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Receipt of cancer screening procedures among Hispanic and non‐Hispanic health maintenance organization members
Author(s) -
Jacobs Elizabeth A.,
Lauderdale Diane S.
Publication year - 2001
Publication title -
cancer
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.052
H-Index - 304
eISSN - 1097-0142
pISSN - 0008-543X
DOI - 10.1002/1097-0142(20010101)91:1+<257::aid-cncr15>3.0.co;2-g
Subject(s) - medicine , fecal occult blood , demography , pap test , logistic regression , receipt , population , cancer , cancer screening , health care , gerontology , family medicine , test (biology) , mammography , breast cancer , colorectal cancer , environmental health , cervical cancer , colonoscopy , paleontology , cervical cancer screening , sociology , world wide web , computer science , economics , biology , economic growth
BACKGROUND Hispanic Americans have been shown to receive fewer cancer screening procedures than nonminority populations. Although lack of insurance or a regular source of care appear to be important determinants, cultural factors also have been suggested. This study examines whether Hispanic patients 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) was determined for adult health maintenance organization (HMO) members who met appropriate age and gender criteria. Rates of receipt were compared for 2 cohorts over a 2‐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 included. Logistic regression was used to test whether being in the Hispanic group 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 recommended procedure at least once (0.70–0.86). The proportions were very similar for the Hispanic group (0.67–0.84). None of the rates differed statistically for the two groups. CONCLUSIONS Hispanic HMO members received cancer screening at the same high rate as non‐Hispanics, suggesting that insurance coverage and continuity of care are more important than cultural factors in determining rates of cancer screening receipt. Cancer 2001;91:257–61. © 2001 American Cancer Society.