Healthcare Factors for Obtaining a Mammogram in Latinas With a Variable Mammography History.
John R Scheel, Yamile Molina, Gloria Coronado and 6 others
PMID 27991613WHAT IT FOUND
Latinas who haven't had a recent mammogram are less likely to think about getting one because they miss clinical breast exams and provider recommendations.
These direct interactions predict screening thoughts better than having insurance or a regular doctor.
Key findings
01Clinical breast exams and provider recommendations, rather than insurance status or having a regular provider, were the healthcare factors significantly associated with thoughts about obtaining a mammogram.
02The lower likelihood of thinking about a mammogram in women who never had one was fully mediated by their lower odds of having had a clinical breast exam.
03The lower likelihood of thinking about a mammogram in women whose last one was not recent was fully mediated by their lower odds of receiving a provider recommendation.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
The study measured thoughts about obtaining a mammogram rather than whether the women actually obtained one. The data is cross-sectional, so it cannot prove that past behavior causes current thoughts, only that they are associated. The definition of a recent mammogram was two years, which aligned with guidelines during the study but may not match all current recommendations. Income data was missing for 15% of participants, limiting the ability to fully understand the role of income in screening intentions.
The easy way to misread this
Do not assume that having health insurance or a regular provider is enough to encourage screening in this population. The study found that these access factors were not associated with thoughts about obtaining a mammogram; only direct clinical interactions like breast exams and provider recommendations were.