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Limited English proficiency and breast and cervical cancer screening in a multiethnic population

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  • Jacobs, E.A.
  • Karavolos, K.
  • Rathouz, P.J.
  • Ferris, T.G.
  • Powell, L.H.

Abstract

Objectives. We examined the relationship between ability to speak English and receipt of Papanicolaou tests, clinical breast examinations, and mammography in a multiethnic group of women in the United States. Methods. We used longitudinal data from the Study of Women Across the Nation to examine receipt of breast and cervical cancer screening among Chinese, Japanese, Hispanic, and White women who reported reading and speaking (1) only a language other than English, (2) another language more fluently than English, or (3) only English or another language and English with equal fluency. Logistic regression was used to analyze the data. Results. Reading and speaking only a language other than English and reading and speaking another language more fluently than English, were significantly and negatively associated with receipt of breast and cervical cancer screening in unadjusted models. Although these findings were attenuated in adjusted models, not speaking English well or at all remained negatively associated with receipt of cancer screening. Conclusions. These findings suggest that language barriers contribute to health disparities by impeding adequate health communication.

Suggested Citation

  • Jacobs, E.A. & Karavolos, K. & Rathouz, P.J. & Ferris, T.G. & Powell, L.H., 2005. "Limited English proficiency and breast and cervical cancer screening in a multiethnic population," American Journal of Public Health, American Public Health Association, vol. 95(8), pages 1410-1416.
  • Handle: RePEc:aph:ajpbhl:10.2105/ajph.2004.041418_7
    DOI: 10.2105/AJPH.2004.041418
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    Cited by:

    1. Esther Prins & Shannon Monnat, 2015. "Examining Associations between Self-Rated Health and Proficiency in Literacy and Numeracy among Immigrants and U.S.-Born Adults: Evidence from the Program for the International Assessment of Adult Com," PLOS ONE, Public Library of Science, vol. 10(7), pages 1-25, July.
    2. Bertha E. Flores & Gayle J. Acton, 2013. "Older Hispanic Women, Health Literacy, and Cervical Cancer Screening," Clinical Nursing Research, , vol. 22(4), pages 402-415, November.
    3. Lebrun, Lydie A., 2012. "Effects of length of stay and language proficiency on health care experiences among Immigrants in Canada and the United States," Social Science & Medicine, Elsevier, vol. 74(7), pages 1062-1072.
    4. Karen Hacker & Yoon Susan Choi & Lisa Trebino & LeRoi Hicks & Elisa Friedman & Bonnie Blanchfield & G Scott Gazelle, 2012. "Exploring the Impact of Language Services on Utilization and Clinical Outcomes for Diabetics," PLOS ONE, Public Library of Science, vol. 7(6), pages 1-13, June.
    5. Wendy Xu & Bryan Dowd & Jean Abraham, 2016. "Lessons from state mandates of preventive cancer screenings," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 17(2), pages 203-215, March.

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