Health Disparities in Receipt of Screening Mammography in Latinas: A Critical Review of Recent Literature

Abstract

Background

Increased use of screening mammography is associated with lower death rates from breast cancer in the United States. Despite recommendations that women over 40 years of age should obtain regular screening mammography at least every 2 years, many women do not adhere to these guidelines. Historically, women from underserved and minority populations have been less likely to receive screening mammography.

Methods

A critical review of recent research literature was conducted to evaluate whether Latinas are less likely to receive screening mammography, determine whether disparities in screening mammography persist when controlling for other variables, and examine what other variables are associated with screening mammography. The articles were obtained from a search of the PubMed database.

Results

Fifteen published articles met the inclusion criteria and were critically reviewed. The unadjusted odds ratios (ORs) of the association between Hispanic ethnicity and screening mammography ranged from 0.40 to 0.93. For the most part, the ORs adjusted for other variables in multiple logistic regression analyses increased (range: 0.3 to 1.67). Age, education, income, health insurance, having a usual source of care, and having a recent visit to a physician were consistently related to screening mammography in multiple logistic regression analysis.

Conclusions

Hispanic ethnicity is a risk factor for lack of adherence to screening mammography. However, other demographic, socioeconomic, and health system variables account for some of the disparity related to Hispanic ethnicity.

References

Henschke

U.K.

, Leffall

L.D.

Jr , Mason

C.H.

. Alarming increase of the cancer mortality in the U.S. black population (1950-1967). Cancer. 1973; 31: 763–768.

Freeman

H.P.

. Cancer in the economically disadvantaged. Cancer. 1989; 64 (1 suppl): 324–334; discussion 342-345.

National Cancer Institute.Center to Reduce Cancer Health Disparities. Health disparities defined. Available at http://crchd.cancer.gov/definitions/defined.html Accessed on August, 16, 2007.

Haynes

M.A.

, Smedley

B.D.

, eds. The Unequal Burden of Cancer: An Assessment of NIH Research and Programs for Ethnic Minorities and the Medically Underserved. Washington, DC: National Academy Press; 1999.

Smedley

B.D.

, Stith

A.Y.

, Nelson

A.R.

, eds. Unequal Treatment: Confronting Racial and Ethnic Disparities in Health Care. Washington, DC: National Academy Press; 2003.

Freeman

H.P.

, Reuben

S.H.

, eds. Voices of a Broken System: Real People, Real Problems. President's Cancer Panel: Report of the Chairman, 2000-2001. National Institutes of Health, National Cancer Institute. September 2001. Available at http://156.40.135.142:8080/webisodes/pcpvideo/clickhere.html. Accessed on August 16, 2007.

US Dept of Health and Human Services. Healthy People 2010. Available at http://www.healthypeople.gov. Accessed on August 13, 2007.

C.I.

. Racial and ethnic disparities in breast cancer stage, treatment, and survival in the United States. Ethn Dis. 2005; 15(2 suppl 2): S5–S9.

Jemal

, Siegel

, Ward

. Cancer statistics, 2007. CA Cancer J Clin. 2007; 57: 43–66.

10.

Ries

L.A.G.

, Melbert

, Krapcho

, eds. SEER Cancer Statistics Review, 1975-2004. National Cancer Institute. Bethesda, Md. Available at http://seer.cancer.gov/csr/1975_2004/. Based on November 2006 SEER data submission, posted to the SEER web site, 2007. Accessed on August 13, 2007.

11.

Ravdin

P.M.

, Cronin

K.A.

, Howlander

. A sharp decrease in breast cancer incidence in the United States in 2003. Breast Cancer Res Treat. 2006; 100(Suppl 1): S6.

12.

Baquet

C.R.

, Commiskey

. Socioeconomic factors and breast carcinoma in multicultural women. Cancer. 2000; 88: 1256–1264.

13.

Smigal

, Jemal

, Ward

. Trends in breast cancer by race and ethnicity: update 2006. CA Cancer J Clin. 2006; 56: 168–183.

14.

Hunter

C.P.

. Epidemiology, stage at diagnosis, and tumor biology of breast carcinoma in multiracial and multiethnic populations. Cancer. 2000; 88: 1193–1202.

15.

Schwartz

K.L.

, Crossley-May

, Vigneau

F.D.

. Race, socioeconomic status and stage at diagnosis for five common malignancies. Cancer Causes Control. 2003; 14: 761–766.

16.

Reintgen

, Clark

. Cancer Screening. St. Louis, Mo: Mosby-Year Book, Inc; 1996.

17.

Kerlikowske

, Grady

, Rubin

S.M.

. Efficacy of screening mammography: a meta-analysis. JAMA. 1995; 273: 149–154.

18.

US Preventive Services Task Force. The Guide to Clinical Preventive Services, 2006. Recommendations of the U.S. Preventive Services Task Force. Rockville, Md: Agency for Healthcare Research and Quality; 2006. Available at http://www.ahrq.gov/clinic/pocketgd.htm. Accessed on August 13, 2007.

19.

American Cancer Society. American Cancer Society Guidelines for the Early Detection of Cancer. Available at: http://www.cancer.org/docroot/PED/content/PED_2_3X_ACS_Cancer_Detection_Guidelines_36.asp. Accessed August 13, 2007.

20.

Abraido-Lanza

A.F.

, Chao

M.T.

, Gammon

M.D.

. Breast and cervical cancer screening among Latinas and non-Latina whites. Am J Public Health. 2004; 94: 1393–1398.

21.

Bazargan

, Bazargan

S.H.

, Calderón

J.L.

. Mammography screening and breast self-examination among minority women in public housing projects: the impact of physician recommendation. Cell Mol Biol Cell Mol Biol (Noisy-le-grand). 2003; 49: 1213–1218.

22.

David

M.M.

, Ko

, Prudent

. Mammography use. J Natl Med Assoc. 2005; 97: 253–261.

23.

De Alba

, Hubbell

F.A.

, McMullin

J.M.

. Impact of US citizenship status on cancer screening among immigrant women. J Gen Intern Med. 2005; 20: 290–296.

24.

Goel

M.S.

, Wee

C.C.

, McCarthy

E.P.

. Racial and ethnic disparities in cancer screening: the importance of foreign birth as a barrier to care. J Gen Intern Med. 2003; 18: 1028–1035.

25.

Hiatt

R.A.

, Pasick

R.J.

, Stewart

. Community-based cancer screening for underserved women: design and baseline findings for the Breast and Cervical Cancer Intervention Study. Prev Med. 2001; 33: 190–203.

26.

Hubbell

F.A.

, Mishra

S.I.

, Chavez

L.R.

. The influence of knowledge and attitudes about breast cancer on mammography use among Latinas and Anglo women. J Gen Intern Med. 1997; 12: 505–508.

27.

Jones

A.R.

, Caplan

L.S.

, Davis

M.K.

. Racial/ethnic differences in the self-reported use of screening mammography. J Community Health. 2003; 28: 303–316.

28.

Kagay

C.R.

, Quale

, Smith-Bindman

. Screening mammography in the American elderly. Am J Prev Med. 2006; 31: 142–149.

29.

Kakefuda

, Stallones

. Comparisons of Colorado women's cancer screening practices by residence: metropolitan, non-metropolitan, and farm. J Agric Saf Health. 2006; 12: 59–69.

30.

Lees

K.A.

, Wortley

P.M.

, Coughlin

S.S.

. Comparison of racial/ethnic disparities in adult immunization and cancer screening. Am J Prev Med. 2005; 29: 404–411.

31.

Metsch

L.R.

, McCoy

C.B.

, McCoy

H.V.

. The role of the physician as an information source on mammography. Cancer Pract. 1998; 6: 229–236.

32.

Qureshi

, Thacker

H.L.

, Litaker

D.G.

. Differences in breast cancer screening rates: an issue of ethnicity or socioeconomics. J Womens Health Gend Based Med. 2000; 9: 1025–1031.

33.

Rodríguez

M.A.

, Ward

L.M.

, Pérez-Stable

E.J.

. Breast and cervical cancer screening: impact of health insurance status, ethnicity, and nativity of Latinas. Ann Fam Med. 2005; 3: 235–241.

34.

Sambamoorthi

, McAlpine

D.D.

. Racial, ethnic, socioeconomic, and access disparities in the use of preventive services among women. Prev Med. 2003; 37: 475–484.

35.

Jerant

A.F.

, Franks

, Jackson

J.E.

. Age-related disparities in cancer screening: analysis of 2001 Behavioral Risk Factor Surveillance System data. Ann Fam Med. 2004; 2: 481–487.

36.

Morales

L.S.

, Rogowski

, Freedman

V.A.

. Sociodemographic differences in the use of preventive services by women enrolled in Medicare+Choice plans. Prev Med. 2004; 39: 738–745.

37.

Breen

, Wagener

D.K.

, Brown

M.L.

. Progress in cancer screening over a decade: results of cancer screening from the 1987, 1992, and 1998 National Health Interview Surveys. J Natl Cancer Inst. 2001; 93: 1704–1713.

38.

Schneider

E.C.

, Zaslavsky

A.M.

, Epstein

A.M.

. Racial disparities in the quality of care for enrollees in medicare managed care. JAMA. 2002; 287: 1288–1294.

39.

Carrasquillo

, Pati

. The role of health insurance on Pap smear and mammography utilization by immigrants living in the United States. Prev Med. 2004; 39: 943–950.

40.

Cummings

D.M.

, Whetstone

L.M.

, Earp

J.A.

. Disparities in mammography screening in rural areas: analysis of county differences in North Carolina. J Rural Health. 2002; 18: 77–83.

41.

O'Malley

A.S.

, Forrest

C.B.

, Mandelblatt

. Adherence of low-income women to cancer screening recommendations. J Gen Intern Med. 2002; 17: 144–154.

42.

Russell

K.M.

, Champion

V.L.

, Skinner

C.S.

. Psychosocial factors related to repeat mammography screening over 5 years in African American women. Cancer Nurs. 2006; 29: 236–243.

43.

Selvin

, Brett

K.M.

. Breast and cervical cancer screening: sociodemographic predictors among white, black, and Hispanic women. Am J Pub Health. 2003; 93: 618–623.

44.

Ramirez

A.G.

, Talavera

G.A.

, Villarreal

. Breast cancer screening in regional Hispanic populations. Health Educ Res. 2000; 15: 559–568.

45.

Kandula

N.R.

, Wen

, Jacobs

E.A.

. Low rates of colorectal, cervical, and breast cancer screening in Asian Americans compared with non-Hispanic whites: cultural influences or access to care? Cancer. 2006; 107: 184–192.

46.

Zambrana

R.E.

, Breen

, Fox

S.A.

. Use of cancer screening practices by Hispanic women: analyses by subgroup. Prev Med. 1999; 29 (6 pt 1): 466–477.

47.

Palmer

R.C.

, Fernandez

M.E.

, Tortolero-Luna

. Acculturation and mammography screening among Hispanic women living in farmworker communities. Cancer Control. 2005; 12(Suppl 2): 21–27.

48.

Makuc

D.M.

, Breen

, Freid

. Low income, race, and the use of mammography. Health Serv Res. 1999; 34: 229–239.

49.

Swan

, Breen

, Coates

R.J.

. Progress in cancer screening practices in the United States: results from the 2000 National Health Interview Survey. Cancer. 2003; 97: 1528–1540.

50.

Blackman

D.J.

, Masi

C.M.

. Racial and ethnic disparities in breast cancer mortality: are we doing enough to address the root causes? J Clin Oncol. 2006; 24: 2170–2178.

51.

Frazier

E.L.

, Jiles

R.B.

, Mayberry

. Use of screening mammography and clinical breast examinations among black, Hispanic, and white women. Prev Med. 1996; 25: 118–125.

52.

Pérez-Stable

E.J.

, Otero-Sabogal

, Sabogal

. Self-reported use of cancer screening tests among Latinos and Anglos in a prepaid health plan. Arch Intern Med. 1994; 154: 1073–1081.

53.

Davis

T.C.

, Arnold

, Berkel

H.J.

. Knowledge and attitude on screening mammography among low-literate, low-income women. Cancer. 1996; 78: 1912–1920.

54.

Davis

T.C.

, Williams

M.V.

, Marin

. Health literacy and cancer communication. CA Cancer J Clin. 2002; 52: 134–149.

55.

Williams

M.V.

, Parker

R.M.

, Baker

D.W.

. Inadequate functional health literacy among patients at two public hospitals. JAMA. 1995; 274: 1677–1682.

56.

Chlebowski

R.T.

, Chen

, Anderson

G.L.

. Ethnicity and breast cancer: factors influencing differences in incidence and outcome. J Natl Cancer Inst. 2005; 97: 439–448.

57.

Fox

S.A.

, Roetzheim

R.G.

. Screening mammography and older Hispanic women: current status and issues. Cancer. 1994; 74 (7 suppl): 2028–2033.

58.

DeNavas-Walt

, Proctor

B.D.

, Lee

C.H.

. US Census Bureau, Current Population Reports, P60-231. Income, Poverty, and Health Insurance Coverage in the United States: 2005. US Government Printing Office: Washington, DC; 2006. Available at http://www.census.gov/prod/2006pubs/p60-231.pdf. Accessed on August 13, 2007.