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Meta-Analysis
. 2008 Jun;46(6):479-88.
doi: 10.1016/j.ypmed.2008.01.001. Epub 2008 Jan 16.

Lower adherence to screening mammography guidelines among ethnic minority women in America: a meta-analytic review

Rebecca J Purc-Stephenson  1 , Kevin M Gorey
Affiliations
Meta-Analysis

Lower adherence to screening mammography guidelines among ethnic minority women in America: a meta-analytic review

Rebecca J Purc-Stephenson et al. Prev Med. 2008 Jun.

Abstract

Objective: This study investigates the association between ethnic minority status and receiving a screening mammogram within the past 2 years among American women over 50.

Method: The findings from 33 studies identified from interdisciplinary research databases (1980 to 2006) were synthesized. Separate pooled analyses compared white non-Hispanics to African Americans (28 outcomes), Hispanics (18 outcomes), and Asian/Pacific Islanders (10 outcomes).

Results: Using the random effects model, results showed that African Americans were screened less than white non-Hispanics at a marginal level (OR 0.87, 95% CI 0.75, 1.00). Larger and significant discrepancies were observed for Hispanics (OR 0.65, 95% CI 0.50, 0.85) and Asian/Pacific Islanders (OR 0.63, 95% CI 0.39, 0.99) compared to white non-Hispanics. However, among studies controlling for socioeconomic status, ethnic differences in mammography screening were no longer significant for African Americans (OR 1.05, 95% CI 0.71, 1.76), Hispanics (OR 1.08, 95% CI 0.64, 1.93), or Asian/Pacific Islanders (OR 1.08, 95% CI 0.64, 1.93). Subgroup analyses further showed that geographical region, sampling method, and data collection strategy significantly impacted results.

Conclusions: This study found evidence that ethnic minority-screening mammography differences exist but were impacted by socioeconomic status. Implications for interpreting existing knowledge and future research needs are discussed.

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References

    1. American Cancer Society. Breast Cancer Facts and Figures 2005–2006. American Cancer Society, Inc; Atlanta, GA: 2005.
    1. Angel R, Guarnacci PJ. Mind, body, and culture: somatization among Hispanics. Soc Sci Med. 1989;28:1229–1238. - PubMed
    1. Ashing-Giwa KT, Padilla GV, Tejero JS, Kim J. Breast cancer survivorship in a multiethnic sample: challenges in recruitment and measurement. Cancer. 2004;101:450–465. - PubMed
    1. Auguston EM, Vadaparampil ST, Paltoo DN, Kidd LR, O’Malley AS. Association between CBE, FOBT, and pap smear adherence and mammography adherence among older low-income women. Prev Med. 2003;36:734–739. - PubMed
    1. Austin LT, McNally M, Stewart DE. Breast and cervical screening in Hispanic women: A literature review using the health belief model. Women’s Health Issues. 2002;12:122–128. - PubMed

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