Perceived neighborhood social cohesion and cervical and breast cancer screening utilization among U.S.-born and immigrant women

AIMS Public Health

article

Quynh Nhu (Natasha) B. La Frinere-Sandoval¹  Catherine Cubbin¹  Diana M. DiNitto¹ 

[1] Steve Hicks School of Social Work, The University of Texas at Austin Correction on: AIMS Public Health 10: 183-189

关键词: breast cancer;    cervical cancer;    mammogram;    Pap test;    preventive screening;    immigrant;    neighborhood social cohesion;   

DOI  :  10.3934/publichealth.2022039

学科分类：社会科学、人文和艺术（综合）

来源: AIMS Press

【 摘 要 】

Research suggests that factors beyond the individual level, such as neighborhood-level factors, warrant further investigation in explaining preventive screening utilization disparities. In addition, research shows that immigrant women, especially recent immigrants, are less likely than U.S.-born women to utilize preventive screenings. Our study examined the relationship between perceived neighborhood social cohesion and breast and cervical cancer screening utilization among U.S.-born and immigrant women. Data came from the 2018 National Health Interview Survey (NHIS). The sample for this study included 7801 women ages 21−64 without a hysterectomy. Of them, 1477 (19%) reported being born outside the United States. Logistic regression was used to examine associations of perceived neighborhood social cohesion and sociodemographic factors with the odds of screening by nativity status. Though we found no link between neighborhood social cohesion and Papanicolaou (Pap) test or mammogram utilization, our findings contribute to understanding sociodemographic barriers to and facilitators of preventive screening utilization among immigrant and U.S.-born women. Most importantly, racial/ethnic and socioeconomic disparities in Pap tests and mammogram utilization were evident among immigrant women. The disparities we identified indicate the need to target prevention messages and tailor interventions to address each group's sociodemographic characteristics and needs. Our findings also support the need to expand health insurance so that all women are covered.

【 授权许可】

CC BY