Breast cancer screening disparities among ethnically diverse women in California : a latent profile analysis

摘要: Breast cancer is one of the most common cancers among women in United States (U.S. CSWG, 2009). Health care, screening behaviors (e.g., mammography) and late-stage disease detection account for significant differences breast morbidity mortality ethnically diverse (ACS, 2007). The current study sought to identify variables that best predict women's develop typologies a large multiethnic sample (N = 15,130) from California Interview Survey 2005 (CHIS, 2006). examined whether ethnicity (Hispanic, African American, Asian, non-Hispanic white) moderated relationship between emergent outcomes. Variables interest addressed following themes: health behaviors, health, history, insurance, care utilization, mental as well acculturation, racial discrimination, education, socioeconomic status. Latent profile analysis (LPA : Lanza, Flaherty, & Collins, 2003) was employed empirically derive subsequently using each variable simultaneously women. Post-hoc analyses logistic regression were utilized explain by class interactions. Results revealed three substantive risk domains, Health, Stress, Demographic, significantly related screening. LPA two classes, deemed Healthy Risk, emerged domain. Risk engaged more mammography screening, relative counterparts across all ethnic groups (ps < .001). In Stress domain Minimal, Mild, Moderate, Severe classes emerged. Women reported Minimal Mild comparatively their Moderate This follow-up non -Hispanic white Among Demographic Limited, Substantial Resource greater .001) than Limited this replicated groups. portrays rich constellation influence underpins future targets prevention within