Mammography and Clinical Breast Examination among Korean American Women in Two California Counties

Wismer, Barbara; Moskowitz, Joel M.; Chen, Arthur M.; Kang, Seung Goo; Novotny, Thomas E.; Min, Katya; Lew, Rod; Tager, Ira B.

doi:10.1006/pmed.1997.0259

Cited by 58 publications

(48 citation statements)

References 5 publications

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“…It is well known that problems with health care access are related to KA women's BC screening behaviors [6,10,14,15]. Our findings indicate that the negative impact of not having health care access has more of an effect on women who have never had a mammogram than on their counterparts who have had one in the past.…”

Section: Discussionmentioning

confidence: 60%

“…Only 22-39 % of KA women reported having had a mammogram within the previous year, whereas more than 50 % of White, African American, and Hispanic women had yearly mammograms [5][6][7]. More notably, 22-52 % of KA women have never had a mammogram [8][9][10][11][12][13][14][15][16], placing them at greater risk for detecting BC in later stages. The alarmingly high rate of unscreened KA women indicates an urgent need to understand this vulnerable subgroup of KAs and to develop targeted interventions for them.…”

mentioning

confidence: 99%

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Korean American Women and Mammogram Uptake

Lee

Nandy

Szalacha

et al. 2015

J Immigrant Minority Health

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A high percentage of Korean American (KA) women have never had a mammogram, which puts them at greater risk for late-stage breast cancer. The aim of this study was to compare health beliefs and spousal support about breast cancer and screening between KA women with and without a history of mammogram completion. Crosssectional data were obtained from 428 non-adherent married KA women. KA women who never had a mammogram were younger, had less access to health care, had less knowledge, and had lower perceived self-efficacy, benefits, and spousal support, and higher perceived barriers to breast cancer screening compared to women who had had a mammogram. Assessing differing characteristics between the two groups of KA women may lead to a better understanding of the variables influencing mammography screening in this population and possibly increase early screening.

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Section: Discussionmentioning

confidence: 60%

mentioning

confidence: 99%

Korean American Women and Mammogram Uptake

Lee

Nandy

Szalacha

et al. 2015

J Immigrant Minority Health

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“…Regarding breast cancer screening, 48%-78% of Korean American women had ever had a mammogram and 34%-61% were estimated to have had a mammogram in the prior two years (Juon et al, 2000;Juon, Kim, Shankar, & Han, 2004;Lee, Fogg, & Sadler, 2006;Moskavitz et al, 2004;Wismer et al, 1998a). The rates are far lower than those from the 1999 BRFSS, which revealed that 87% of women in the United States aged 40 years and older had ever had a mammogram and 75% of the women had had a mammogram in the prior two years (Coughlin et al, 2004).…”

Section: Key Pointsmentioning

confidence: 99%

Korean American Women's Beliefs About Breast and Cervical Cancer and Associated Symbolic Meanings

Lee¹,

Tripp–Reimer²,

Miller³

et al. 2007

Oncology Nursing Forum

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Purpose/Objectives-To explore Korean American women's symbolic meanings related to their breasts and cervix, to examine attitudes and beliefs about breast and cervical cancer, and to find relationships between the participants' beliefs and their cancer screening behaviors.Research Approach-Descriptive, qualitative analysis. Setting-Southwestern United States.Participants-33 Korean-born women at least 40 years of age.Methodologic Approach-In-depth, face-to-face, individual interviews were conducted in Korean. A semistructured interview guide was used to ensure comparable core content across all interviews. Transcribed and translated interviews were analyzed using descriptive content analysis.Main Research Variables-Breast cancer, cervical cancer, cancer screening, beliefs, and Korean American women.Findings-Korean American women's symbolic meaning of their breasts and cervix are closely related to their past experiences of bearing and rearing children. Negative life experiences among older Korean American women contributed to negative perceptions about cervical cancer. Having information about cancer, either correct or incorrect, and having faith in God or destiny may be barriers to obtaining screening tests. Conclusions-KoreanAmerican women's symbolic meanings regarding their breasts and cervix, as well as their beliefs about breast cancer and cervical cancer and cancer screening, are associated with their cultural and interpersonal contexts. Their beliefs or limited knowledge appear to relate to their screening behaviors.

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“…Studies have demonstrated varying breast cancer screening rates among Asian American ethnic groups [10][11][12][13][14][15][16][17][18][19][20][21][22][23]. It has also been postulated that the low utilization of breast cancer screening may be responsible for the higher proportion of Asian American women diagnosed with larger tumors (>1 cm) [24].…”

Section: Introductionmentioning

confidence: 99%

Breast cancer screening: stages of adoption among Cambodian American women

Yasui

Kuniyuki

et al. 2002

Cancer Detection and Prevention

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Background-Little information is available on the breast cancer screening behavior of Cambodian American women.Methods-We identified households from multiple sources using Cambodian surnames and conducted a cross-sectional survey, administered by bilingual and bicultural interviewers. Breast cancer screening stages of adoption were examined based on concepts from the transtheoretical model of behavioral change.Results-Our response rate was 73% (398 women in clinical breast exam (CBE) analysis, and 248 in mammography analysis) with approximately 25% each in the maintenance stage. We found significant associations between screening stage with physician characteristics. Asian American female physician increased the likelihood of being in the maintenance stage (CBE, OR = 10.1, 95% CI 2.8-37.1; mammogram, OR = 74.7,), compared to Asian American male physician with precontemplation/contemplation stage as our referent outcome.Conclusion-Results from this study support the need to promote regular breast cancer screening among Cambodian American women.

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Mammography and Clinical Breast Examination among Korean American Women in Two California Counties

Cited by 58 publications

References 5 publications

Korean American Women and Mammogram Uptake

Korean American Women and Mammogram Uptake

Korean American Women's Beliefs About Breast and Cervical Cancer and Associated Symbolic Meanings

Breast cancer screening: stages of adoption among Cambodian American women

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