Journal of Community Health

, Volume 44, Issue 6, pp 1069–1075 | Cite as

Hispanic Men and Women’s Knowledge, Beliefs, Perceived Susceptibility, and Barriers to Clinical Breast Examination and Mammography Practices in South Texas Colonias

  • Carma Deem Bolton
  • T. S. SunilEmail author
  • Thelma Hurd
  • Hector Guerra
Original Paper


Breast cancer is the second leading cause of cancer death among women of all ethnicities. Though the disease is not a primary concern within male populations male perceptions and beliefs of breast cancer screening may contribute to a partner’s or loved one’s decision to engage in regular mammograms or clinical breast examinations. The current study seeks to explore a comparative analysis of breast cancer knowledge, beliefs, susceptibility, and barriers to female breast cancer and breast cancer screening among Hispanic men and women residing in the Colonias of South Texas. Using a multistage systematic sampling design, 2,812 men and women were surveyed from the two South Texas Counties; Maverick and Val Verde. Individuals between the ages of 20 and 75 (n = 2360) were included in the analysis. T-tests and linear regression models were used to examine gender differences in, knowledge, beliefs, susceptibility, and barriers to breast cancer and breast cancer screening. Significant differences were found between males and females across all measures. Regression analysis demonstrates Hispanic women hold more favorable beliefs about breast cancer and early detection, display higher perceived barriers to clinical breast examinations and mammography, and view themselves more susceptible to the development of breast cancer than their male counterparts. Results framed within a cultural context suggest outreach efforts within South Texas Colonias should consider inclusion of male family members in efforts to increase favorable views toward and engagement in regular breast cancer screening.


Breast cancer knowledge Hispanics Colonias Mammography Barriers Clinical breast examination 



This study was supported by a grant from San Antonio Life Sciences Institute (SALSI).

Author Contributions

CB, TS, HG, and TH all contributed to the design, analysis, and writing of the manuscript.


This study was supported by a grant from San Antonio Life Sciences Institute (SALSI). Funding support did not have any involvement in the study design, collection, analysis interpretation of data, the writing of the report or the decision to submit the article for publication.

Compliance with Ethical Standards

Conflict of interest

The authors declare that they have no conflict of interest.


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Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2019

Authors and Affiliations

  • Carma Deem Bolton
    • 1
  • T. S. Sunil
    • 2
    Email author
  • Thelma Hurd
    • 3
  • Hector Guerra
    • 4
  1. 1.University Health SystemSan AntonioUSA
  2. 2.Department of SociologyThe University of Texas San AntonioSan AntonioUSA
  3. 3.Division of Surgical Oncology, Department of SurgeryUniversity of Texas Health Science Center - San AntonioSan AntonioUSA
  4. 4.Texas Health and Human Service Commission, Office of Border AffairsDel RioUSA

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