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Perceived discrimination and cancer screening behaviors in US Hispanics: the Hispanic Community Health Study/Study of Latinos Sociocultural Ancillary Study.

TitlePerceived discrimination and cancer screening behaviors in US Hispanics: the Hispanic Community Health Study/Study of Latinos Sociocultural Ancillary Study.
Publication TypePublication
Year2016
AuthorsValdovinos 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
JournalCancer Causes Control
Volume27
Issue1
Pagination27-37
Date Published2016 Jan
ISSN1573-7225
KeywordsAdult, Aged, Breast Neoplasms, Chicago, Colonic Neoplasms, colonoscopy, early detection of cancer, Female, Health Behavior, Hispanic Americans, 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.

DOI10.1007/s10552-015-0679-0
Alternate JournalCancer Causes Control
PubMed ID26498194
PubMed Central IDPMC4842160
Grant ListK23 CA141052 / CA / NCI NIH HHS / United States
U54 CA202995 / CA / NCI 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
N01-HC65237 / HC / NHLBI NIH HHS / United States
N01HC65234 / 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
R25 CA134301 / CA / NCI 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
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
MS#: 
0136
Manuscript Lead/Corresponding Author Affiliation: 
Field Center: Bronx (Einstein College of Medicine)
ECI: 
Manuscript Status: 
Published