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The Silence of Breast Cancer in Hispanic and Latino World


Author:

Amelie Ramirez, Dr.P.H.

Baylor College of Medicine

Medically Reviewed On: January 07, 2003

By Erica Heilman

Breast cancer is less common among Hispanic/Latino women than among their Caucasian and African-American sisters. That may at first sound like good news, but breast cancer is also the leading cause of cancer death among Hispanic/Latino women, and their five-year survival rates remain lower than those in other ethnic groups. These troubling statistics may be due in part to insufficient access to health care and insurance. But many health educators attribute poor outcome in Hispanic and Latino women to certain cultural beliefs that act as obstacles to early detection, and discourage open and proactive management of breast cancer.

Below, Dr. Amelie Ramirez, a member of the Susan G. Komen Breast Cancer Foundation National Hispanic/Latino Advisory Council, behavioral research expert and Associate Professor of Medicine at Baylor College of Medicine, talks about the special challenges that Hispanic/Latino women face in coming to terms with screening and treatment, and a culture that has allowed breast cancer to remain shrouded in myth and silence.

What is the prevalence of breast cancer in the Hispanic/Latino community?
Breast cancer is the leading cause of cancer death in Hispanic women. About 70 per 100,000 Hispanic women are afflicted with breast cancer every year, but these rates are lower than in Caucasian and African-American populations. We don't know exactly why this is. There may be some protective factors that Latina women have, but also, Hispanic women are sometimes counted as White or African American, so there is some concern that the rates of breast cancer in this community are not being appropriately counted.

Is it true that Hispanic/Latino women with breast cancer are often diagnosed at later stages?
Yes. They put off coming in for early detection and screening, so when they do come in at this later stage, the tumors are much larger and are very difficult to treat.

What are some of the obstacles in getting Hispanic/Latino women screened?
Education about the importance of breast cancer screening is a major obstacle in this population. There have been very few bilingual education programs that are reaching this community. There is also a lack of insurance in this population, which presents another barrier. Often, screening is not covered in their primary insurance, or they simply don't have insurance. Often, Hispanic people don't qualify for insurance. They may have two part-time jobs, neither of which provides insurance.

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