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

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.

Cancer causes & control : CCC. 2015 Oct 23 [Epub ahead of print]

Cristina Valdovinos, Frank J Penedo, Carmen R Isasi, Molly Jung, Robert C Kaplan, Rebeca Espinoza Giacinto, Patricia Gonzalez, Vanessa L Malcarne, Krista Perreira, Hugo Salgado, Melissa A Simon, Lisa M Wruck, Heather A Greenlee

Department of Epidemiology, Columbia University Mailman School of Public Health, New York, NY, USA. , Department of Medical Social Sciences, Northwestern University Feinberg School of Medicine, Chicago, IL, USA. , Department of Epidemiology and Population Health, Albert Einstein College of Medicine, New York, NY, USA. , Department of Epidemiology and Population Health, Albert Einstein College of Medicine, New York, NY, USA. , Department of Epidemiology and Population Health, Albert Einstein College of Medicine, New York, NY, USA. , Graduate School of Public Health, San Diego State University, San Diego, CA, USA. , Graduate School of Public Health, San Diego State University, San Diego, CA, USA. , Department of Psychology, San Diego State University, San Diego, CA, USA. , Department of Biostatistics, Gillings School of Global Public Health, Collaborative Studies Coordinating Center, University of North Carolina, Chapel Hill, NC, USA. , Graduate School of Public Health, San Diego State University, San Diego, CA, USA. , Department of Medical Social Sciences, Northwestern University Feinberg School of Medicine, Chicago, IL, USA. , Department of Biostatistics, Gillings School of Global Public Health, Collaborative Studies Coordinating Center, University of North Carolina, Chapel Hill, NC, USA. , Department of Epidemiology, Columbia University Mailman School of Public Health, New York, NY, USA. 

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