Reversal of associations between Spanish language use and mammography and pap smear testing.

Journal Article

Latina women are less likely to utilize cancer screening services than are non-Latina White women. The purpose of this study is to examine the relationship between preferred language (English vs. Spanish) and receipt of mammography and Pap-smear testing among US Latinas and non-Latinas. Cross-sectional analysis of the 2008 and 2010 Behavioral Risk Factor Surveillance System (BRFSS) surveys. While Latinas responding to the BRFSS in English or in Spanish had unadjusted lower odds of receiving mammography testing, in multivariable analysis Latinas responding-in-Spanish had 2.20 times the odds (OR = 2.20, 95 % CI, 1.90-2.55) of reporting mammography compared to non-Latinas. Similarly, Latinas responding-in- Spanish had lower unadjusted odds of receiving Pap-smear testing. However, Latinas responding-in-Spanish had 2.37 times the odds (OR = 2.37 CI, 2.04-2.75) of reporting having received Pap smear testing compared to non-Latinas in multivariate analysis. The results of this paper further confirm the "reversed associations" among Latinas and mammography and Pap smear testing described in previous studies and suggest that in addition to insurance status, preferred language may be a key variable contributing to the reversal phenomenon observed among Latinas.

Full Text

Duke Authors

Cited Authors

  • Suneja, G; Diaz, JA; Roberts, M; Rakowski, W

Published Date

  • April 2013

Published In

Volume / Issue

  • 15 / 2

Start / End Page

  • 255 - 261

PubMed ID

  • 22886745

Electronic International Standard Serial Number (EISSN)

  • 1557-1920

International Standard Serial Number (ISSN)

  • 1557-1912

Digital Object Identifier (DOI)

  • 10.1007/s10903-012-9694-3


  • eng