Department of Sociomedical Sciences, Mailman School of Public Health, Columbia University, 722 West 168th Street, New York, NY, 10032, USA.
Lang Youth Medical Program, New York Presbyterian Hospital, New York, NY, USA.
J Immigr Minor Health. 2021 Oct;23(5):986-992. doi: 10.1007/s10903-021-01170-2. Epub 2021 Mar 3.
Breast cancer is the most commonly diagnosed cancer among Latinas. Dominican women in particular have a higher lifetime risk of breast cancer than do other Latinas in the U.S. This study examines how gender, ethnic, and language concordance between providers and patients are associated with recent mammography screening for Latina immigrant women from the Dominican Republic. We conducted structured interviews, in Spanish, with 419 Dominican women aged 40 years or older living in New York City. Using bivariate analysis and logistic regressions, we tested whether patient-provider gender, ethnic, and language concordance was associated with recent mammography when controlling for demographic covariates, breast cancer screening knowledge, and self-rated health. Gender concordance predicted recent mammography after controlling for covariates (β = 0.13). Neither ethnic nor language concordance significantly predicted recent mammography. Our findings suggest that promotion of patient-provider gender concordance may help reduce health disparities among Latinos/as and other minority groups across the United States.
乳腺癌是拉丁裔女性中最常见的癌症。特别是多米尼加裔女性一生中患乳腺癌的风险比美国其他拉丁裔女性更高。本研究探讨了提供者和患者之间的性别、种族和语言一致性如何与来自多米尼加共和国的拉丁裔移民女性最近的乳房 X 光筛查相关。我们用西班牙语对居住在纽约市的 419 名年龄在 40 岁及以上的多米尼加女性进行了结构访谈。我们使用双变量分析和逻辑回归，在控制人口统计学协变量、乳腺癌筛查知识和自我评估健康状况后，检验了患者与提供者的性别、种族和语言一致性是否与最近的乳房 X 光检查有关。在控制了协变量后，性别一致性预测了最近的乳房 X 光检查（β=0.13）。种族和语言一致性都没有显著预测最近的乳房 X 光检查。我们的研究结果表明，促进患者与提供者的性别一致性可能有助于减少美国各地拉丁裔和其他少数族裔群体的健康差距。
