abstract: 'With the marked increase of the Latino population in the United States

  during the past 20 years, there has been growing interest in the social,

  cultural, and structural factors that may impede breast cancer screening

  among Latino women, especially among those subgroups that have been

  understudied. Acculturation and fatalism are central cultural constructs

  in these growing fields of research. However, there is great debate on

  the extent to which acculturation and fatalism affect breast cancer

  screening among Latinas relative to other social or structural factors

  or logistical barriers. Moreover, little theoretical work specifies or

  tests pathways between social, structural, and cultural determinants of

  screening. This study tests a theoretical model of social and structural

  (socioeconomic status and access to health care) and cultural factors

  (acculturation and fatalism) as correlates of mammography screening

  among Dominican Latinas, a group that has been understudied. The study

  expands prior work by examining other factors identified as potential

  impediments to mammography screening, specifically psychosocial (e.g.,

  embarrassment, pain) and logistical (e.g., not knowing how to get a

  mammogram, cost) barriers. Interview-administered surveys were conducted

  with 318 Latinas from the Dominican Republic aged 40 years or older.

  Fatalistic beliefs were not associated with mammogram screening. Greater

  acculturation assessed as language use was associated with decreased

  screening. The strongest predictor of decreased screening was perceived

  barriers. Results highlight the importance of assessing various

  self-reported psychosocial and logistical barriers to screening.

  Possible avenues for screening interventions include intensifying public

  health campaigns and use of personalized messages to address barriers to

  screening. Results add to a limited body of research on Dominicans, who

  constitute the fifth largest Latino group in the United States.'
affiliation: 'Abraido-Lanza, AF (Corresponding Author), Columbia Univ, Mailman Sch
  Publ Hlth, Dept Sociomed Sci, 722 West 168 St,5th Floor, New York, NY 10032 USA.

  Abraido-Lanza, Ana F.; Martins, Mariana Cunha; Shelton, Rachel C., Columbia Univ,
  New York, NY 10032 USA.

  Florez, Karen R., RAND Corp, Santa Monica, CA USA.'
author: Abraido-Lanza, Ana F. and Martins, Mariana Cunha and Shelton, Rachel C. and
  Florez, Karen R.
author-email: aabraido@columbia.edu
author_list:
- family: Abraido-Lanza
  given: Ana F.
- family: Martins
  given: Mariana Cunha
- family: Shelton
  given: Rachel C.
- family: Florez
  given: Karen R.
da: '2023-09-28'
doi: 10.1177/1090198115580975
eissn: 1552-6127
files: []
issn: 1090-1981
journal: HEALTH EDUCATION \& BEHAVIOR
keywords: acculturation; breast cancer screening; fatalism; Latinos; mammography
keywords-plus: 'MEXICAN-AMERICAN WOMEN; LOW-INCOME MEXICAN; CERVICAL-CANCER; HISPANIC

  WOMEN; AFRICAN-AMERICAN; UNITED-STATES; HEALTH; ACCULTURATION;

  MAMMOGRAPHY; BEHAVIORS'
language: English
month: OCT
number: '5'
number-of-cited-references: '55'
orcid-numbers: 'Shelton, Rachel/0000-0001-6496-6339

  Florez, Karen/0000-0002-5758-433X

  Shelton, Rachel/0000-0001-6496-6339

  Abraido-Lanza, Ana/0000-0002-0885-8613'
pages: 633-641
papis_id: 0c7f1449838e75f85c282bff4ac05752
ref: Abraidolanza2015breastcancer
researcherid-numbers: 'Shelton, Rachel/W-3892-2019

  Florez, Karen/AAG-4036-2021

  Shelton, Rachel/Y-5633-2018

  '
times-cited: '26'
title: 'Breast Cancer Screening Among Dominican Latinas: A Closer Look at Fatalism
  and Other Social and Cultural Factors'
type: article
unique-id: WOS:000361599100009
usage-count-last-180-days: '0'
usage-count-since-2013: '18'
volume: '42'
web-of-science-categories: Public, Environmental \& Occupational Health
year: '2015'