2023-09-28 14:46:10 +00:00
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abstract: 'Objective: Previous studies of disparities in breast and cervical cancer
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screenings have focused on broad racial/ethnic groups or nativity status
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without accounting for immigration histories. Recent theoretical work
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argues for using intersectional approaches and examining within-group
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inequalities. Utilizing multiple years of National Health Interview
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Survey (NHIS) data, we examined between- and within-group Papanicolaou
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(Pap) test and mammogram screening based on nativity and length of U.S.
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residence for Asian and Hispanic women, along with nonHispanic Black and
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White women.
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Design: The study samples consist of 54,900 women ages 21-64 without a
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hysterectomy who responded to questions about Pap test screening and
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36,300 women ages 40-64 who responded to questions about mammogram
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screening. Asian and Hispanic women were further stratified by nativity
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and, for immigrants, length of time in the United States. Logistic
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regression analysis was used to identify significant associations with
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Pap test and mammogram screenings.
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Results: Recent Asian and Hispanic immigrants had the lowest Pap test
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and mammogram rates among all other groups, while Black (and White women
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for mammograms) women had the highest rates. After accounting for age,
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marital status, health insurance, education, employment status, and
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income, both Asian groups had lower odds, and Black and all Hispanic
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groups had higher odds of Pap test screening compared with White women.
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Similar results were observed for mammogram screening, except that
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long-term immigrant/U.S.-born Asian and U.S.-born Hispanic women did not
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have significantly different odds compared with White women. In general,
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the strength and direction of most sociodemographic variables were
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similar across groups for Pap test screening but differed for mammogram
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screening.
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Conclusions: The between-group differences identified emphasize the
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disparities in screening between racial/ethnic groups while the
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within-group differences suggest the need to examine whether more
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targeted outreach efforts and prevention messages can increase screening
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for specific groups.'
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affiliation: 'La Frinere-Sandoval, QNB (Corresponding Author), Univ Texas Austin,
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Steve Hicks Sch Social Work, 925 San Jacinto Blvd, STOP D3500, Austin, TX 78712
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USA.
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La Frinere-Sandoval, Quynh Nhu (Natasha) B.; Cubbin, Catherine; DiNitto, Diana M.
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M., Univ Texas Austin, Steve Hicks Sch Social Work, 925 San Jacinto Blvd, STOP D3500,
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Austin, TX 78712 USA.'
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author: La Frinere-Sandoval, Quynh Nhu (Natasha) B. and Cubbin, Catherine and DiNitto,
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Diana M. M.
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author-email: natasha.bls@utexas.edu
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author_list:
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- family: La Frinere-Sandoval
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given: Quynh Nhu (Natasha) B.
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- family: Cubbin
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given: Catherine
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- family: DiNitto
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given: Diana M. M.
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da: '2023-09-28'
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doi: 10.1080/13557858.2023.2174254
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earlyaccessdate: FEB 2023
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eissn: 1465-3419
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files: []
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issn: 1355-7858
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journal: ETHNICITY \& HEALTH
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keywords: 'Preventive screening; breast cancer; cervical cancer; mammogram; Pap
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test; immigrant; nativity; length of US residence'
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keywords-plus: IMMIGRANT WOMEN
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language: English
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month: AUG 18
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number: '6'
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number-of-cited-references: '38'
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pages: 895-911
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papis_id: 3ece581af17a0243824593770ac9fe90
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ref: Lafrineresandoval2023racialethnic
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times-cited: '2'
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title: Racial and ethnic disparities in cervical and breast cancer screenings by nativity
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and length of US residence
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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:000934447600001
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usage-count-last-180-days: '1'
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usage-count-since-2013: '1'
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volume: '28'
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web-of-science-categories: Ethnic Studies; Public, Environmental \& Occupational Health
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year: '2023'
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