Breast Cancer Screening Practices Among Asian Americans and Pacific Islanders

Oh, Kyeung Mi; Zhou, Qiuping; Kreps, Gary L.; Ryu, Shin Kue

doi:10.5993/ajhb.36.5.13

Cited by 15 publications

(16 citation statements)

References 28 publications

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“…4 Additionally, for some underrepresented ethnic groups, BC screening rates remain lower than the national average and target. 5 Specifically, only 22%-39% of Korean American (KA) women had a mammogram in the past year and 34%-57% had one within two years. 6 Research has shown that KA women experience increased incidence and persistent mortality of BC, which is becoming the most commonly diagnosed cancer and the second leading cause of death in this population, with an annual diagnosis rate of 53.5 per 100,000.…”

Section: Introductionmentioning

confidence: 99%

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

Jin

Lee

2019

Ethn Dis

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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

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Section: Introductionmentioning

confidence: 99%

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

Jin

Lee

2019

Ethn Dis

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“…A positive doctor-patient relationship and a clear interpretation of the patient’s expectations from the doctor have shown to improve proper treatment decisions [8, 9]. Several studies have also shown that a routine visit to the doctor increases likelihood of proper breast cancer screening practices [4, 10, 11]. …”

Section: Introductionmentioning

confidence: 99%

“…Women with access to health care and financial support from health insurance have shown greater ability to get mammography and other screening and treatment [4, 11–14]. Those with a higher income are also more likely to get proper screening [4, 15]. A language barrier or lack of English proficiency is also a barrier to screening for Chinese and Vietnamese Americans [8, 13, 16].…”

Section: Introductionmentioning

confidence: 99%

“…For example, not sharing a diagnosis because of cultural shame or embarrassment can cause a feeling of alienation, or a lack of trust in the Western medical system, and this can prevent the patient from pursuing medical treatment [9, 17]. Additionally, behaviors like smoking and other unhealthy lifestyle factors are associated with lower screening rates [4]. …”

Section: Introductionmentioning

confidence: 99%

“…Personal and financial resources are also a barrier to screening for Chinese and Vietnamese Americans. Women with access to health care and financial support from health insurance have shown greater ability to get mammography and other screening and treatment [4, 11–14]. Those with a higher income are also more likely to get proper screening [4, 15].…”

Section: Introductionmentioning

confidence: 99%

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The Role of Community Education in Increasing Knowledge of Breast Health and Cancer: Findings from the Asian Breast Cancer Project in Boston, Massachusetts

Berger

Huang²,

Rubin

2015

J Canc Educ

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In the past decade, cancer rates have significantly decreased in the USA, but breast cancer survival is lower in Asian American women, likely due to lower rates of screening behaviors in Asian Americans compared to other ethnicities, which could lead to later stage cancer diagnosis and increased mortality. This paper reports on the Asian Breast Cancer (ABC) Project, a three-phase peer-led community program designed to promote cancer prevention by improving breast cancer screening rates among Chinese and Vietnamese women in the Greater Boston area. The three phases of planning and coalition building, community health worker training, and the community workshop intervention are described. The workshop intervention was evaluated by comparing pre- and post-workshop questionnaires evaluating knowledge about breast cancer screening and prevention. Two hundred fifty-two women participated in the program across 14 workshops. Each participant completed questionnaires about demographics, access to health care, and a five-item self-administered questionnaire about breast cancer knowledge. Results showed that the majority of the women had received a clinical breast exam or mammogram in the past 12 months (69 and 59 %, respectively), and older women were more likely to get a mammogram (85 %) or clinical breast exams (74 %) compared to younger women. Eighty-one percent of women were interested in reminder systems. Baseline knowledge was high for three survey questions about mammograms and breast cancer risk (88-97 %). For questions with fewer correct answers at baseline, knowledge about the meaning of lumps in the breast significantly increased (69 to 80 % correct, p < 0.0001), as well as knowledge about frequency of clinical breast exam (48 to 67 % correct, p < 0.0001). This pilot project indicated a partial effectiveness of the community workshop in a population with high baseline knowledge. The education workshop increased knowledge about breast lumps and clinical exam frequency. We also identified that reminder systems and appointment assistance are desired by this population. Our findings inform future cancer screening strategies for Asian Americans.

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Breast Cancer Screening Among Korean Americans: A Systematic Review

Taylor

Jacobsen

2016

J Community Health

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Cancer is the leading cause of death for Korean Americans (KAs). Breast cancer (BC) is the most commonly occurring cancer among KA women, and its rate has been rapidly increasing. Low BC screening rates for KAs puts them at greater risk for late-stage breast cancer. We conducted a systematic review of the published literature on cancer screening among KAs, and identified 38 eligible studies. Despite significant increases in mammogram utilization over the past two decades, KAs have consistently lower rates of mammogram screening than other American populations. KA women also report lower rates of clinical breast examination and breast self-examination. Screening rates are higher among adults with higher socioeconomic status, greater acculturation to the United States, more cancer knowledge, higher perceived susceptibility to BC, more social support, and better access to health services. However, fear of finding something wrong, fear of embarrassment or lack of modesty, not knowing where to go for screening, believing that mammography is only necessary when symptoms are present, and perceived time and cost difficulties in accessing mammography were reported as barriers to mammogram screening. Coordinated efforts from clinicians, public health workers, KA cultural and religious organizations, and the broader breast cancer advocacy and awareness community are necessary for improving BC screening among KAs.

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Breast Cancer Screening Practices Among Asian Americans and Pacific Islanders

Abstract: Understanding the magnitude and predictors of these disparities for racial/ethnic groups can help inform targeted interventions.

Cited by 15 publications

References 28 publications

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

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

The Role of Community Education in Increasing Knowledge of Breast Health and Cancer: Findings from the Asian Breast Cancer Project in Boston, Massachusetts

Breast Cancer Screening Among Korean Americans: A Systematic Review

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