Analyzing Factors of Breast Cancer Screening Adherence among Korean American Women Using Andersen’s Behavioral Model of Healthcare Services Utilization

Abstract

Objectives: Regular uptake of mammogra­phy screening reduces the risk of advanced stage diagnosis of breast cancer (BC). How­ever, BC screening rates remain suboptimal among Korean American (KA) women. Using the Andersen’s Behavioral Model of Healthcare Services Utilization, this study examined factors associated with mammog­raphy screening among KA women aged 50 to 80 years in the state of Georgia, USA.Methods: We used purposive sampling to recruit study participants in the Atlanta met­ropolitan area from May 2015 to February 2016. A total of 303 KA women completed a cross-sectional, self-report survey about their sociodemographics, health care access information, knowledge, self-efficacy, deci­sional balance, and mammography history.Results: Descriptive analyses confirmed low rates of mammography screening in the participants. Multiple logistic regression analyses showed that having a mammogram within the past year was associated with greater BC knowledge, higher scores of decisional balance and fewer annual health check-ups among KA women without any cancer history.Conclusions: The findings offer implica­tions for health policy aimed at increas­ing BC screening by leveraging enabling factors among medically underserved KA women at both structural and cultural levels.Ethn Dis.2019;29(Suppl 2):427-434; doi:10.18865/ed.29.S2.427

Association of Sociodemographic Factors, Breast Cancer Fear, and Perceived Self-Efficacy With Breast Cancer Screening Behaviors Among Middle-Aged Nigerian Women

“…The items were adapted from literature. 39,40 The items were assigned a dichotomous response format (0 = No/ Never had a BCS; 1 = Yes/had a BCS).…”

“…For example, items in the BCSQ include, “Have you ever had a BCS (ie, BSE, CBE and mammography) based on a doctor’s recommendation during the past 12 months?” “Have you ever used a mammogram during the past 12 months?” Have you ever had a clinical breast examination during the past 12 months?” The items were adapted from literature. 39 , 40 The items were assigned a dichotomous response format (0 = No/Never had a BCS; 1 = Yes/had a BCS).…”

Study on Influencing Factors to HIV Health Services Among MSM: Based on Andersen Behavioral Model

“…The model has been widely used in hypertension disease management [9], women's mental health [18], breast cancer screening [19,20] The model divided the influencing factors into: predisposing factor, enabling factor and need factor.…”

“…The model has been widely used in hypertension disease management [9], women's mental health [18], breast cancer screening [19,20], etc. Taking Anderson Behavioral Model as the theoretical basis and incorporating it into the analysis of influencing factors can better explain and understand the influence of variables on outcome indicators, and can also better clarify the context of health services, so as to provide targeted suggestions for future policy making.…”

Achieving Health Equity through Science, Policy, and Partnerships

“…ties, 5 HIV+ adults with intellectual and/or developmental disabilities, 6 and medically underserved Korean American women. 20 Two articles focus on health equity promotion for children. Butler and Rodgers 7 highlight racial/ethnic disparities in child mental health and provide a nice roadmap for developing and disseminating a policy brief on equity in services for all children.…”