2023-09-28 14:46:10 +00:00
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abstract: 'With the marked increase of the Latino population in the United States
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during the past 20 years, there has been growing interest in the social,
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cultural, and structural factors that may impede breast cancer screening
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among Latino women, especially among those subgroups that have been
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understudied. Acculturation and fatalism are central cultural constructs
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in these growing fields of research. However, there is great debate on
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the extent to which acculturation and fatalism affect breast cancer
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screening among Latinas relative to other social or structural factors
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or logistical barriers. Moreover, little theoretical work specifies or
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tests pathways between social, structural, and cultural determinants of
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screening. This study tests a theoretical model of social and structural
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(socioeconomic status and access to health care) and cultural factors
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(acculturation and fatalism) as correlates of mammography screening
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among Dominican Latinas, a group that has been understudied. The study
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expands prior work by examining other factors identified as potential
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impediments to mammography screening, specifically psychosocial (e.g.,
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embarrassment, pain) and logistical (e.g., not knowing how to get a
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mammogram, cost) barriers. Interview-administered surveys were conducted
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with 318 Latinas from the Dominican Republic aged 40 years or older.
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Fatalistic beliefs were not associated with mammogram screening. Greater
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acculturation assessed as language use was associated with decreased
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screening. The strongest predictor of decreased screening was perceived
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barriers. Results highlight the importance of assessing various
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self-reported psychosocial and logistical barriers to screening.
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Possible avenues for screening interventions include intensifying public
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health campaigns and use of personalized messages to address barriers to
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screening. Results add to a limited body of research on Dominicans, who
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constitute the fifth largest Latino group in the United States.'
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affiliation: 'Abraido-Lanza, AF (Corresponding Author), Columbia Univ, Mailman Sch
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Publ Hlth, Dept Sociomed Sci, 722 West 168 St,5th Floor, New York, NY 10032 USA.
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Abraido-Lanza, Ana F.; Martins, Mariana Cunha; Shelton, Rachel C., Columbia Univ,
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New York, NY 10032 USA.
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Florez, Karen R., RAND Corp, Santa Monica, CA USA.'
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author: Abraido-Lanza, Ana F. and Martins, Mariana Cunha and Shelton, Rachel C. and
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Florez, Karen R.
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author-email: aabraido@columbia.edu
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author_list:
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- family: Abraido-Lanza
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given: Ana F.
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- family: Martins
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given: Mariana Cunha
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- family: Shelton
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given: Rachel C.
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- family: Florez
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given: Karen R.
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da: '2023-09-28'
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doi: 10.1177/1090198115580975
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eissn: 1552-6127
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files: []
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issn: 1090-1981
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journal: HEALTH EDUCATION \& BEHAVIOR
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keywords: acculturation; breast cancer screening; fatalism; Latinos; mammography
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keywords-plus: 'MEXICAN-AMERICAN WOMEN; LOW-INCOME MEXICAN; CERVICAL-CANCER; HISPANIC
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WOMEN; AFRICAN-AMERICAN; UNITED-STATES; HEALTH; ACCULTURATION;
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MAMMOGRAPHY; BEHAVIORS'
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language: English
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month: OCT
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number: '5'
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number-of-cited-references: '55'
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orcid-numbers: 'Shelton, Rachel/0000-0001-6496-6339
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Florez, Karen/0000-0002-5758-433X
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Shelton, Rachel/0000-0001-6496-6339
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Abraido-Lanza, Ana/0000-0002-0885-8613'
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pages: 633-641
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papis_id: 0c7f1449838e75f85c282bff4ac05752
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ref: Abraidolanza2015breastcancer
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researcherid-numbers: 'Shelton, Rachel/W-3892-2019
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Florez, Karen/AAG-4036-2021
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Shelton, Rachel/Y-5633-2018
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'
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times-cited: '26'
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title: 'Breast Cancer Screening Among Dominican Latinas: A Closer Look at Fatalism
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and Other Social and Cultural Factors'
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2023-10-01 08:15:07 +00:00
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type: article
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2023-09-28 14:46:10 +00:00
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unique-id: WOS:000361599100009
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usage-count-last-180-days: '0'
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usage-count-since-2013: '18'
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volume: '42'
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web-of-science-categories: Public, Environmental \& Occupational Health
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year: '2015'
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