Are Health-care Relationships Important for Mammography Adherence in Latinas?
Are Health-care Relationships Important for Mammography Adherence in Latinas?
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DOI:
10.1007/s11606-008-0815-6
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发表时间:
2008-12-01
影响因子:
5.7
通讯作者:
Mandelblatt, Jeanne S.
中科院分区:
文献类型:
--
作者:
Sheppard, Vanessa B.;Wang, Judy;Mandelblatt, Jeanne S.
BACKGROUND: Latinas are the fastest growing racial ethnic group in the United States and have an incidence of breast cancer that is rising three times faster than that of non-Latino white women, yet their mammography use is lower than that of non-Latino women.OBJECTIVES: We explored factors that predict satisfaction with health-care relationships and examined the effect of satisfaction with health-care relationships on mammography adherence in Latinas.DESIGN AND SETTING: We conducted a cross-sectional survey of 166 Latinas who were >= 40 years old. Women were recruited from Latino-serving clinics and a Latino health radio program.MEASUREMENTS: Mammography adherence was based on self-reported receipt of a mammogram within the past 2 years. The main independent variable was overall satisfaction with one's health-care relationship. Other variables included: self report of patient-provider communication, level of trust in providers, primary language, country of origin, discrimination experiences, and perceptions of racism.RESULTS: Forty-three percent of women reported very high satisfaction in their health-care relationships. Women with high trust in providers and those who did not experience discrimination were more satisfied with their health-care relationships compared to women with lower trust and who experienced discrimination (p