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Sociodemographic Correlates of Cancer Screening Services Among Hispanics and Non-Hispanic Whites in a Rural Setting

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Objectives: To examine the relationship between age, race, ethnicity, education, insurance coverage, and income and use of cancer screening services.

Methods: We used a population-based sample (N1863) from a community randomized intervention study that took place in eastern Washington State.

Results: Pap testing was directly associated with having public health insurance (vs private coverage), and having a high income (>35,000 vs 15,000). Having Medicare coverage was predictive of having had a mammogram or sigmoidoscopy/colonoscopy screening, but not an FOBT.

Conclusions: Our findings may reflect age-dependent factors that influence access to health care.

Keywords: Hispanic; breast cancer; cervical cancer; colorectal cancer; demographic factors

Document Type: Research Article


Affiliations: 1 Assistant Member; Cancer Prevention Program, Fred Hutchinson Cancer Research Center, Seattle, WA.

Publication date: March 1, 2009

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  • The American Journal of Health Behavior seeks to improve the quality of life through multidisciplinary health efforts in fostering a better understanding of the multidimensional nature of both individuals and social systems as they relate to health behaviors.

    The Journal aims to provide a comprehensive understanding of the impact of personal attributes, personality characteristics, behavior patterns, social structure, and processes on health maintenance, health restoration, and health improvement; to disseminate knowledge of holistic, multidisciplinary approaches to designing and implementing effective health programs; and to showcase health behavior analysis skills that have been proven to affect health improvement and recovery.

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