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August 2004, Vol 94, No. 8 | American Journal of Public Health 1393-1398
© 2004 American Public Health Association

RESEARCH AND PRACTICE

Breast and Cervical Cancer Screening Among Latinas and Non-Latina Whites

Ana F. Abraído-Lanza, PhD, Maria T. Chao, MPA and Marilie D. Gammon, PhD

Ana F. Abraído-Lanza and Maria T. Chao are with the Department of Sociomedical Sciences, Mailman School of Public Health, Columbia University. Marilie Gammon is with the Department of Epidemiology, University of North Carolina, Chapel Hill.

Correspondence: Requests for reprints should be sent to Ana Abraído-Lanza, PhD, Department of Sociomedical Sciences, Mailman School of Public Health, Columbia University, 722 West 168 Street, 5th floor, New York, NY 10032 (e-mail: abraido{at}columbia.edu).

Objectives. We examined whether Latinas differ from non-Latinas in having undergone recent mammography, clinical breast examination, or Papanicolaou testing, as well as the contribution of sociodemographic and health care variables to screening.

Methods. We used data from the 1991 National Health Interview Survey Health Promotion and Disease Prevention supplement.

Results. Latinas were less likely than non-Latina Whites to have undergone mammography (odds ratio [OR] = 0.71; 95% confidence interval [CI] = 0.57, 0.88), but this difference was attenuated when we controlled for socioeconomic factors (OR = 0.90; 95% CI = 0.70, 1.15). Latinas did not differ from Whites on Papanicolaou tests or clinical breast examinations. Quality of and access to health care predicted screening.

Conclusions. Latina ethnicity does not predict breast and cervical cancer screening behavior independent of sociodemographic and structural factors.




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