SCREENING MAMMOGRAPHY AND OLDER HISPANIC WOMEN - CURRENT STATUS AND ISSUES

Background. Little is known about the screening behavior of older mino rity women, especially Hispanic women. Data from Los Angeles were comp ared to national data to examine any similarities and unique problems. Methods. In 1990, 726 women from Los Angeles older than 65 years of a ge were surveyed by telephone after being identified through a probabi lity sample or through Medicare listings. Mammography experience and k nowledge and attitudes about screening were collected. Differences in mammography experience by racial/ethnic group were computed using the chi-square test. Results. Hispanic women were not underscreened signif icantly compared with older white and black women. Approximately three quarters of Hispanics had had a mammogram in the previous 2 years, co mpared with 84% of blacks and 82% of whites. Income and education leve ls were more explanatory of underscreening than was race. For example, 50% of whites with incomes of less than $15,000 had been screened in the previous 2 years, compared with 71% of those with higher incomes. Hispanics, however, reported significantly more concerns about screeni ng and getting breast cancer than did whites or blacks despite the His panics' lower incidence and mortality rates. Hispanics also reported m ore health insurance inadequacies and a poorer quality of life that ma y interfere with maintenance of screening behaviors. Conclusions. To m aintain equal screening across racial/ethnic groups, national programs should focus on strategies that help Hispanics acculturate to achieve equal educational and other benefits. To decrease screening inequitie s within races and help realize the National Cancer Institute's Year 2 000 goals, income and educational differences will need to be less pro nounced.-