Abstract
Background
Latinas are the fastest growing racial ethnic group in the United States and have an incidence of breast cancer that is rising three times faster than that of non-Latino white women, yet their mammography use is lower than that of non-Latino women.
Objectives
We explored factors that predict satisfaction with health-care relationships and examined the effect of satisfaction with health-care relationships on mammography adherence in Latinas.
Design and Setting
We conducted a cross-sectional survey of 166 Latinas who were ≥40 years old. Women were recruited from Latino-serving clinics and a Latino health radio program.
Measurements
Mammography adherence was based on self-reported receipt of a mammogram within the past 2 years. The main independent variable was overall satisfaction with one’s health-care relationship. Other variables included: self report of patient-provider communication, level of trust in providers, primary language, country of origin, discrimination experiences, and perceptions of racism.
Results
Forty-three percent of women reported very high satisfaction in their health-care relationships. Women with high trust in providers and those who did not experience discrimination were more satisfied with their health-care relationships compared to women with lower trust and who experienced discrimination (p < .01). Satisfaction with the health-care relationship was, in turn, significantly associated with mammography adherence (OR: 3.34, 95% CI: 1.47–7.58), controlling for other factors.
Conclusions
Understanding the factors that impact Latinas’ mammography adherence may inform intervention strategies. Efforts to improve Latina’s satisfaction with physicians by building trust may lead to increased use of necessary mammography.
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Acknowledgements
The authors are grateful to all of the women who took time to participate in the study.
Members of the Latin American Cancer Research Coalition who participated in this study included: Janet Cañar, MD, at Spanish Catholic Center, Jyl Pomeroy at Arlington Free Clinic, John Kavanaugh at La Clinica Del Pueblo, and Yosselyn Rodriguez at Washington Cancer institute/Medstar Research Institute.
We acknowledge Michelle Goodman, MA, and Mariano Kanamori for research support and Maria Lopez, Ph.D., for review of the manuscript.
Supported, in part, by ACS grants MRSGT-06-132-01-CPPB (VBS) and MRSGT-05-104-01-CPPB (JW), National Cancer Institute grants UO1 CA86114 (EH, JM), U01-CA114593 (EH, JM), and KO5 CA96940 (JM)
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Sheppard, V.B., Wang, J., Yi, B. et al. Are Health-care Relationships Important for Mammography Adherence in Latinas?. J GEN INTERN MED 23, 2024–2030 (2008). https://doi.org/10.1007/s11606-008-0815-6
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DOI: https://doi.org/10.1007/s11606-008-0815-6