Title | Perceived discrimination and cancer screening behaviors in US Hispanics: the Hispanic Community Health Study/Study of Latinos Sociocultural Ancillary Study. |
Publication Type | Publication |
Year | 2016 |
Authors | Valdovinos C, Penedo FJ, Isasi CR, Jung M, Kaplan RC, Giacinto REspinoza, Gonzalez P, Malcarne VL, Perreira K, Salgado H, Simon MA, Wruck LM, Greenlee HA |
Journal | Cancer Causes Control |
Volume | 27 |
Issue | 1 |
Pagination | 27-37 |
Date Published | 2016 Jan |
ISSN | 1573-7225 |
Keywords | Adult, Aged, Breast Neoplasms, Chicago, Colonic Neoplasms, colonoscopy, early detection of cancer, Female, Health Behavior, Hispanic or Latino, Humans, Logistic Models, Male, Mass Screening, Middle Aged, Perception, Prostatic Neoplasms, racism, Sigmoidoscopy, Surveys and Questionnaires, Uterine Cervical Neoplasms |
Abstract | PURPOSE: Perceived discrimination has been associated with lower adherence to cancer screening guidelines. We examined whether perceived discrimination was associated with adherence to breast, cervical, colorectal, and prostate cancer screening guidelines in US Hispanic/Latino adults.METHODS: Data were obtained from the Hispanic Community Health Study/Study of Latinos Sociocultural Ancillary Study, including 5,313 Hispanic adults aged 18–74 from Bronx, NY, Chicago, IL, Miami, FL, and San Diego, CA, and those who were within appropriate age ranges for specific screening tests were included in the analysis. Cancer screening behaviors were assessed via self-report. Perceived discrimination was measured using the Perceived Ethnic Discrimination Questionnaire. Confounder-adjusted multivariable polytomous logistic regression models assessed the association between perceived discrimination and adherence to cancer screening guidelines.RESULTS: Among women eligible for screening, 72.1 % were adherent to cervical cancer screening guidelines and 71.3 %were adherent to breast cancer screening guidelines. In participants aged 50–74, 24.6 % of women and 27.0 % of men were adherent to fecal occult blood test guidelines; 43.5 % of women and 34.8 % of men were adherent to colonoscopy/sigmoidoscopy guidelines; 41.0 % of men were adherent to prostate-specific antigen screening guidelines. Health insurance coverage, rather than perceived ethnic discrimination,was the variable most associated with receiving breast, cervical,colorectal, or prostate cancer screening.CONCLUSIONS: The influence of discrimination as a barrier to cancer screening may be modest among Hispanics/Latinos in urban US regions. Having health insurance facilitates cancer screening in this population. Efforts to increase cancer screening in Hispanics/Latinos should focus on increasing access to these services, especially among the uninsured. |
DOI | 10.1007/s10552-015-0679-0 |
Alternate Journal | Cancer Causes Control |
PubMed ID | 26498194 |
PubMed Central ID | PMC4842160 |
Grant List | K23 CA141052 / CA / NCI NIH HHS / United States U54 CA202995 / CA / NCI NIH HHS / United States N01-HC65237 / HC / NHLBI NIH HHS / United States N01HC65234 / HL / NHLBI NIH HHS / United States R25 CA134301 / CA / NCI NIH HHS / United States P2C HD050924 / HD / NICHD NIH HHS / United States N01-HC65235 / HC / NHLBI NIH HHS / United States R01 CA186080 / CA / NCI NIH HHS / United States 1RC2HL101649 / HL / NHLBI NIH HHS / United States K23CA141052 / CA / NCI NIH HHS / United States N01HC65236 / HL / NHLBI NIH HHS / United States 1R25CA134301-01A2 / CA / NCI NIH HHS / United States N01HC65235 / HL / NHLBI NIH HHS / United States P30 CA060553 / CA / NCI NIH HHS / United States N01HC65233 / HL / NHLBI NIH HHS / United States N01HC65237 / HL / NHLBI NIH HHS / United States N01-HC65233 / HC / NHLBI NIH HHS / United States N01-HC65234 / HC / NHLBI NIH HHS / United States N01-HC65236 / HC / NHLBI NIH HHS / United States U54 CA202997 / CA / NCI NIH HHS / United States RC2 HL101649 / HL / NHLBI NIH HHS / United States |
Perceived discrimination and cancer screening behaviors in US Hispanics: the Hispanic Community Health Study/Study of Latinos Sociocultural Ancillary Study.
MS#:
0136
ECI:
Yes
Manuscript Status:
Published