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Healthcare Use and Mammography Among Latinas With and Without Health Insurance Near the US-Mexico Border

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Abstract

Introduction

Among Latinas, lacking health insurance and having lower levels of acculturation are associated with disparities in mammography screening.

Objective

We seek to investigate whether differences in lifetime mammography exist between Latina border residents by health insurance status and health care site (i.e., U.S. only or a combination of U.S. and Mexican health care).

Methods

Using data from the 2009 to 2010 Ecological Household Study on Latino Border Residents, mammography screening was examined among (n = 304) Latinas >40 years old.

Results

While more acculturated women were significantly (p < .05) more likely to report ever having a mammogram than less acculturated women, ever having a mammogram was not predicted by health care site or insurance status.

Conclusion

Latinas who utilize multiple systems of care have lower levels of acculturation and health insurance, thus representing an especially vulnerable population for experiencing disparities in mammography screening.

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Notes

  1. There were several methodological reasons for selecting the study population of women age 40 and older versus a sample of women between the ages of 50–74. Firstly, we included women age 40 and over given our overall small study sample and need for statistical power to conduct our analyses. Secondly, we find justification in this decision, as there has not been concordance in screening recommendations, nor change in mammogram screening behaviors by age regardless of physician recommendation since the 2009 USPSTF change [14]. Further, the American Cancer Society has updated their mammography screening recommendations such that women should make these decisions in partnership with their physician given their unique set of risk factors [15].

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Author information

Authors and Affiliations

  1. University of Michigan Flint, Flint, MI, USA

    Lisa M. Lapeyrouse

  2. Department of Health Policy and Adminstration, Pennsylvania State University, University Park, PA, 16802, USA

    Patricia Y. Miranda

  3. Department of Psychology, University of Texas at El Paso, El Paso, TX, 79902, USA

    Osvaldo F. Morera

  4. Department of Sociology and Anthropology, University of Texas at El Paso, El Paso, TX, 79902, USA

    Josiah McC. Heyman

  5. College of Science and Health, Charles R. Drew University of Medicine and Science, Los Angeles, CA, 90059, USA

    Hector G. Balcazar

Authors
  1. Lisa M. Lapeyrouse
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  2. Patricia Y. Miranda
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  3. Osvaldo F. Morera
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  4. Josiah McC. Heyman
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  5. Hector G. Balcazar
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Correspondence to Lisa M. Lapeyrouse.

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Lapeyrouse, L.M., Miranda, P.Y., Morera, O.F. et al. Healthcare Use and Mammography Among Latinas With and Without Health Insurance Near the US-Mexico Border. J. Racial and Ethnic Health Disparities 4, 282–287 (2017). https://doi.org/10.1007/s40615-016-0227-y

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  • DOI: https://doi.org/10.1007/s40615-016-0227-y

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