Receipt of cancer screening procedures among Hispanic and non-Hispanic health maintenance organization members

BACKGROUND. Hispanic Americans have been shown to receive fewer cancer scre ening procedures than nonminority populations. Although lack of insurance o r a regular source of care appear to be important determinants, cultural fa ctors also have been suggested. This study examines whether Hispanic patien ts receive cancer screening at the same rate as the non-Hispanic population when both groups have equivalent insurance and a regular source of care. METHODS, Receipt of five cancer screening procedures (mammography, Pap test , fecal occult blood testing, breast examination, and rectal examination] w as determined for adult hearth maintenance organization (HMO) members who m et appropriate age and gender criteria. Rates of receipt were compared for 2 cohorts over a P-year period: Hispanic members identified by surname and a comparison group, a 10% random sample of the non-Spanish surnamed members . Only members with at least one HMO contact over the study period were inc luded. Logistic regression was used to test whether being in the Hispanic g roup was associated with decreased likelihood of receiving the procedure at least once over the 2 years, adjusting for potential confounders. RESULTS. Among the comparison group, a high proportion received each recomm ended procedure at least once (0.70-0.86). The proportions were very simila r for the Hispanic group (0.67-0.84). None of the rates differed statistica lly for the two groups. CONCLUSIONS. Hispanic HMO members received cancer screening at the same hig h rate as non-Hispanics, suggesting that insurance coverage and continuity of care are more important than cultural factors in determining rates of ca ncer screening receipt. Cancer 2001;91:257-61. (C) 2001 American Cancer Soc iety.