Evidence map›Paper›PMID 37573954›Full record

ArticlePreventive medicine2023

The role of language in mammography orders among low-income Latinas over a 10-year period.

John Heintzman, Tahlia Hodes, Daniel Parras, Jennifer A Lucas, Cirila Estela Vasquez Guzman, Brian Chan, Matthew P Banegas, Miguel Marino

Open access · greenAbstract read
In one paragraph

Article in Preventive medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
1.8field-weighted citation impact, top 13% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 8 citations in OpenAlex.

  1. Observational
  2. Cervical Cancer Screening and Prevention among Latinas in the United States among a Network of Community Health Centers.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2026
    Article
  3. Article
  4. Article
  5. Article
  6. Observational
  7. Lung Cancer Screening by Nativity Among Latino Community Health Center Patients.Journal of the American Board of Family Medicine : JABFM · 2025
    Article
  8. Article
  9. Article
  10. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 5 institutions in 1 country.

John HeintzmanFamily Medicine, Oregon Health and Science University (OHSU), Primary Care Equity in Latinos (PRIMER) Center (www.primerlab.org), 3181 SW Sam Jackson Park Road, Portland, OR 97239, United States of America. Electronic address: heintzma@ohsu.edu.
Tahlia HodesDept of Family Medicine, OHSU, Portland, OR, United States of America.
Daniel ParrasHealth Choice Network, Miami, FL, United States of America.
Jennifer A LucasDept of Family Medicine, OHSU, Portland, OR, United States of America.
Cirila Estela Vasquez GuzmanDept of Family Medicine, OHSU, Portland, OR, United States of America.
Brian ChanOCHIN, Inc., Portland, OR, United States of America.
Matthew P BanegasDepartment of Radiation Oncology, University of California at San Diego, San Diego, CA, United States of America.
Miguel MarinoDept of Family Medicine, OHSU, OHSU-PSU School of Public Health, Portland, OR, United States of America.
University of Portland · USHealth Choice Network · USOchin · USOregon Health & Science University · USUniversity of California, San Diego · US

Funding

Research ProgramP50CA244289 · NCI · OREGON HEALTH & SCIENCE UNIVERSITY · PI HUGUET, NATHALIE · 2019 to 2023
$7.6M
PAST-DUE (Prevention and Social Determinants: Disparities and Utilization in Latino Elders)R01AG056337 · NIA · OREGON HEALTH & SCIENCE UNIVERSITY · PI HEINTZMAN, JOHN · 2018 to 2022
$2.3M
FRONTIERS: Foreign-Born Latinos Cancer ScreeningR01CA258464 · NCI · OREGON HEALTH & SCIENCE UNIVERSITY · PI HEINTZMAN, JOHN D. · 2022 to 2025
$2.2M
NCI NIH HHS P50 CA244289NCI NIH HHS R01 CA258464NIA NIH HHS R01 AG056337
6 · The paper itself

Abstract

introductionLatinas in the United States have higher mortality from breast cancer, but longitudinal studies of mammography ordering (a crucial initial step towards screening) in primary care are lacking.

methodsWe conducted an analysis of mammography order rates in Latinas (by language preference) and non-Latina white women (N = 181,755) over a > 10 year period in a multi-state network of community health centers (CHCs). We evaluated two outcomes (ever having a mammogram order and annual rate of mammography orders) using generalized estimating equation modeling.

resultsApproximately one-third of all patients had ever had a mammogram order. Among those receiving mammogram orders, English-preferring Latinas had lower mammogram order rates than non-Hispanic white women (RR = 0.92, 95% CI = 0.89-0.95). Spanish-preferring Latinas had higher odds of ever having a mammogram ordered than non-Hispanic whites (odds ratio = 2.12, 95% CI = 2.06-2.18) and, if ever ordered, had a higher rate of annual mammogram orders (rate ratio = 1.53, 95% CI = 1.50-1.56).

conclusionThese findings suggest that breast cancer detection barriers in low-income Latinas may not stem from a lack of orders in primary care, but in the subsequent accessibility of receiving ordered services.

Indexed as

Breast NeoplasmsMammographyFemaleHispanic or LatinoHumansLanguagePovertyUnited StatesBreast cancerHealthcare disparitiesHispanic/LatinoMammographyPrimary careSpanish language

Identifiers

PMID37573954
PMCPMC10602713
OpenAlexW4385798135

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.