Skip to main content
Log in

An Examination of Sociocultural Factors Associated with Cervical Cancer Screening Among Low-Income Latina Immigrants of Reproductive Age

  • Published:
Journal of Immigrant Health Aims and scope Submit manuscript

Abstract

The purpose of this study was threefold: 1) to examine whether low-income Latina immigrants were less likely to receive a Pap smear than low-income non-Latinas; 2) to examine ethnic differences regarding cervical cancer knowledge; and 3) to examine the sociocultural factors associated with cervical cancer screening among low-income Latina immigrants. Participants included 225 low-income women of reproductive age attending a WIC (Women, Infants, and Children) clinic (50% Latina immigrants and 50% non-Latinas). Latina immigrants were less educated, less likely to have health insurance, and more likely to be married or living with a partner than non-Latinas (ps < 0.05). All non-Latinas had a Pap smear in the past compared to 81.3% of Latina immigrants (p < 0.001). Latina immigrants displayed significantly less knowledge regarding cervical cancer than non-Latinas (ps < 0.01). Latina immigrants tended to display culturally based knowledge and beliefs regarding cervical cancer and screening that may influence getting a Pap smear.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

REFERENCES

  1. Immigration and Naturalization Services: 1998 Statistical Yearbook of the Immigration and Naturalization Services [On-line]; 1998. Available: http://www.ins.usdoj.gov/graphics/ aboutins/statistics/imm98list.htm

  2. Immigration and Naturalization Services: Illegal Alien Resident Population [On-line]; 1999. Available: http://www.ins. usdoj.gov/stats/illegalalien/index.html

  3. U.S. Bureau of the Census. Statistical Abstract of the United States: 1999, 199th editn. Washington, DC: U.S. Bureau of the Census; 1999

    Google Scholar 

  4. Guendelman S, English P, Chaves G: The effects of maternal health behaviors and other risk factors on immunization status among Mexican–American infants. Pediatrics 1995; 6:823-828

    Google Scholar 

  5. Escobar JI, Hoyos Nervi C, Gara MA: Immigration and mental health: Mexican Americans in the United States. Harv Rev Psychiatry 2000; 8:64-72

    Google Scholar 

  6. Vega WA, Kolody B, Aguilar-Gaxiola S, Alderete E, Catalano R, Caraveo-Anduaga J: Lifetime prevalence of DSM-III-R psychiatric disorders among urban and rural Mexican Americans in California. Arch Gen Psychiatry 1998; 55:771-788

    Google Scholar 

  7. Hayes-Bautista DE, Baezconde-Garbanati L, Schink WO, Hayes-Bautista M: Latino health in California, 1985–1990: Implications for family practice. Fam Med 1994; 26:556-562

    Google Scholar 

  8. American Cancer Society: Cancer Facts and Figures for Hispanics 2000–2001. Atlanta, GA: American Cancer Society; 2001

    Google Scholar 

  9. National Cancer Institute: Annual report to the nation on the status of cancer. Bethesda, MD: National Cancer Institute; 1999

    Google Scholar 

  10. Ries LAG, Eisner MP, Kosary CL, Hankey BF, Miller BA, Clegg L, Edwards BK: SEER Cancer Statistics Review, 1973–1997. Bethesda, MA: National Cancer Institute; 2000

    Google Scholar 

  11. Napoles-Springer A, Perez-Stable EJ, Washington E: Risk factors for invasive cervical cancer in Latino women. J Med Syst 1996; 20:277-293

    Google Scholar 

  12. Elder JP, Castro FG, De Moor C, Mayer J, Candelaria JI, Campbell N, Talavera G, Ware LM: Differences in cancer-risk related behaviors in Latino and Anglo adults. Prev Med 1991; 20:751-763

    Google Scholar 

  13. Jennings-Dozier K, Lawrence D: Sociodemographic predictors of adherence to annual cervical cancer screening in minority women. Cancer Nurs 2000; 23:350-356

    Google Scholar 

  14. Wilcox LS, Mosher WD: Factors associated with obtaining health screening among women of reproductive age. Public Health Rep 1993; 108:76-86

    Google Scholar 

  15. Blackman DK, Bennett EM, Miller DS: Trends in self-reported use of mammograms (1989–1997) and Papanicolau tests (1991–1997)—Behavioral Risk Factor Surveillance System. MMWR 1999; 48(SS06):1-22

    Google Scholar 

  16. Hubbell FA, Chavez LR, Mishra SI, Valdez RB: Beliefs about sexual behavior and other predictors of Papanicolaou Smear screening among Latinas and Anglo women. Arch Intern Med 1996; 156:2353-2358

    Google Scholar 

  17. Skaer TL, Robinson LM, Sclar DA, Harding GH: Cancer-screening determinants among Hispanic women using migrant health clinics. J Health Care Poor Underserved 1996; 7:338-354

    Google Scholar 

  18. Chavez LR, Hubbell FA, McMullin JM, Mishra SI: Fatalism reconsidered: Do beliefs matter when Latinas use breast and cervical cancer prevention services. JGIM 1995; 10:119

    Google Scholar 

  19. Howe SL, Delfino RJ, Taylor TH, Anton-Culver H: The risk of invasive cervical cancer among Hispanics: evidence for targeted preventive interventions. Prev Med 1998; 27:674-680

    Google Scholar 

  20. Mandelblatt JS, Gold K, O'Malley AS, Taylor K, Cagney K, Hopkins JS, Kerner J: Breast and cervix cancer screening among multiethnic women: role of age, health, and source of care. Prev Med 1999; 28:418-425

    Google Scholar 

  21. Zambrana RE, Breen N, Fox SA, Gutierrez-Mohamed ML: Use of cancer screening practices by Hispanic women: Analysis by subgroup. Prev Med 1999; 29:466-477

    Google Scholar 

  22. Suarez L, Ramirez AG, Villareal R, Marti J, McAlister A, Talavera GA, Trapido E, Perez-Stable EJ: Social networks and cancer screening in four U.S. Hispanic groups. Am J Prev Med 2000; 19:47-52

    Google Scholar 

  23. Carpenter V, Colwell B: Cancer knowledge, self-efficacy, and cancer screening behaviors among Mexican–American women. J Cancer Educ 1995; 10:217-222

    Google Scholar 

  24. Suarez L, Ramirez AG: Hispanic/Latino health and disease: An overview: In Huff, RM, Kline, MV, eds. Promoting Health in Multicultural Populations. Thousand Oaks, CA: Sage; 1999: 115-136

    Google Scholar 

  25. Perez-Stable EJ, Sabogal F, Otero-Sabogal R, Hiatt RA, McPhee SJ: Misconceptions about cancer among Latinos and Anglos. JAMA 1992; 268:3219-3223

    Google Scholar 

  26. Suarez L: Pap smear and mammogram screening in Mexican–American women: The effects of acculturation. Am J Public Health 1994; 84:742-746

    Google Scholar 

  27. Tortolero-Luna G, Glober GA, Villarreal R, Palos G, Linares A: Screening practices and knowledge, attitudes, and beliefs about cancer among Hispanic and non-Hispanic white women 35 year old or older in Nueces County, Texas. J Natl Can Inst Monogr 1995; 18:49-56

    Google Scholar 

  28. Lupton D: Medicine as culture: Illness, disease, and the body in western societies. Thousand Oaks, CA: Sage; 1994

    Google Scholar 

  29. Airhihenbuwa CO: Health promotion and disease prevention strategies for African Americans: A conceptual model: In: Braithwaite RL, Taylor SE, eds. Health Issues in the Black Community. San Francisco, CA: Jossey-Bass; 1992:267-280

    Google Scholar 

  30. Beech BM, Scarinci IC: Smoking attitudes and practices among low-income African Americans: Qualitative assessment of contributing factors. Am J Health Promot 2003; 17:240-248

    Google Scholar 

  31. Scarinci IC, Silveira A, Beech BM, Melamed N, Figueiredo D: Sociocultural factors associated with smoking among women in Brazilian worksites (abstract to be presented at the American Public Health Association meeting, November, 2002)

  32. Scarinci IC, Klesges RC, Kovach KW, Chang CF: Access to prenatal, delivery, and newborn care among undocumented Hispanics in the Memphis area. Tenn Med 2001; 94:300-304

    Google Scholar 

  33. Berk ML, Schur CL, Chavez LR, Frankel M: Health care use among undocumented Latino immigrants. Health Aff 2000; 19:51-64

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Isabel C. Scarinci.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Scarinci, I.C., Beech, B.M., Kovach, K.W. et al. An Examination of Sociocultural Factors Associated with Cervical Cancer Screening Among Low-Income Latina Immigrants of Reproductive Age. Journal of Immigrant Health 5, 119–128 (2003). https://doi.org/10.1023/A:1023939801991

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1023/A:1023939801991

Navigation