Factors Related to Cancer Screening in Hispanics: A Comparison of the Perceptions of Hispanic Community Members, Health Care Providers, and Representatives of Organizations that Serve Hispanics
Health Education & BehaviorPublished 1 October 2001
Klaus Püschel, Beti Thompson, Gloria D. Coronado, Lisa Lopez, Ann Marie Kimball
Citations40
SJR quartileQ1
SJR score1.16
SNIP1.21
Generate an AI Snapshot to get a quick, structured summary of this paper.
Study Snapshot
ObjectiveStudy objective
MethodsResearch methodology
PopulationPopulation studied
Sample sizeSample sizes
OutcomesStudy outcomes here
ResultsStudy results comes here
LimitationsResearch study limitations comes here
A concise AI-generated summary of the paper will appear here once you click Generate AI Snapshot.
TL;DR
In this study, the perceptions about cancer screening behaviors in Hispanics are compared among three groups: a random sample of respondents to a population-based survey, health care providers, and representatives of organizations that serve Hispanics.
Abstract
Hispanics have lower rates of screening for cervical, breast, and colon cancer than non-Hispanics. Activities to increase cancer screening in this population may not be informed by Hispanics, which may have implications for success rates of interventions. In this study, the perceptions about cancer screening behaviors in Hispanics are compared among three groups: a random sample of respondents (75% Hispanic) to a population-based survey, health care providers (primarily non-Hispanic), and representatives of organizations that serve Hispanics (36% Hispanic). While there was agreement that socioeconomic factors were important for cancer screening, differing views were expressed regarding the importance of cultural factors for cancer screening among Hispanics. Interventions developed by those who serve the Hispanic population may be based on inaccurate perceptions about the beliefs and practices of the population served. For effective interventions, it will be necessary to understand the factors important to Hispanics for cancer screening.
Keywords
Social SciencesMedicine
Medical Entomology and ZoologyAnalyzing and Reporting Focus Group Results
917 Citations1997Richard A. Krueger
American Journal of Public HealthDemographic predictors of mammography and Pap smear screening in US women.
430 Citations1993Eugenia E. Calle, W. Dana Flanders +2 more
Low income was a strong predictor of mammography underuse, as was Hispanic ethnicity and other race, low educational attainment, age greater than 65, and residence in a rural area, as well as older women, particularly older Black women.
JAMAMisconceptions About Cancer Among Latinos and Anglos
302 Citations1992Eliseo J. Pérez‐Stable
It is concluded that misconceptions about cancer are more prevalent among Latinos than Anglos and that selected attitudes about cancer among Latinos fit a cultural theme of fatalismo and can enable development of culturally appropriate cancer control interventions for Latinos.
Medical CareThe Effect of Physician-Patient Communication on Mammography Utilization by Different Ethnic Groups
223 Citations1991Sarah Fox, Judith A. Stein
White and black women over the age of 50 years were being screened more frequently and Hispanic women were less likely to have physicians who discussed screening with them even though these women reported that they were just as motivated as other women to get a mammogram if their doctor referred them.
American Journal of Preventive MedicinePor La Vida model intervention enhances use of cancer screening tests among Latinas
218 Citations1998Ana Navarro, Karen L. Senn +4 more
Key to the PLV intervention model is the identification of natural helpers in the Latino community and their subsequent training in intervention based on social learning theory using culturally appropriate educational materials, which is an effective and viable approach for increasing the use of cancer screening tests in Latinas of low socioeconomic level and low level of acculturation.
PubMedThe influence of fatalism on self-reported use of Papanicolaou smears.
211 Citations1998Leo R. Chávez, F. Allan Hubbell +2 more
British Journal of CancerStage and delay in breast cancer diagnosis by race, socioeconomic status, age and year
190 Citations1992JL Richardson, Bryan Langholz +4 more
Investigation of breast cancer cases diagnosed between 1977 and 1985 suggests that lower socioeconomic status, Black or Hispanic ethnicity, younger age, and earlier year of diagnosis are risk factors for late stage diagnosis and long duration of symptoms.
American Journal of Preventive MedicineThe Influence of Fatalism on Self-Reported Use of Papanicolaou Smears
171 Citations1997Leo R. Chávez, F. Allan Hubbell +2 more
It is concluded that fatalistic beliefs are among the factors that negatively influence Latinas' use of Pap smears and that it is important for health care professionals to address those beliefs.
CancerBreast cancer screening behaviors and attitudes in three racial/ethnic groups
148 Citations1992Sally W. Vernon, Victor G. Vogel +4 more
This study demonstrated that women of different racial/ethnic backgrounds can be successfully recruited to participate in a patient‐initiated, community‐based program, however, this programmatic approach requires augmentation with other intervention strategies designed to reach low‐income women because women with more years of education and higher family income were overrepresented in all three groups.
PubMedCommunity-based interventions to improve breast and cervical cancer screening: results of the Forsyth County Cancer Screening (FoCaS) Project.
143 Citations1999Electra D. Paskett, Cathy M. Tatum +5 more
The results suggest that a multifaceted intervention can improve screening rates in low-income populations and have important implications for community-based research and efforts in underserved populations.
American Journal of Public HealthBehavioral risk factors: a comparison of Latinos and non-Latino whites in San Francisco.
120 Citations1994Eliseo J. Pérez‐Stable, Gerardo Marín +1 more
Behavioral risk factor profiles by ethnicity help emphasize priorities of health promotion programs for a community and include maintenance of limited consumption of alcohol and cigarettes, promotion of regular physical activity, and increasing use of low-cost cervical and breast cancer screening tests.
American Journal of Public HealthHealth status of migrant farmworkers: a literature review and commentary.
119 Citations1990George Rust
Solid data exist on dental health, nutrition and, to a lesser extent, childhood health, and data also were prominent in several disease categories including certain infectious diseases, pesticide exposures, occupational dermatoses, and lead levels in children.
Archives of Internal MedicineSelf-reported Use of Cancer Screening Tests Among Latinos and Anglos in a Prepaid Health Plan
109 Citations1994Elíseo J. Pérez-Stable
These data suggest that, within this prepaid health plan without direct financial barriers to cancer screening services, Latinos are less likely than Anglos to obtain selected recommended cancer screening tests.
Obstetrics and GynecologyCervical cancer screening among low-income women: results of a national screening program, 1991–1995
100 Citations1998Henry Lawson
Observed results emphasize the duality of cervical neoplasia—CIN in younger women and invasive cancer in older women, pointing to the importance of reaching both younger and older women for cervical cancer screening.
JNCI Journal of the National Cancer InstituteLanguage Preference as an Indicator of Mammography Use Among Hispanic Women
94 Citations1990Joel Stein, Sarah Fox
PubMedCervical cancer screening among Cambodian-American women.
92 Citations1999Vicky Taylor, S M Schwartz +6 more
The study findings indicate that culturally specific approaches might be effective in modifying the cervical cancer screening behavior of immigrant women.
PubMedMobilizing churches for health promotion in Latino communities: Compañeros en la Salud.
90 Citations1995Felipe G. Castro, John P. Elder +5 more
An analysis of the psychosocial characteristics of the various Latino women, when stratified by church congregation size, revealed that the women from the smaller, Protestant churches were poorer, had a lower level of acculturation, and had lower lifetime rates of clinical breast examinations.
PubMedEpidemiology of cancer among Hispanics in the United States.
88 Citations1995Edward Trapido, R. Burciaga Valdez +4 more
An overall view of the epidemiology of cancer among Hispanic populations in the United States shows that, even if Hispanics have lower rates of the most common cancers than non-Hispanics, such sites are still the most important cancers among Hispanics populations.
PubMedPeer discussions of cancer among Hispanic migrant farm workers.
83 Citations1994Paula M. Lantz, Laurence Dupuis +3 more
It is suggested that barriers to effective primary and secondary prevention of cancer in this Hispanic migrant agricultural worker population include knowledge and information barriers, cultural barriers, and socioeconomic barriers.
PubMedCancer knowledge, self-efficacy, and cancer screening behaviors among Mexican-American women.
77 Citations1995V. Carpenter, Brian Colwell
The results suggest that increased knowledge is associated with increased self-efficacy for cancer screening, and between knowledge and self- efficacy related to BSE and colorectal cancer screening.
The Nurse PractitionerProviding Culturally Sensitive Health Care to Hispanic Clients
76 Citations1993Patricia Walker Caudle
The health care provider may intervene with Hispanic clients and communities in culturally sensitive ways such as viewing culture as an enabler rather than a resistant force, incorporating cultural beliefs into the plans of care, stressing familialism, taking the time for “pleasant conversation,” refraining from harsh criticism, and involving the community in preventive health care programs.
Health Education QuarterlyBreast Cancer Screening among Older Hispanic Women: Knowledge, Attitudes, and Practices
61 Citations1993Michelle A. Saint‐Germain, Alice J. Longman
Comparison with national data show Arizona women to have lower rates of breast cancer screening than the national average; this may be due to the absence of the Medicaid program in Arizona.
Journal of Health Care for the Poor and UnderservedA Trial to Increase Mammography Utilization Among Los Angeles Hispanic Women
60 Citations1998Sarah Fox, Judith A. Stein +3 more
The program demonstrated that the awareness and behavior of "hard-to-reach" underscreened Hispanic women can be changed through intensive targeted outreach and that a church-based cancer control program can play an effective role in the process.
PubMedScreening practices and knowledge, attitudes, and beliefs about cancer among Hispanic and non-Hispanic white women 35 years old or older in Nueces County, Texas.
58 Citations1995Guillermo Tortolero‐Luna, Glober Ga +3 more
The results suggest the need for more culturally sensitive health promotion efforts to improve knowledge about cancer and early detection practices among Hispanic women.
Archives of Family MedicineBreast and cervical cancer screening among underserved women. Baseline survey results from six states. The National Cancer Institute Cancer Screening Consortium for Underserved Women
54 Citations1995
Although access to health care is high among the women studied, screening rates are uneven andObjectives for the year 2000 clearly are attainable for some populations of underserved women, though much work needs to be done if objectives are to be met for all subgroups.
International Journal of EpidemiologyBreast Cancer among Hispanics, American Indians and Non-Hispanic Whites in New Mexico
51 Citations1994MILLICENT EDISON, Thomas Becker +3 more
The data show substantial ethnic differences in breast cancer incidence and mortality in New Mexico, suggesting the need for aetiological investigations to assist in controlling this disease.
PubMedUse of cancer-screening tests in the San Francisco Bay area: comparison of Latinos and Anglos.
49 Citations1995Pérez-Stable Ej, Fabio Sabogal +1 more
After adjusting for age, education, health insurance, employment, marital status, county of residence, and self-perceived health status, Latino ethnicity was a significant predictor only for digital-rectal examination within 2 years and sigmoidoscopy within 5 years.
Journal of Health Care for the Poor and UnderservedAttitudes and Beliefs Toward Mammography Among Women Using an Urban Public Hospital
43 Citations1997Beti Thompson, Daniel E. Montaño +3 more
Fear, embarrassment, susceptibility to breast cancer, inconvenience, cost, concerns about efficacy of mammography, fear of acquiring cancer, and scheduling difficulties were identified as important concerns.
American Journal of Preventive MedicineEffects of a Community Intervention to Change Smoking Behavior among Hispanics
42 Citations1994Bárbara VanOss Marín, Eliseo J. Pérez‐Stable +2 more
Although smoking prevalence decreased over the four years, smoking cessation in the 12 months prior to the survey was unrelated to exposure to PLDF, and nonsmokers, women, older adults, and less acculturated persons were more likely to report exposure toPLDF.
PubMedCommunity level cancer control in a Texas barrio: Part I--Theoretical basis, implementation, and process evaluation.
42 Citations1995Amelie G. Ramírez, Alfred L. McAlister +6 more
A theory-based program that used peer modeling and a network of peer communicators to promote breast and cervical cancer screening was designed and implemented in a barrio of San Antonio with a population of approximately 25,000 adult women.
PubMedEffectiveness of disseminating culturally appropriate smoking-cessation information: Programa Latino Para Dejar de Fumar.
37 Citations1995Gerardo Marín, Pérez-Stable Ej
A culturally appropriate community intervention to promote nonsmoking can be successful at disseminating information about smoking cessation in San Francisco's Latino community.
JNCI Journal of the National Cancer InstituteCancer Mortality Among New Mexico's Hispanics, American Indians, and Non-Hispanic Whites, 1958–1987
30 Citations1993Charles L. Wiggins, Thomas Becker +2 more
Overall cancer mortality within each of New Mexico's ethnic groups, overall cancer mortality increased over the 30-year time span, and the cancer mortality rates were greater for males than for females, which underscores the need for appropriately designed etiologic studies of cancer in diverse racial and ethnic groups.
CancerChanging demographics in the united states: Implications for health professionals
28 Citations1991Marilyn Frank‐Stromborg
The future task for all health care providers serving minorities and the elderly will be to familiarize themselves with the special health problems of the population with whom they work and with the ethnocultural barriers that deter proper use and delivery of health services.
Journal of Health Care for the Poor and UnderservedPredictors of Cervical Cancer Screening in Mexican American Women of Reproductive Age
25 Citations1998David B. Buller, Manuel Modiano +4 more
This study identified sociocultural factors that could be used to increase screening rates for cervical cancer in women of reproductive age and found that older and less acculturated women were more likely to be screened.
PubMedCancer in Hispanics: issues of concern.
25 Citations1995M R Modiano, P Villar-Werstler +2 more
Hispanics are among the fastest growing minorities in the United States, after Asian-Americans and Pacific-Islanders, and have overall lower death rates from cancer than non-Hispanic whites, but lower overall survival in certain cancers.
CancerThe national cancer data base report on cancer in hispanics. Relationships between ethnicity, poverty, and the diagnosis of some cancers
22 Citations1994Hugo V. Villar, Herman R. Menck
Data reported herein are the most current National Cancer Data Base data for Hispanics, which show time trends in stage of disease, treatment patterns, and survival for special populations.
Seminars in Oncology NursingCultural heritage: Cancer screening and early detection
20 Citations1994Guadalupe R. Palos
Clinicians need to have some background knowledge of culturally diverse populations and multilevel theoretical models should be used to plan cancer control programs that address the diversity from confluent cultures.
CancerCancer incidence of hispanics and non-hispanic whites in Cook County, Illinois
12 Citations1995Faith G. Davis, Victoria Persky +4 more
This report describes the ethnic variation in selected cancer sites in Cook County, Illinois and describes the racial and ethnic differences in patients treated at these sites as Hispanics and non‐Hispanic whites.
Southern Medical JournalMedicine Residentsʼ Practices in Cancer Screening in a Hispanic Population
7 Citations1994LUIS G. GUERRA, ARMANDO D. MEZA +2 more
The study demonstrates an unacceptable level of cancer screening practice by the medicine residents caring for this Hispanic population.