ASPO Abstracts
The role of insurance on mammogram adherence among latina ethnicity and citizenship status
Category: Behavioral Science & Health Communication
Conference Year: 2019
Abstract Body:
Introduction: Cancer screening researchers have long observed that Latinas are less likelyto be mammogram adherent, but little is understood how this varies by citizenship status. Prior researchhas also focused on access to insurance in the larger Latina population. The purpose of this study was to examine therole of insurance status on mammogram adherence among Latina women by citizenship status groups. Methods: Logistic regression analysis. The sample size was weighed according to CDCspecifications. There were 1002 latina women in the sample. The 2016 National Health Interview Survey was utilized.Results: Compared to naturalized Latina women, both U.S. citizen and non-citizen Latinawomen are less likely to be mammogram adherent (p<0.05). Insurance status attenuated the relationship betweenLatina ethnicity and mammogram adherence. After this relationship was observed, a formal tests of mediation wasintroduction (Sobel-Goodman and bootstrap analysis). For those who have a private insurance and otherinsurance, they were significantly more likely to be mammogram adherence (p<0.05).Findings: Cancer screening researchers benefit from disaggregating Latina ethnicity bycitizenship status to develop more tailored interventions regarding mammogram adherence in this population.Conclusion: We conclude that there is evidence to suggest that disaggregating Latinagroups by citizenship status is necessary to explore how these groups differ by mammogram adherence. In one group, forexample naturalized Latina women, the role of insurance status for being mammogram adherent may beless of an issue compared to non-citizen Latina groups. Interventions should reflect this finding to bemore effective in reaching this underserved community.
Keywords: Mammogram, Latina