LeeAnne Roman|Cristian Meghea|Sabrina Ford|Louis A. Penner|Hiam Hamade|Tamika Estes|Karen Patricia Williams
Individual, Provider, and System Risk Factors for Breast and Cervical Cancer Screening Among Underserved Black, Latina, and Arab Women
Michigan State University|Michigan State University|Michigan State University|The Barbara Ann Karmanos Cancer Institute|Arab Community Center for Economic and Social Services|Michigan State University|Michigan State University
socioeconomic racialethnic disparities breast cervical cancer screening persist exploratory study conducted better understand cooccurring risk factors underserved groups could inform interventions improve screening adherence objective study examine associations breast cervical cancer screening adherence cooccurring risk factors three racialethnic groups underserved womenblack latina arab women n514 ages 21 70 years enrolled kin keepersm randomized controlled trial communities around detroit michigan used participant baseline assessments eg demographic characteristics health literacy explore screening risks using additive approach multivariate logistic analysesfor black women health literacy risks associated reduced odds clinical breast exam cbe mammogram papanicolaou pap test competing priorities associated reduced odds pap test lack doctor mammogram recommendation significantly associated decreased odds cbe latina women lack doctor recommendations significantly associated decreased odds cbe mammogram pap test arab women lack doctor recommendations significantly associated decreased odds cbe mammogram pap test competing priorities significantly associated reduced odds cbe pap test results significant p005characteristics associated breast cervical screening adherence differs among black latina arab underserved women interventions improve screening tailored racialethnic groups particular attention competing survival priorities health literacy risks factors provider recommendations