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

Content Provider	Springer Nature Link
Author	Valdovis, Cristina Penedo, Frank J. Isasi, Carmen R. Jung, Molly Kaplan, Robert C. Espiza Giacinto, Rebeca Gonzalez, Patricia Malcarne, Vanessa L. Perreira, Krista Salgado, Hugo Simon, Melissa A. Wruck, Lisa M. Greenlee, Heather A.
Copyright Year	2015
Abstract	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.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.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.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.
Starting Page	27
Ending Page	37
Page Count	11
File Format	PDF
ISSN	09575243
Journal	Cancer Causes & Control
Volume Number	27
Issue Number	1
e-ISSN	15737225
Language	English
Publisher	Springer International Publishing
Publisher Date	2015-10-23
Publisher Place	Cham
Access Restriction	One Nation One Subscription (ONOS)
Subject Keyword	Perceived discrimination Cancer screening Cancer disparities Epidemiology Prevention Cancer Research Biomedicine general Oncology Public Health Hematology
Content Type	Text
Resource Type	Article
Subject	Cancer Research Oncology

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