ASPO Abstracts

Authors: Johnson, RB; Thomeer-McBride, MB; Keith, VM; Cain, C; Elk, R; Baskin, M.

Category: Behavioral Science & Health Communication
Conference Year: 2020

Abstract Body:
In 2019, over 41,000 women are predicted to die as a result of breast cancer. Despite advances in cancer screening technology, breast cancer mortality is greater in minority women populations. For example, The purpose of this study is to explore the role of neighborhood deprivation among mammography differences in terms of race/ethnicity and place of residence. The research questions are the following: 1. Are there differences between white and Latina’s annual mammography adherence? 2. Are there differences between white and Asian women’s annual mammography adherence? 3. Is neighborhood deprivation a predictor of annual mammography adherence? 4.Does neighborhood deprivation moderate the association between annual mammography adherence and race/ethnicity? The study utilizes the following methods: bivariate analysis, logistic regression regression, and marginal predicted probability analysis (post-estimation). Per the first research question about white-Latinx women annual mammography adherence differences, there is some evidence to support that there are significant differences between white and Latina’s annual mammography adherence. Latinx women were more likely to be mammogram adherent, starting at the second model, controlling for other variables in the model (p<0.05). As it relates to the second research question about white-Asian women differences in annual mammography adherence, there is some evidence to support that differences between white and Asian women’s annual mammography adherence exist. In the first model, Asian women were less likely to be mammogram adherent, controlling for age (OR 0.84; p<0.01). As it relates to the third research question about whether neighborhood deprivation is a predictor of annual mammography, there is no evidence to support that neighborhood deprivation is a sole predictor of annual mammography adherence. Neighborhood deprivation is not a predictor of annual mammography adherence. Per the fourth research question about whether neighborhood deprivation moderates the association between annual mammography adherence and race/ethnicity, we only have partial evidence for the claim that neighborhood deprivation is a moderator. We conclude that neighborhood does not predict mammography adherence.

Keywords: Mammography adherence Cancer screening differences Race/ethnicity Neighborhood effect California Comprehensive Cancer Plan

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