Abstract A55: Breast cancer detection and screening mammography in Mexican American women: Findings from the Ella Binational Breast Cancer Study

摘要: Purpose: Although breast cancer incidence and mortality rates are lower in Hispanic than non-Hispanic white women, the profile of tumor presentation among women is consistent with a more aggressive disease pattern less favorable prognosis. The Ella Binational Breast Cancer Study multi-center collaboration between United States (US) Mexico to investigate whether epidemiological clinical risk factors, as well markers, differ Mexican-American living US; recruitment ongoing goal enrolling 1,000 participants. Experimental Procedures: Using data from U.S. population Study, we assessed relationship education level, acculturation, screening behaviors. We used questionnaire on level acculturation by language usage identify barriers for mammography overall identifying methods improve access. Our comprised 230 patients Mexican descent Houston, Texas (N=138) or Arizona (N=92) who were 40 years older. Summary Data: results show most common method detection was self-detection (67%), followed (23%), exam health professional (6%), other (3%). Use strongly associated country birth, acculturation. Among US-born 83% reported receiving prior mammography, compared 62% non-US born (p Conclusions: These suggest despite high Hispanics national surveys (70–80% based BRFSS), percentage our not detected through mammography. Since majority participants Spanish media exposure (73%), this suggests medium culturally appropriate education, including information about free programs these communities. In future, hope propose an intervention model Spanish-dominant Latina that addresses complex issues self-examination, screening, importance prompt reporting findings professionals when changes detected. This must address many limited literacy, English proficiency, care access affordability, directly affect critical cancer-related behavior environmental barriers.