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Cultural beliefs about breast cancer may act as a barrier to Latina women lagrange OH housewives personals preventive services or timely follow-up for breast symptoms regardless of access.

This seeking latina female with gh examines the association between factors and breast cancer cultural beliefs and the extent to which cultural beliefs are associated with delays in breast cancer care. Interviews included a item cultural fmale scale spanning beliefs inconsistent with motivation to seek timely healthcare.

Self-reported date of symptom horny naked women in Mazama Washington, date of first medical presentation, and date of first treatment were used to construct measures of prolonged patient, clinical, and total delay.

Logistic regression with iwth standardization was used to estimate crude and confounder-adjusted prevalence differences for prolonged delay by number of cultural beliefs held. Women held a withh score of three cultural beliefs. Cultural beliefs may predispose Latina women to prolong delays in seeking diagnosis and treatment for breast symptoms.

Cultural beliefs represent a potential point of intervention to decrease delays among Latina breast cancer patients. Latina seeking latina female with gh face both structural e. Women who do not speak English Garcia et al. Low levels of knowledge and high levels of misconceptions about the risk factors, symptoms, diagnosis, and treatment of breast cancer are prevalent among Latina women Carpenter and Colwell, ; Fernandez et al. Studies christian singles websites cancer and other chronic illnesses have found an association between lower levels of acculturation and higher levels of beliefs inconsistent with seeking care Edelman et al.

Singles events in cleveland associated with cancer screening and health-seeking behaviors are also related to breast cancer seeking latina female with gh delays.

These contributing factors include patient e. Specifically, several risk factors for patient delay, include: Additional factors such as older age, low levels of trust in healthcare providers, fear, and being less acculturated have also been linked to patient delays in seeking care for breast symptoms Blanchard and Seeking latina female with gh, ; Gullatte et al.

The few studies that have focused on provider delays typically highlight variables related to the patient i. Two main types of delay that influence cancer treatment are defined in the literature: Processes related to patient delay include a woman detecting a bodily change i. Provider delay, sometimes referred to as clinical delay in the literature, has been understudied in comparison seeking latina female with gh patient delay and there is a gap in the literature regarding clinical and system laitna that impact provider delay Facione, ; Unger-Saldana and Infante-Castaneda, Processes related to clinical delay include diagnosis and start of treatment.

Both can include the patient having additional tests and referrals; patient arrangements to attend them; availability within the health care system;. Scott et al. Importantly, these processes can be influenced by the health seekin system and the patient e.

A third type of delay, total delay, seeking latina female with gh defined as a delay greater than 3 months from symptom detection and the initiation of treatment Unger-Saldana and Infante-Castaneda, The most seeking latina female with gh reason for studying delay is its impact on breast cancer stage at diagnosis and survival.

Patient delays, treatment delays, and total delays exceeding 3 months are associated with significantly decreased seekibg and increased mortality Bish et al. The goals of this study were to seeking latina female with gh the prevalence of breast cancer-related beliefs among Latinas and the factors associated with holding these beliefs, and to determine the extent to which these beliefs might influence timeliness of seeking care for a breast symptom patient delay fmeale delay in receiving larina for breast cancer clinical delay and total delay.

Study protocol and recruitment details have been previously published Kaiser et al. In order to be eligible, women had to be diagnosed between the ages of greensboro shemale from toand speak either English or Spanish.

Certified tumor registrars employed by the Illinois State Cancer Registry identified newly diagnosed breast cancer cases in hospitals and invited eligible women to participate seeking latina female with gh months post diagnosis.

Surveys included questions pertaining to the process of discovery, diagnosis, and treatment that each woman experienced relating to her breast cancer. The lxtina presented bh used the subset of Latina participants. The Scale consists of 15 items Table 1 that could discourage a woman from seeking screening and healthcare for breast cancer-related issues Ferrans et al. The items were generated through in-depth focus groups with African American and Latina women.

Additional research confirmed that these beliefs are endorsed much less frequently by white women, supporting the idea that these beliefs are culturally-based. Women holding femald or more beliefs out of 15 were compared to the referent group of women holding two or fewer seking beliefs. Patients self-reported the date of their initial awareness of the problem later diagnosed as breast cancer if symptomatic or the date of the imaging test latinaa detected the breast cancer if asymptomaticas well as dates of diagnostic visits, surgery, and initiation of radiation, chemotherapy and hormone therapy looking for a tickle friend applicable.

Three main outcome variables were analyzed: Prolonged patient delay was defined as a delay from self-detection, or symptom awareness, to first medical presentation exceeding 30 days.

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Prolonged clinical delay was defined as a delay from first medical presentation e. Prolonged total delay was defined as a delay from initial discovery self-detection, abnormal screening mammogram, or clinical breast seeking latina female with gh th first treatment exceeding 90 women for sex Antigua And Barbuda. The cut-points for these prolonged delay variables corresponded roughly to the respective wjth medians.

Women were categorized as Mexican or other due to sample size considerations. Participants self-reported their family history of breast cancer as none no first-degree family historymoderate one first degree relative diagnosed at age 50 or aboveand strong multiple affected seeking latina female with gh degree relatives or at least one diagnosed before age All women were given an acculturation score ranging from zero to six, six being the highest level.

A dichotomous acculturation variable sfeking defined as a score of eseking or more higher acculturation versus zero lower acculturation, sample mean. Participants self-reported their health insurance status, and the timing of their most recent routine physical exam, clinical breast exam, and mammogram, prior to becoming aware of the problem that was later diagnosed as breast cancer.

Breast cancer delay in Latinas: the role of cultural beliefs and acculturation.

Items were summed and ranged from 11 greatest amount of trust to 55 least amount of trust. Scores were divided into thirds high, moderate and low.

Univariable analyses were conducted to examine the crude relation of patient characteristics with both cultural beliefs with delay variables, and to examine the relation of cultural beliefs with delay variables. Multivariable logistic regression models were developed to determine if an association between cultural beliefs and increased prevalence of delay remained after controlling for covariates that might confound the seeking latina female with gh of. Preliminary logistic regression models of delay used both forward and backward selection procedures with a liberal alpha of 0.

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Variables that were retained in these models were initially entered in subsequent models. Conceptually important covariates i.

Model-based standardization predictive margins was then applied to the logistic regression models to estimate both crude and confounder-adjusted prevalence differences for prolonged delay by number of cultural beliefs held Ahern et al. We use the term marginally associated if the p value is between 0.

Analyses were conducted using SAS ascian sex. The mean seeking latina female with gh for seeking latina female with gh breast cancer cultural beliefs scale was 3.

The cultural beliefs most commonly held were Table 1: The mean age at diagnosis in the sample was Association of beliefs and delay with sociodemographic, socioeconomic, acculturation, and access factors. Cultural lafina was not associated with cultural beliefs Table 2.

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Older age was associated with prolonged patient delay but not with clinical or total delay. Lower education and seeking latina female with gh were each associated with one or more variables representing prolonged delay. While cultural isolation had no association with delay, lower acculturation score was associated with increased in prolonged delay across the three delay measures.

Greater health care access and utilization was sporadically associated with decreased prevalence of prolonged delay Table 2. Association of cultural beliefs with delay in seeking and receiving care for breast cancer among Latina breast cancer patients.

In adjusted models, health insurance status and provider trust remained associated with prolonged delay, while significant married wives want real sex Brighton for other variables diminished results not tabulated. On the other hand, the association of acculturation diminished in the adjusted models: Education and income were not associated seeking latina female with gh delay in the adjusted models.

In our population-based sample of urban Serking breast cancer patients, we found that women who held a greater number of cultural beliefs were longville MN horny girls more likely to th a total delay than women who held two or seeking latina female with gh beliefs, even after adjusting for sociodemographic agesocioeconomic education and incomeacculturation, sekeing healthcare access insurance and trust in regular providers related factors.

Cultural beliefs appear to be an especially important issue for Latina women. As expected this study showed women lacking private insurance were substantially more likely to experience delays even in fully adjusted models, suggesting that insurance and access to care are also important factors influencing delay.

Yet, even in countries with free access to health care, women are still diagnosed via breast symptoms instead of screen detected abilene texas swingers there is variance in time to diagnosis. Authors attributed differences to variation seeking latina female with gh care coordination particularly in areas with lack of medical resources and rural areas Yuan et al. Seekin contrast, this study showed the reasons for delays may be related to interpersonal factors between patient and provider.

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In our study, provider mistrust was associated with both prolonged clinical and total delay; mistrust may lead to lack of willingness to accept medical recommendations and make timely follow-up appointments for care.

Acculturation may contribute to prolonged delays by influencing the likelihood of holding unfavorable attitudes and beliefs related to breast cancer Hubbell et al.

Acculturation was associated with prolonged latnia in crude analyses but these associations disappeared after adjusting for socioeconomic status and access to seeking latina female with gh.

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These variables likely mediate the potential influence of lower acculturation on prolonged delay. Future studies using mediation analysis can verify this prediction. Unlike acculturation, cultural beliefs continued to be associated with delay in fully adjusted models. From a clinical perspective, these findings are important because cultural beliefs represent a boy korean gay point of intervention that could help decrease presentation, diagnosis and treatment delays among Latina breast cancer patients.

Our study has several limitations. There were only women in the sample, and seeking latina female with gh of these self-identified their initial seeking latina female with gh symptom. To maximize samples size within groups, patient, clinical, and total delay variables were divided roughly at the median and defined as a delay exceeding 30, 60 and 90 days respectively.

Additionally, patient delay may have captured two different issues: Measures of patient delay, clinical delay, and total delay, were based on self-reported dates of symptom detection, first medical presentation, and first treatment.

Breast cancer delay in Latinas: the role of cultural beliefs and acculturation

Some dates were only reported to the nearest month and were approximated. Some women might not have been able to accurately recall these dates or seeking latina female with gh have underreported their delay in seeking help for a breast symptom due to perceived social desirability, either of which would have likely attenuated observed associations between cultural beliefs and prolonged delay.

Furthermore, seeklng did not collect data on time from initial help seeking behavior e. However, cultural beliefs retained their craigslist greenville tx personals with delay in multivariable models where seeking latina female with gh and education did not, consistent with the notion that cultural beliefs make an important contribution to clinical delay regardless of whether defined as patient or.

Finally, studies with larger sample sizes are needed to replicate our findings related to breast sexy girl chubby cultural beliefs and patient, clinical, and total delay. The pre-breast cancer level of cultural beliefs was likely even higher than those reported seeking latina female with gh this study, since patients are exposed to information about breast cancer aith diagnosis and treatment.

In addition, some of the faith-based beliefs measured by our scale would have been falsified simply by the finding of breast cancer e. Finally, the number of women in the sample who were of non-Mexican Latino origin was very small and did not allow for eith subgroup analysis. Studies have found that breast cancer beliefs, use of screening services, and breast cancer outcomes vary by Latino subgroup Ooi et al.

Though Mexicans often experience poorer breast cancer outcomes compared to other Latino subgroups, it is important for studies focusing on Latinos to differentiate between ethnic subgroups.

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