A telephone survey of a random sample of Rhode Island women ages 40 and older residing in minority low-income census tracts - census tracts in the lowest quartile of a variety of socioeconomic indicators in which at least 5 percent of the population was classified as Hispanic or non-Hispanic black - was conducted in 1991, focusing on breast cancer screening.
Hispanic women were found to have about half the breast cancer screening rate (20 percent, according to current screening guidelines) of other respondents (37 percent).
Determinants of screening were explored to suggest reasons for this difference.
The Health Belief Model was used to identify and compare determinants of breast cancer screening (sociodemographics, health care utilization, perceived susceptibility to breast cancer, perceived seriousness of breast cancer, cues to screening such as a provider's recommendation, and the perceived benefits and costs of screening) among Hispanics, non-Hispanic whites, and non-Hispanic blacks.
Access to medical care is a significant problem in the Rhode Island Hispanic community, related to recent immigration, undocumented immigration, and low income characteristics of its members.
Efforts to increase long-term screening for breast cancer in this community should focus on access while paying attention to its unique perceptions of breast cancer.
Mots-clés Pascal : Tumeur maligne, Glande mammaire, Dépistage, Homme, Femelle, Rhode Island, Etats Unis, Amérique du Nord, Amérique, Ethnie, Pauvreté, Comportement, Autoperception, Accessibilité, Glande mammaire pathologie, Hispanique, Health Belief Model
Mots-clés Pascal anglais : Malignant tumor, Mammary gland, Medical screening, Human, Female, Rhode Island, United States, North America, America, Ethnic group, Poverty, Behavior, Self perception, Accessibility, Mammary gland diseases
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 95-0485756
Code Inist : 002B20E02. Création : 01/03/1996.