Neighborhood Predictors of Mammography Barriers Among US-Based Latinas

摘要: Little is known about how neighborhood factors are associated with Latinas’ barriers to cancer screening, including mammography. To address this gap, we examined mammography by racial/ethnic composition and socioeconomic status among a federally qualified health center (FQHC)-based sample of non-adherent Latinas in Western Washington State. Baseline data were drawn from larger intervention study (n = 536 Latinas). Women indicated why they had not obtained mammogram the past 2 years (no reason, knowledge, psychocultural, economic). American Community Survey (2007–2011) used calculate four measures that categorized tertiles (T): socioeconomic-based concentration, segregation, Latino-based segregation. The proportion women reporting knowledge-, psychocultural-, economic-based reasons for obtaining mammograms was, respectively, 0.35, 0.19, 0.31. Approximately 14 % no particular reason. Relative residing areas greater less segregation likely report knowledge-based (p ≤ 0.05). concentration Latinos, lowest concentrations Our findings provide important information role characteristics use care FQHCs. Future research might examine mediating efficacy screening interventions.