Access and attitudinal factors related to breast and cervical cancer rescreening: Why are Latinas still underscreened?

Regina Otero-Sabogal, Susan L Stewart, Fabio Sabogal, Beth A. Brown, Eliseo J. Pérez-Stable

Research output: Contribution to journalArticle

78 Scopus citations


To identify access, attitudes, and health practices of Latina women undergoing regular mammography and Pap smear screening, 977 Latinas aged 40 to 74, residing in four California cities, answered a telephone interview. Forty-one percent of women had regular mammography, and 73% had regular Pap smear screening. Cancer screening maintenance was associated with having health insurance, a regular place of care, and fewer fatalistic attitudes about cancer. Regular mammography and Pap smear screening were also associated with ever being married, attending church, and having taken hormone replacement therapy. Being older than 50, residing in the United States a long time, and having had a hysterectomy predicted mammography maintenance. Pap smear screening maintenance was negatively associated with poverty, old age, and negative attitudes toward physicians. There are structural and attitudinal barriers to regular cancer screening among Latinas. Interventions that increase access to care and address women's attitudes about cancer are needed.

Original languageEnglish (US)
Pages (from-to)337-359
Number of pages23
JournalHealth Education and Behavior
Issue number3
StatePublished - Jun 2003
Externally publishedYes



  • Attitudes
  • Barriers
  • Hispanics
  • Latinas
  • Mammography
  • Rescreening

ASJC Scopus subject areas

  • Health Policy
  • Public Health, Environmental and Occupational Health
  • Nursing(all)

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