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Background: Patient advocacy has led to state-level legislative mandates for the release of personal mammographic breast density information to women undergoing screening mammography. More research is needed to understand the impact of this information on women's perceptions and mammography screening behavior., Methods: Semistructured interviews were conducted in English and Spanish with 24 self-identified Hispanic women who had undergone at least 1 mammogram since breast density notification was enacted in New York State. The women ranged in age from 43 to 63 years. Women were asked about their understanding and perceptions of the communication of New York State-mandated breast density information, and any actions they have taken or would take in response to this information. A content analysis of the qualitative data from the translated and transcribed interviews was conducted., Results: The majority of participants had no prior knowledge of breast density and expressed confusion and apprehension regarding the meaning of dense breasts when presented with the notification information. Many participants understood having dense breasts to be a serious and abnormal condition, and reported feelings of worry and vulnerability. Participants mostly expressed a strong interest in learning about breast density and obtaining additional and more frequent breast cancer screening tests. These behavioral intentions were consistent with participants' overall favorable view of breast cancer screening and a belief that their faith, as well as regular screening, can help to protect them from breast cancer morbidity and mortality., Conclusions: Hispanic women conveyed proactive breast cancer screening intentions in response to breast density notification, despite inadequate comprehension of this information and negative emotional responses., (© 2019 American Cancer Society.)

This paper seeks to examine differences in sociodemographic characteristics and culturally-relevant psychosocial and interpersonal factors across four sub-groups of immigrant Latinas, and how these factors are associated with adherence to age-specific breast and cervical cancer screening. Data come from a baseline survey using an electronic audience response system from a randomized controlled trial to test the effectiveness of a cancer screening program in New York and Arkansas (n=1,548). Mexican women were least likely to be adherent to cancer screening tests (clinical breast exam, mammogram, or Pap test). Mexican women also differed from the other sub-groups in terms of sociodemographics, barriers, and interactions within the health care system. Correlates of screening adherence differed by country of origin, with the exception of spouse/partner attendance at the program, which was negatively associated with adherence across several sub-groups. Findings provide important information about Latina sub-group variability that can help inform the development of breast and cervical cancer screening interventions.

As the largest and most diverse ethnic minority population in the U.S., it is important to examine differences in and correlates of Pap test adherence among Hispanics by country of origin. The data for these analyses are baseline responses from a Randomized Controlled Trial. Bivariate and multivariable logistic regression models were conducted among Hispanic immigrant women who identified as Mexican, Puerto Rican, Dominican, or Central/South American (n = 1,305). There were significant differences in Pap test adherence: Dominicans (81.6%), Mexicans (77.5%), Central/South Americans (71.2%), and Puerto Ricans (69.3%). In multivariable analyses, there were different correlates of Pap test adherence for each country of origin. For example, marriage status (P = .0001) and younger age (P = .006) were positively associated with adherence among Mexican women. This research provides insight into the variability that exists among Hispanics and can help improve understanding of important determinants that may influence Pap test screening among diverse Hispanics.