Volume 13, Number 8, 719-728, DOI: 10.1023/A:1020280427712

Cancer prevention behaviors and socioeconomic status among Hispanics and non-Hispanic Whites in a rural population in the United States

Beti Thompson, Gloria D. Coronado, Cam C. Solomon, Dale F. McClerran, Marian L. Neuhouser and Ziding Feng

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Abstract

OBJECTIVES: Socioeconomic status is explored as a predictor of differences between Hispanics and non-Hispanic Whites in cancer prevention behavior.
METHODS: In a cross-sectional study, in-person interviews (n = 1795) were conducted in a population-based random sample of adults in 20 communities with a high proportion of Hispanics.
RESULTS: Hispanics were significantly less likely than non-Hispanic Whites to ever have had cervical (p < 0.001),="" breast="">p = 0.007), or colorectal cancer (FOBT p = 0.008; sigmoidoscopy/colonoscopy p < 0.002)="" screening.="" after="" adjusting="" for="" socioeconomic="" status="" (education="" and="" having="" health="" insurance),="" only="" differences="" in="" cervical="" cancer="" remained="" significant="">p = 0.024). After adjusting for socioeconomic status, Hispanics had a significantly higher intake of fruits and vegetables per day (4.84 servings) than non-Hispanic Whites (3.84 servings) (p < 0.001);="" and="" fat="" behavior="" score="" was="" marginally="" significant="" after="" adjustment="" for="" socioeconomic="" status="">p = 0.053). Significantly fewer Hispanics were current smokers than non-Hispanic Whites (p <>
CONCLUSIONS: There is only limited support for the hypothesis that socioeconomic status is a major determinant of some cancer-related behaviors; specifically, socioeconomic status is related to mammography and colorectal screening, but not cervical cancer, dietary behavior, or smoking.

breast cancer screening - cancer prevention - cervical cancer screening - colorectal cancer screening - dietary behavior - Hispanics - non-Hispanic Whites - smoking - socioeconomic status

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