Healthcare Use and Mammography Among Latinas With and Without Health Insurance Near the US-Mexico Border

J Racial Ethn Health Disparities. 2017 Apr;4(2):282-287. doi: 10.1007/s40615-016-0227-y. Epub 2016 Apr 12.

Abstract

Introduction: Among Latinas, lacking health insurance and having lower levels of acculturation are associated with disparities in mammography screening.

Objective: We seek to investigate whether differences in lifetime mammography exist between Latina border residents by health insurance status and health care site (i.e., U.S. only or a combination of U.S. and Mexican health care).

Methods: Using data from the 2009 to 2010 Ecological Household Study on Latino Border Residents, mammography screening was examined among (n = 304) Latinas >40 years old.

Results: While more acculturated women were significantly (p < .05) more likely to report ever having a mammogram than less acculturated women, ever having a mammogram was not predicted by health care site or insurance status.

Conclusion: Latinas who utilize multiple systems of care have lower levels of acculturation and health insurance, thus representing an especially vulnerable population for experiencing disparities in mammography screening.

Keywords: Mammography Latinas Insurance Status Border Health.

MeSH terms

  • Acculturation
  • Adult
  • Aged
  • Breast Neoplasms / diagnostic imaging*
  • Early Detection of Cancer / statistics & numerical data*
  • Female
  • Health Services / statistics & numerical data*
  • Healthcare Disparities / ethnology*
  • Hispanic or Latino*
  • Humans
  • Insurance, Health*
  • Logistic Models
  • Mammography / statistics & numerical data*
  • Medically Uninsured*
  • Mexico
  • Middle Aged
  • United States