Prevalence and associated factors of cancer screening: Why are so many older Mexican American women never screened?

Z. Helen Wu, Sandra A. Black, Kyriakos Markides

Research output: Contribution to journalArticle

56 Citations (Scopus)

Abstract

Objectives. The aim of this study was to identify patterns of mammogram and Papanicolaou (Pap) screenings among Mexican American women ages 67 and over. Methods. Data on 1,403 Mexican American women from the Hispanic Established Population for the Epidemiological Study of the Elderly, a cohort study of community-dwelling Mexican Americans ages 65 years or over from the southwestern United States, were analyzed. Results. Mexican American women age 75 or older were less likely to ever have had breast or cervical screening than women ages 67 to 74, even controlling for sociodemographic, cultural, and selected health factors. Overall, fewer medical conditions and never having had a hysterectomy were found to be associated with a decreased chance of ever having had a mammogram or a Pap test. Women who lacked insurance coverage and had fewer doctor visits were less likely to ever have had a mammogram, whereas women with low education, low acculturation, and lower cognitive status scores were less likely to ever have had a Pap test. Conclusions. If these results withstand more detailed studies (e.g., with the addition of important variables such as awareness), better communication with health professional doctors and improvement of access to heath care services should increase rates of both mammogram and Pap screenings.

Original languageEnglish (US)
Pages (from-to)268-273
Number of pages6
JournalPreventive Medicine
Volume33
Issue number4
DOIs
StatePublished - 2001

Fingerprint

Early Detection of Cancer
Papanicolaou Test
Southwestern United States
Health Communication
Independent Living
Acculturation
Insurance Coverage
Hysterectomy
Hispanic Americans
Epidemiologic Studies
Breast
Cohort Studies
Education
Health
Population

Keywords

  • Cancer screening
  • Elderly women
  • Mammography
  • Mexican American
  • Pap test

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Prevalence and associated factors of cancer screening : Why are so many older Mexican American women never screened? / Wu, Z. Helen; Black, Sandra A.; Markides, Kyriakos.

In: Preventive Medicine, Vol. 33, No. 4, 2001, p. 268-273.

Research output: Contribution to journalArticle

@article{2815ce35f0d64bd1a5bc959f4bd606d4,
title = "Prevalence and associated factors of cancer screening: Why are so many older Mexican American women never screened?",
abstract = "Objectives. The aim of this study was to identify patterns of mammogram and Papanicolaou (Pap) screenings among Mexican American women ages 67 and over. Methods. Data on 1,403 Mexican American women from the Hispanic Established Population for the Epidemiological Study of the Elderly, a cohort study of community-dwelling Mexican Americans ages 65 years or over from the southwestern United States, were analyzed. Results. Mexican American women age 75 or older were less likely to ever have had breast or cervical screening than women ages 67 to 74, even controlling for sociodemographic, cultural, and selected health factors. Overall, fewer medical conditions and never having had a hysterectomy were found to be associated with a decreased chance of ever having had a mammogram or a Pap test. Women who lacked insurance coverage and had fewer doctor visits were less likely to ever have had a mammogram, whereas women with low education, low acculturation, and lower cognitive status scores were less likely to ever have had a Pap test. Conclusions. If these results withstand more detailed studies (e.g., with the addition of important variables such as awareness), better communication with health professional doctors and improvement of access to heath care services should increase rates of both mammogram and Pap screenings.",
keywords = "Cancer screening, Elderly women, Mammography, Mexican American, Pap test",
author = "Wu, {Z. Helen} and Black, {Sandra A.} and Kyriakos Markides",
year = "2001",
doi = "10.1006/pmed.2001.0880",
language = "English (US)",
volume = "33",
pages = "268--273",
journal = "Preventive Medicine",
issn = "0091-7435",
publisher = "Academic Press Inc.",
number = "4",

}

TY - JOUR

T1 - Prevalence and associated factors of cancer screening

T2 - Why are so many older Mexican American women never screened?

AU - Wu, Z. Helen

AU - Black, Sandra A.

AU - Markides, Kyriakos

PY - 2001

Y1 - 2001

N2 - Objectives. The aim of this study was to identify patterns of mammogram and Papanicolaou (Pap) screenings among Mexican American women ages 67 and over. Methods. Data on 1,403 Mexican American women from the Hispanic Established Population for the Epidemiological Study of the Elderly, a cohort study of community-dwelling Mexican Americans ages 65 years or over from the southwestern United States, were analyzed. Results. Mexican American women age 75 or older were less likely to ever have had breast or cervical screening than women ages 67 to 74, even controlling for sociodemographic, cultural, and selected health factors. Overall, fewer medical conditions and never having had a hysterectomy were found to be associated with a decreased chance of ever having had a mammogram or a Pap test. Women who lacked insurance coverage and had fewer doctor visits were less likely to ever have had a mammogram, whereas women with low education, low acculturation, and lower cognitive status scores were less likely to ever have had a Pap test. Conclusions. If these results withstand more detailed studies (e.g., with the addition of important variables such as awareness), better communication with health professional doctors and improvement of access to heath care services should increase rates of both mammogram and Pap screenings.

AB - Objectives. The aim of this study was to identify patterns of mammogram and Papanicolaou (Pap) screenings among Mexican American women ages 67 and over. Methods. Data on 1,403 Mexican American women from the Hispanic Established Population for the Epidemiological Study of the Elderly, a cohort study of community-dwelling Mexican Americans ages 65 years or over from the southwestern United States, were analyzed. Results. Mexican American women age 75 or older were less likely to ever have had breast or cervical screening than women ages 67 to 74, even controlling for sociodemographic, cultural, and selected health factors. Overall, fewer medical conditions and never having had a hysterectomy were found to be associated with a decreased chance of ever having had a mammogram or a Pap test. Women who lacked insurance coverage and had fewer doctor visits were less likely to ever have had a mammogram, whereas women with low education, low acculturation, and lower cognitive status scores were less likely to ever have had a Pap test. Conclusions. If these results withstand more detailed studies (e.g., with the addition of important variables such as awareness), better communication with health professional doctors and improvement of access to heath care services should increase rates of both mammogram and Pap screenings.

KW - Cancer screening

KW - Elderly women

KW - Mammography

KW - Mexican American

KW - Pap test

UR - http://www.scopus.com/inward/record.url?scp=0034815823&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0034815823&partnerID=8YFLogxK

U2 - 10.1006/pmed.2001.0880

DO - 10.1006/pmed.2001.0880

M3 - Article

C2 - 11570830

AN - SCOPUS:0034815823

VL - 33

SP - 268

EP - 273

JO - Preventive Medicine

JF - Preventive Medicine

SN - 0091-7435

IS - 4

ER -