Breast cancer screening: stages of adoption among Cambodian American women

Tu, Shin Ping; Yasui, Yutaka; Kuniyuki, Alan; Jackson, J. Carey; Taylor, Vicky

doi:10.1016/s0361-090x(02)00013-2

Cited by 35 publications

(35 citation statements)

References 43 publications

(50 reference statements)

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“…In contrast, Asian immigrants were the least likely to report recent or ever screening for cervical or breast cancer. This result supports findings of previous studies 30,33,39,[60][61][62] and highlights the need for culturally sensitive interventions targeting this relevant and numerous group. Our study has several limitations.…”

Section: Discussionsupporting

confidence: 90%

Impact of U.S. Citizenship status on cancer screening among immigrant women

et al. 2005

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Objectives: We evaluated the relationship between U.S. citizenship status and the receipt of Pap smears and mammograms among immigrant women in California. Design: Cross‐sectional study using data from the 2001 California Health Interview Survey. Patients/Participants: Noninstitutionalized, civilian women, aged 18 years and older living in California. Measurements And Main Results: We analyzed data from the 2001 California Health Interview Survey and used logistic regression models to adjust for sociodemographic factors and for access and utilization of health services. After adjusting we found that U.S. citizen immigrants were significantly more likely to report receiving a Pap smear ever (adjusted prevalence ratio [aPR], 1.05; 95% confidence interval [CI], 1.01 to 1.08), a recent Pap smear (aPR, 1.07; 95% CI, 1.03 to 1.11), a mammogram ever (aPR, 1.17; 95% CI, 1.12 to 1.21), and a recent mammogram (aPR, 1.38; 95% CI, 1.26 to 1.49) as compared to immigrants who are not U.S. citizens. Also associated with receiving cancer screening were income, having a usual source of care, and having health insurance. Hispanic women were more likely to receive Pap smears as compared to whites and Asians. Conclusions: Not being a U.S. citizen is a barrier to receiving cervical and breast cancer screening. Additional research is needed to explore causal factors for differences in cancer screening rates between citizens and noncitizens.

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Section: Discussionsupporting

confidence: 90%

Impact of U.S. Citizenship status on cancer screening among immigrant women

et al. 2005

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“…In fact, it has been postulated that the low cancer screening rates among Asian Americans are partly due to the lack of a preventive orientation among providers trained in Asia. 65,66 The small sample size of this study also limited the precision of some estimates (Table 2). Specifically, whereas our results showed that patients with no insurance and patients with private insurance were less likely to complete FOBT testing than were patients on public insurance, due to our small sample size there were no statistically significant differences.…”

Section: Discussionmentioning

confidence: 90%

Promoting culturally appropriate colorectal cancer screening through a health educator

Taylor

Yasui

et al. 2006

Cancer

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121

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BACKGROUND.Colorectal cancer (CRC) is a leading cause of cancer mortality in the US. Surveys reveal low CRC screening levels among Asians in the US, including Chinese Americans.METHODS.A randomized controlled trial was conducted with Chinese patients to evaluate a clinic‐based, culturally and linguistically appropriate intervention promoting fecal occult blood test (FOBT) screening. The multifaceted intervention included a trilingual and bicultural health educator, bilingual materials (a video, a motivational pamphlet, an informational pamphlet, and FOBT instructions), and three FOBT cards. Patients in the control arm received usual care. Our primary outcome measure was FOBT screening within 6 months after randomization. The proportion of FOBT completion in the intervention and control arms was compared by using a chi‐square test, and logistic regression analysis was performed to adjust for the effects of sociodemographic variables and prior screening history. Potential effect modifications were also tested by using logistic regression models.RESULTS.Our intervention had a strong effect on FOBT completion (intervention group, 69.5%; control group, 27.6%), and the adjusted odds of FOBT slightly increased to over 6‐fold greater in the intervention arm compared with the control arm. No effect modification by age, gender, language, insurance, or prior FOBT was found.CONCLUSIONS.The authors' multifaceted, culturally appropriate intervention significantly increased FOBT screening in a group of low‐income and less‐acculturated minority patients. Given the large effect size, future research should determine the effective core component(s) that can increase CRC screening in both the general and minority populations. Cancer 2006. © 2006 American Cancer Society.

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“…37 Our previous study in Cambodian-American women identified significant associations of physician gender and ethnicity with mammography screening. 12 Because language plays an integral role in the patientphysician encounter, we also examined the association of language concordance with screening behavior in the current study.…”

Section: Discussionmentioning

confidence: 99%

“…[11][12][13][14][15][16][17][18][19][20][21][22][23][24][25][26] In the Pathways to Early Cancer Detection Project, compared with white women (93%), black women (91%), and Hispanic women (80%), significantly lower proportions of Chinese women (73%) and Vietnamese women (46%) reported prior mammography screening. 27 It is projected that, by the year 2050, Asians and Pacific Islanders will comprise 10% of the U.S. population.…”

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confidence: 99%