ERIC Number: EJ1313620
Record Type: Journal
Publication Date: 2021-Oct
Pages: 8
Abstractor: As Provided
ISBN: N/A
ISSN: ISSN-1090-1981
EISSN: N/A
Available Date: N/A
Never Screened: Understanding Breast Cancer Nonadherence in Puerto Rico
Ayala-Marín, Alelí M.; Colón-López, Vivian; Vélez-Álamo, Camille; Fernández-Espada, Natalie; Pattatucci, Angela; Fernández, María E.
Health Education & Behavior, v48 n5 p559-566 Oct 2021
Breast cancer is the most commonly diagnosed cancer and the leading cause of cancer-related death among women in Puerto Rico (PR). The purpose of this study was to identify factors associated with never screened status among a sample of women nonadherent to the 2013 American Cancer Society guidelines. The inclusion criteria for this study were being a woman (1) aged [greater than or equal to]40 years old and (2) nonadherent to breast cancer screening guidelines. We used baseline data from participants (N = 300; aged [greater than or equal to]40 years old) enrolled in the intervention trial "Cultivando la Salud," implemented in Canóvanas, Puerto Rico, from 2012 to 2014. We used multivariate logistic regression models to identify factors associated with never screening status, adjusting by sociodemographical variables and psychosocial constructs about mammography (self-efficacy, beliefs about mammography pros [benefits] and cons [disadvantages], and subjective norms) as well as by health care insurance, usual source of care, and Pap test adherence. Among nonadherent women, 18.0% reported never having a mammography. Never screened women were significantly younger than previously screened women (adjusted prevalence odds ratio [aPOR] = 7.32, 95% confidence interval (CI): [2.38, 22.50]) and almost four times as likely to have the governmental health plan (GHP; aPOR = 3.78, 95% CI: [1.15, 12.46]). In addition, never screened women perceived more cons (disadvantages) to mammography than previously screened women (aPOR = 1.81, 95% CI: [1.18, 2.78]). We found that women who were younger, had GHP insurance, and had higher levels of beliefs against mammography were more likely to have never been screened. Results from this study can be used to target never screened women with health education messages addressing perceived cons of mammography. Additionally, women with GHP insurance may experience disparities in health care access and should be targeted with policies that facilitate access to mammography screening.
Descriptors: Screening Tests, Cancer, Puerto Ricans, Compliance (Psychology), Health Behavior, Females, Guidelines, Intervention, Self Efficacy, Health Insurance, Age Differences, Beliefs, Access to Health Care
SAGE Publications. 2455 Teller Road, Thousand Oaks, CA 91320. Tel: 800-818-7243; Tel: 805-499-9774; Fax: 800-583-2665; e-mail: journals@sagepub.com; Web site: http://sagepub.com.bibliotheek.ehb.be
Publication Type: Journal Articles; Reports - Research
Education Level: N/A
Audience: N/A
Language: English
Sponsor: National Cancer Institute (NCI) (DHHS/NIH); National Center for Research Resources (NCRR) (DHHS/NIH); National Institute on Minority Health and Health Disparities (NIMHD) (DHHS/NIH)
Authoring Institution: N/A
Identifiers - Location: Puerto Rico
Grant or Contract Numbers: U54CA096297; U54RR02613901A1; 8U54MD00758703
Author Affiliations: N/A