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Mammography Screening Among Latinas: Does Gender and Ethnic Patient-Physician Concordance Matter?

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Abstract

Breast cancer is the most commonly diagnosed cancer among Latinas. Dominican women in particular have a higher lifetime risk of breast cancer than do other Latinas in the U.S. This study examines how gender, ethnic, and language concordance between providers and patients are associated with recent mammography screening for Latina immigrant women from the Dominican Republic. We conducted structured interviews, in Spanish, with 419 Dominican women aged 40 years or older living in New York City. Using bivariate analysis and logistic regressions, we tested whether patient-provider gender, ethnic, and language concordance was associated with recent mammography when controlling for demographic covariates, breast cancer screening knowledge, and self-rated health. Gender concordance predicted recent mammography after controlling for covariates (β = 0.13). Neither ethnic nor language concordance significantly predicted recent mammography. Our findings suggest that promotion of patient-provider gender concordance may help reduce health disparities among Latinos/as and other minority groups across the United States.

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Notes

  1. Defined as “risk from age at interview to the hypothetical age that a woman would attain if she survived to age 90 years” (Banegas et al. [3]).

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Acknowledgements

Thanks to Karen R. Flórez, Raziel D. Valiño, Mariana Martins, Emily Vasquez, Elisa Gonzalez, Evianna Cruz, and Milagros Ventura for their research assistance. This work was supported by grants R21CA134247 and R25GM062454 from the National Institutes of Health, and by a fellowship from the Rowe Family Foundation to the first author.

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Authors and Affiliations

  1. Department of Sociomedical Sciences, Mailman School of Public Health, Columbia University, 722 West 168th Street, New York, NY, 10032, USA

    Sonia Mendoza-Grey

  2. Lang Youth Medical Program, New York Presbyterian Hospital, New York, NY, USA

    Jose Ramos-Muniz

  3. Department of Epidemiology, Mailman School of Public Health, Columbia University, New York, NY, USA

    Adria N. Armbrister

  4. Social and Behavioral Sciences, School of Global Public Health, New York University, New York, NY, USA

    Ana F. Abraído-Lanza

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  1. Sonia Mendoza-Grey
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  4. Ana F. Abraído-Lanza
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Correspondence to Sonia Mendoza-Grey.

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Mendoza-Grey, S., Ramos-Muniz, J., Armbrister, A.N. et al. Mammography Screening Among Latinas: Does Gender and Ethnic Patient-Physician Concordance Matter?. J Immigrant Minority Health 23, 986–992 (2021). https://doi.org/10.1007/s10903-021-01170-2

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