Effect of provider status on preventive screening among Korean-American women in Alameda County, California

Lew, Anthony A; Moskowitz, Joel M.; Ngo, Long; Wismer, Barbara; Wong, Joann M.; Ahn, Yangja; Tager, Ira B.

doi:10.1016/s0091-7435(02)00039-7

Cited by 35 publications

(36 citation statements)

References 21 publications

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“…Researchers have reported a variety of sociodemographic and screening-related correlates of mammogram take-up, such as age (Juon et al 2000), employment (Wismer et al 1998), education (Juon et al 2002), perceived health status (Blustein & Weiss 1998), physician recommendation (George 2000; Lew et al 2003), and breast cancer knowledge (George 2000). However, as previously indicated, the relationships of these variables with breast cancer screening behavior are not unequivocal (Yarbrough 2004) and, in fact, appear to be sample-specific.…”

Section: Discussionmentioning

confidence: 99%

“…Many researchers have attempted to identify correlates of mammography screening among Asian women, mostly focusing on sociodemographic predictors (Sarna et al 2001; Juon et al 2000; Juon et al 2002; Kim et al 1998; Lew et al 2003; Juon et al 2004; Maxwell et al 1998; 2000; Sadler et al 2001; Yu et al 2003). However, considering that today’s Asian American women are predominantly first-generation immigrants (Barringer et al 1993), cultural influences should also be considered as important correlates of screening behaviors for breast cancer.…”

Section: Introductionmentioning

confidence: 99%

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Do cultural factors predict mammography behaviour among Korean immigrants in the USA?

Lee

Kim

Han

2009

Journal of Advanced Nursing

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Aim This paper is a report of a study of the correlates of mammogram use among Korean American women. Background Despite the increasing incidence of and mortality from breast cancer, Asian women in the United States of America report consistently low rates of mammography screening. A number of health beliefs and sociodemographic characteristics have been associated with mammogram participation among these women; however, studies systematically investigating cultural factors in relation to mammogram experience have been scarce. Methods We measured screening-related health beliefs, modesty and use of Eastern medicine in 100 Korean American women in 2006. Hierarchical logistic regression was used to examine the unique contribution of the study variables, after accounting for sociodemographic characteristics. Findings Only 51% reported past mammogram use. Korean American women who had previously had mammograms were statistically significantly older and had higher perceived benefit scores than those who had not. Perceived benefits (odds ratio=6.3, 95% confidence interval=2.12, 18.76) and breast cancer susceptibility (odds ratio=3.18, 95% confidence interval=1.06, 9.59) were statistically significant correlates of mammography experience, whereas cultural factors did not correlate. Post hoc analysis showed that for women with some or good English skills, cultural factors statistically significantly correlated with health beliefs and breast cancer knowledge (p < 0.05). Conclusion Nurses should consider the inclusion in culturally-tailored interventions of more targeted outreach and healthcare system navigation assistance for promoting mammography screening in Korean American women. Further research is needed to unravel the interplay between acculturation, cultural factors, and health beliefs related to cancer screening behaviors of Korean American women.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Do cultural factors predict mammography behaviour among Korean immigrants in the USA?

Lee

Kim

Han

2009

Journal of Advanced Nursing

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“…This disparity has been attributed to many causative factors, including low socioeconomic status and lack of health care access of the minority patient populations, as well as cultural barriers [4,5,[18][19][20]. The variable of ethnicity, in particular, has the potential to act on both the recipient and the provider of preventive medicine.…”

Section: Discussionmentioning

confidence: 99%

“…Ethnicity, of both the patient and the physician, was significantly associated with screening rates in our study, although the details of the cultural interactions between the physicians and their patients are beyond the scope of this study. Such interactions have been investigated by others [20]. The physicians with more Asian American patients reported better practices for breast cancer screening but less desirable rates of cervical cancer screening.…”

Section: Determinants Of Screeningmentioning

confidence: 99%

Cancer Screening Practices of Asian American Physicians in New York City

Bodle

Islam

Kwon

et al. 2007

J Immigrant Minority Health

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Cancer screening rates are lower among Asian Americans than the general USA population. While prior studies examined characteristics of Asian American patients as predictors of cancer screening, few investigated their health care providers. Asian American primary care physicians practicing in New York City were surveyed by questionnaire regarding their demographics, practice characteristics, and cancer screening of their Asian American patients. Of the 117 eligible respondents, 96% recommended mammograms to their Asian patients 50+ years of age and 70% to patients 40-49-year-old. Only 30% of respondents use both age and onset of sexual activity to determine when to recommend Pap smears. For colorectal cancer screening, the rates of performing fecal occult blood testing or recommending colonoscopy or sigmoidoscopy were 77% and 74%. About 70% recommend screening for hepatitis B. Gender and ethnicity of the physician were found to be significant predictors for cancer screening practice.

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“…Studies with Korean American women regarding their cervical cancer screening behaviors have identified several contextual factors: sociodemographic status, including age, employment, marital status, and income; acculturation levels, including years in the United States and spoken-English proficiency; health care access issues, such as health insurance and the physician's ethnicity and gender, as well as ever having had a checkup and having a physician's recommendation; and social support issues, such as having friends or family members who receive Pap tests (Juon et al, 2003;K. Kim et al, 1999; M. C. Lee, 2000;Lew et al, 2003;Maxwell et al, 2000;Sohn & Harada, 2005).…”

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confidence: 99%

Knowledge and Beliefs Related to Cervical Cancer and Screening Among Korean American Women

2008

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The purpose of this article is to examine knowledge and health beliefs associated with cervical cancer screening among Korean American women. A telephone survey was conducted with 189 Korean American women in the Chicago area. Age, marital status, income, knowledge of early detection method for cervical cancer, and perceived beliefs about benefits of and barriers to receiving Pap tests were all related to outcomes of ever having a Pap test and having had one in the preceding 3 years. Variables uniquely related to ever having a Pap test were education, employment status, fluency in English, and proportion of life spent in the United States. Variables uniquely related to having had the test during the preceding 3 years were having a usual source of care and regular checkups. Different intervention components are suggested for the groups of Korean American women who have never had a Pap smear and for those who have not had one in the preceding 3 years, in addition to common intervention strategies that aim to increase knowledge and perceived benefit and to decrease perceived barriers to receiving Pap tests.

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Effect of provider status on preventive screening among Korean-American women in Alameda County, California

Cited by 35 publications

References 21 publications

Do cultural factors predict mammography behaviour among Korean immigrants in the USA?

Do cultural factors predict mammography behaviour among Korean immigrants in the USA?

Cancer Screening Practices of Asian American Physicians in New York City

Knowledge and Beliefs Related to Cervical Cancer and Screening Among Korean American Women

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