{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,22]],"date-time":"2026-09-22T05:16:05Z","timestamp":1790054165819,"version":"4.0.1"},"reference-count":31,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2020,1,1]],"date-time":"2020-01-01T00:00:00Z","timestamp":1577836800000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"DOI":"10.13039\/100004917","name":"Cancer Prevention & Research Institute of Texas","doi-asserted-by":"crossref","id":[{"id":"10.13039\/100004917","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Breast Cancer\ufffd(Auckl)"],"published-print":{"date-parts":[[2020,1]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction:<\/jats:title>\n                    <jats:p>Fear has been described as potentially important in affecting breast cancer screening completion. Limited information is available on the prevalence and determinants of fear among Mexican American women. This study describes perceived breast cancer fear and its association with personal characteristics and screening behavior among Mexican American women.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>This is a secondary analysis of data collected during the implementation of the Breast Cancer Education, Screening and NavigaTion program among eligible uninsured women in two Texas border counties. Participants completed a 26-item survey to assess eligibility, risk status, prior screening, and breast cancer fear. Descriptive statistics and multivariable analyses were used to determine associations between the fear score, personal characteristics, and mammography screening.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>In all, 1916 of 2012 eligible women completed the study. The mean age was 57.3\u2009years, 99.2% were Hispanic, and 88% were born in Mexico; 15% had a family history of breast cancer and 14% had never had a mammogram. The mean breast cancer fear score was 25.5 (standard deviation: 10.52; range: 8-40); 54.0 % (95% confidence interval: 52.1%-56.7%) had a high fear level. In multivariable analyses, better health status ( P\u2009&lt;\u2009.001), older age ( P\u2009=\u2009.039), birth in the United States ( P\u2009=\u2009.020), and having a regular doctor ( P\u2009=\u2009.056) were associated with lower fear scores. There was no association between breast cancer fear and mammography screening.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Breast cancer fear is high and varies by personal characteristics and health status among uninsured Mexican American border-residing women due for screening, but is not associated with screening behavior. Further research is needed to clarify the effect of interventions designed to help reduce breast cancer fear among these women, including educational interventions to reduce breast cancer fear.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/1178223420952745","type":"journal-article","created":{"date-parts":[[2020,8,26]],"date-time":"2020-08-26T14:07:34Z","timestamp":1598450854000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":10,"title":["Breast Cancer Fear Among Mexican American Women in the United States"],"prefix":"10.1177","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0629-2270","authenticated-orcid":false,"given":"Silvia","family":"Flores-Luevano","sequence":"first","affiliation":[{"name":"Department of Molecular and Translational Medicine, and Department of Family and Community Medicine, Texas Tech University Health Sciences Center El Paso, El Paso, TX, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Navkiran K","family":"Shokar","sequence":"additional","affiliation":[{"name":"Department of Family and Community Medicine, and Department of Molecular and Translational Medicine, Cancer Prevention and Control, Center of Emphasis for Cancer, Texas Tech University Health Sciences Center El Paso, El Paso, TX, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alok Kumar","family":"Dwivedi","sequence":"additional","affiliation":[{"name":"Division of Biostatistics and Epidemiology, Department of Molecular and Translational Medicine, Paul L. Foster School of Medicine, Biostatistics and Epidemiology Consulting Lab (BECL), Texas Tech University Health Sciences Center El Paso (TTUHSC EP), El Paso, TX, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gurjeet S","family":"Shokar","sequence":"additional","affiliation":[{"name":"Department of Family and Community Medicine, Paul L. Foster School of Medicine, Texas Tech University Health Sciences Center El Paso, El Paso, TX, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sandrine N","family":"Defeu","sequence":"additional","affiliation":[{"name":"Paul L. Foster School of Medicine, Texas Tech University Health Sciences Center El Paso, El Paso, TX, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2020,8,26]]},"reference":[{"key":"bibr1-1178223420952745","doi-asserted-by":"crossref","unstructured":"Witte K. Putting the fear back into fear appeals: the extended parallel process model. https:\/\/msu.edu\/~wittek\/fearback.htm. Updated 1992. Accessed October 12, 2019.","DOI":"10.1080\/03637759209376276"},{"key":"bibr2-1178223420952745","doi-asserted-by":"publisher","DOI":"10.5888\/pcd12.150398"},{"key":"bibr3-1178223420952745","doi-asserted-by":"publisher","DOI":"10.1177\/0969141318796258"},{"key":"bibr4-1178223420952745","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2407-14-597"},{"key":"bibr5-1178223420952745","doi-asserted-by":"publisher","DOI":"10.1023\/A:1023078521319"},{"key":"bibr6-1178223420952745","unstructured":"American Cancer Society. Cancer Facts & Figures 2020. Atlanta, GA: American Cancer Society; 2020. https:\/\/www.cancer.org\/content\/dam\/cancer-org\/research\/cancer-facts-and-statistics\/annual-cancer-facts-and-figures\/2020\/cancer-facts-and-figures-2020.pdf. Accessed July 13, 2020."},{"key":"bibr7-1178223420952745","unstructured":"American Cancer Society. Breast Cancer Facts & Figures 2019-2020. Atlanta, GA: American Cancer Society; 2019. https:\/\/www.cancer.org\/content\/dam\/cancer-org\/research\/cancer-facts-and-statistics\/breast-cancer-facts-and-figures\/breast-cancer-facts-and-figures-2019-2020.pdf. 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