of screening mammography in Latinas: a critical review of recent literature. Cancer Control. 2007;14:369–79.
Kaur JS. Migration patterns and breast cancer Carcinoma. Cancer Suppl. 2000;88:1203–6.
Ziegler RG, Hoover RN, Pike MC, Hildesheim A, Nomura MY. Migration patterns and breast cancer risk in Asian American women. J Natl Cancer Inst. 1993;85:1819–27.
Ekbom A, Richardi L, Akre O, Montgomery SM, Sparen P. Age at immigration and duration of stay in relation to risk for Testicular cancer among Finnish immigrants in Sweden. J Natl Cancer Inst. 2003;95:1238–40.
Lofters A, Glazier RH, Agha MM, Creatore MI, Moineddin R. Inadequacy of cervical cancer screening among urban recent immigrants: a population-based study of physician and laboratory claims in Toronto, Canada. Prevent Med. 2007;44:536–42.
Hoai DH, Taylor VM, Yasui Y, Jackson JC, Tu S. Cervical cancer screening among Chinese immigrants in Seattle, Washington. J Immigrant Health. 2001;3:15–21.
McMichael AJ, Giles GG. Cancer in migrants to Australia: extending the descriptive epidemiological data. Cancer Res. 1998;48:751–6.
Thomas DB, Karagas MR. Migrant studies. In: Schottenfeld D, et al., editors. Cancer epidemiology, prevention. New York: Oxford University Press; 1996. p. 236–54.
Parkin DM, Khlat M. Studies of cancer in migrants: rational and methodology. Eur J Cancer. 1996;32A:761–71.
Andreeva V, Unger J. Breast cancer among immigrants: a systematic review and new research directions. J Immigrant Minority Health. 2007;9:307–22.
Alba ID, Hubbell FA, McMullin JM, Sweningson JM, Saitz R. Impact of U.S. citizenship status on cancer screening among immigrant women. J General Internal Med. 2005;20:290–6.
Tsui JT, Saraiya M, Thompson T, Dey A, Richardson L. Cervical cancer screening among foreign-born women by birthplace and duration in the United States. J Women’s Health. 2007;16:1447–14570.
Abraído-Lanza AF, Armbrister AN, Flórez KR, Aguirre AN. Toward a theory-driven model of acculturation in public health research. Am J Public Health. 2006;96:1342–6.
O’Malley AS, Kerner J, Johnson AE, Mandelblatt J. Acculturation and breast cancer screening among Hispanic women in New York City. Am J Public Health. 1999;89:219–27.
Shah M, Zhu K, Wu H, Potter J. Hispanic acculturation and utilization of cervical cancer screening in the US. Prev Med. 2006;42:146–9.
Abraido-Lanza AF, Chao MT, Gates CY. Acculturation and cancer screening among latinas: results from the national health interview survey. Ann Behav Med. 2005;29:22–8.
Suarez L. Pap Smear and Mammogram screening in Mexican-American women: the effects of acculturation. Am J Public Health. 2008;85:742–6.
Erwin DO. An ethnographic description of Latino immigration in rural Arkansas: intergroup relations and utilization of healthcare services. So Rural Sociol. 2003;19(1):46–72.
Reyes-Ortiz CA, Freeman JL, Peláez M, Markides KS, Goodwin JS. Mammography use among older women of seven Latin American and Caribbean Cities. Prev Med. 2007;42:375–80.
Erwin DO, Johnston DW, Feliciano-Libid L, Zamora D, Jandorf L. Incorporating cultural constructs and demographic diversity in the research and development of a Latina Breast and cervical cancer education program. J Cancer Edu. 2005;20:39–44.
Jandorf L, Bursac Z, Pulley L, Trevino M, Castillo A, Erwin DO. Breast and cervical cancer screening among Latinas attending culturally specific educational programs progress in community health partnerships. Res Edu Action. 2008;2.3:195–204.
American Cancer Society. Cancer prevention & early detection facts & figures 2007. Atlanta: American Cancer Society; 2007.
Schwartz SJ, Pantin H, Sullivan S, Prado G, Szapocznik J. Nativity and years in the receiving culture as markers of acculturation in ethnic enclaves. J Cross-Cultural Psychol. 2006;37:345–53.
John EM, Phipps AI, Davis A, Koo J. Migration history, acculturation, and breast cancer risk in Hispanic women. Cancer Epidemiol Biomarkers Prev. 2005;14:2905–13.
Landrine H, Klonoff EA. Culture change and ethnic minority health behavior: an operant theory of acculturation. J Behav Med. 2004;27:527–55.
Kim JJ, Salomon JA, Weinstein MC, Goldie SJ. Packaging health services when resources are limited: the example of a cervical cancer screening visit. PLOS Med. 2006;3:2031–8.
The authors would like to kindly thank the contributions of Rafael Prager, Anabella Castillo, Michell Treviño and Frances Harfouche for their contributions to this study and manuscript. This study was funded by the Susan G. Komen Foundation, Grant POP0503950.
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Lawsin, C., Erwin, D., Bursac, Z. et al. Heterogeneity in Breast and Cervical Cancer Screening Practices Among Female Hispanic Immigrants in the United States. J Immigrant Minority Health 13, 834–841 (2011). https://doi.org/10.1007/s10903-010-9378-9
- Breast cancer
- Cervical cancer