Breast Cancer Screening in Black and Hispanic Subpopulations

Jessica Ledergerber, BA*; Sarah J. Miller, PsyD; Linda Thelemaque, MPH; Lina Jandorf, MA

Icahn School of Medicine at Mount Sinai, Department of Oncological Sciences. New York, USA

Preparation of this manuscript was supported by the National Cancer Institute (R03CA173421) and the American Cancer Society (122931-PF-12-117-01-CPPB). The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Cancer Institute, National Institutes of Health or the American Cancer Society.          

*Corresponding author: Jessica Ledergerber, BA; E-mail: Jl4750@nyu.eduT: 212-659-5506212-659-5506; F: 212-849-2566. One Gustave L. Levy Place, Box 1130, New York, NY 10029, United States

Published: December 25, 2013 


Background: The primary objective was to examine and compare the breast cancer screening adherence rates between black (African American and Afro-Caribbean) and Hispanic (foreign born Hispanic and US-born Hispanic) subpopulations.

Methods: Study data was collected in community settings in New York City between the years of 2011-2012. Participants (N=592) were black and Hispanic individuals who attended a breast cancer screening community outreach program.  Breast cancer screening rates as well as demographic data were collected.

Results: Results revealed that Afro-Caribbean and foreign-born Hispanics are at a greater risk for non-adherence in breast cancer screening compared with African Americans and US-born Hispanics.  

Conclusions: The majority of breast screening research and community outreach programs categorize people into broad racial and ethnic groups (e.g., black and Hispanic).  The results revealed significant variability within these broader racial/ethnic categories with regard to breast cancer screening.  Community outreach programs and future research efforts should target the subpopulations that are at particular risk for breast cancer screening non-adherence. 

mammography, adherence, exam, ethnic.

1. Breast Cancer: What are the key statistics about breast cancer? 2013; Available at: Accessed July 15, 2013.

2. American Cancer Society. Cancer Prevention and Early Detection Facts and Figures. 2012; Available at: Accessed Jul 15, 2013.

3. American Cancer Society. Cancer Prevention & Early Detection Facts & Figures 2013. 2013; Available at: Accessed July 15, 2013.

4. Ochoa-Frongia L, Thompson HS, Lewis-Kelly Y, Deans-McFarlane T, Jandorf L. Breast and cervical cancer screening and health beliefs among African American women attending educational programs. Health Promot Pract 2012;13(4):447-53.

5. Sudarsan NR, Jandorf L, Erwin DO. Multi-site implementation of health education programs for Latinas. J Community Health 2011;36(2):193-203.

6. NIH Policy and Guidelines on The Inclusion of Women and Minorities as Subjects in Clinical Research. 2001; Available at: Accessed July 15, 2013.

7. Siegel R, Naishadham D, Jemal A. Cancer statistics for Hispanics/Latinos, 2012. CA Cancer J Clin 2012; 62(5):283-98.

8. Hennis AJ, Hambleton IR, Wu S, Leske MC, Nemesure B. Breast cancer incidence and mortality in a Caribbean population: comparisons with African-Americans. Int J Cancer 2009;124(2):429-33.

The fully formatted PDF version is available.

Download Article

Int J Biomed. 2013; 3(4):229-231. © 2013 International Medical Research and Development Corporation. All rights reserved.