Prevalence and sociodemographic correlates of routine breast cancer screening practices among migrant‐Australian women

Lam, Michelle; Kwok, Cannas; Lee, Mi-Joung

doi:10.1111/1753-6405.12752

Cited by 14 publications

(28 citation statements)

References 32 publications

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“…Breast cancer screening rates among some culturally and linguistically diverse groups are lower than the general population [14][15][16]. BreastScreen Victoria sought to develop and test strategies to engage Italian and Arabic speaking women using letters and phone calls in their preferred language, and compare these service innovations with usual practice.…”

Section: Discussionmentioning

confidence: 99%

“…Population subgroups at greater risk of not screening include women from some culturally diverse groups and those from lower socioeconomic backgrounds [13]. Generally, rates of cancer screening for migrants to Australia are slightly lower than the Australian born population [14][15][16]. There is also some evidence of a socioeconomic gradient in screening [17][18][19], and while this is not conclusive [20], studies have identified patterns of more advanced disease at diagnosis among diverse cultural or lower socioeconomic groups [21][22][23].…”

Section: Introductionmentioning

confidence: 99%

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The impact of translated reminder letters and phone calls on mammography screening booking rates: Two randomised controlled trials

et al. 2020

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Introduction Participation in mammographic screening for breast cancer in Australia is approximately 54% among the general population, but screening among women from some culturally and linguistically diverse (CALD) backgrounds is lower. BreastScreen Victoria apply strategies to increase screening including reminder letters and phone calls; however, these are usually provided in English. Using intervention strategies generated from the Ophelia (OPtimise HEalth LIteracy and Access) community co-design process, translated mammography reminder letters and in-language phone calls were tested within two randomised control trials (RCTs). Methods and analysis Women aged 50-75 years who were due for their 2-yearly screening mammography (for RCT#1) or were under-screened, i.e. �27 months since last screen (for RCT#2) were randomised into intervention or control groups. RCT#1 compared sending women routine reminder letters (English only) with translated (Arabic or Italian) letters. RCT#2 compared reminder telephone calls to women in their preferred language (Arabic or Italian) to no telephone call. The primary outcome for each trial was screening booking rates within 14-days. Primary outcomes were tested using Pearson's chi-square test. Rates within language group (incidence ratio: IR) were compared using the Cochran-Mantel-Haenszel test.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

The impact of translated reminder letters and phone calls on mammography screening booking rates: Two randomised controlled trials

et al. 2020

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“…Although breast cancer screening (BCS) has been shown to improve mortality outcomes, preventive services continue to be underutilized among Asian compared with Western populations . Low screening participation has been attributed to cultural beliefs in Chinese and other minority ethnic group women .…”

Section: Introductionmentioning

confidence: 99%

The influence of Malay cultural beliefs on breast cancer screening and genetic testing: A focus group study

et al. 2018

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Objective: Malays comprise an Asian cultural group reported to have low breast cancer screening uptake rates and poor cancer outcomes. Little is known about Malay cultural factors influencing beliefs and practice of cancer screening and genetic testing. Our study aims to explore health beliefs of Malay women around breast cancer screening and genetic testing. Methods:We conducted focus groups among healthy English-speaking Malay women in Singapore, aged 40 to 69 years, using a structured guide developed through literature review, expertise input and participant refinement. Thematic analysis was conducted to extract dominant themes representing key motivators and barriers to screening and genetic testing. We used grounded theory to interpret results and derive a framework of understanding, with implications for improving uptake of services. Results: Five focus groups (four to six participants per group) comprising 27 women were conducted to theme saturation. Major themes were (a) spiritual and religious beliefs act as barriers towards uptake of screening and genetic testing; (b) preference for traditional medicine competes with Western medicine recommendations; (c) family and community influence health-related decisions, complexed by differences in intergenerational beliefs creating contrasting attitudes towards screening and prevention. Conclusions: Decisions to participate in breast cancer screening and genetic testing are influenced by cultural, traditional, spiritual/religious, and intergenerational beliefs. Strategies to increase uptake should include acknowledgement and integration of these beliefs into counseling and education and collaboration with key influential Malay stakeholders and leaders. KEYWORDS Breast cancer screening, cancer, culture, genetic testing, Malay beliefs, oncology 1 | BACKGROUND Diverse cultural groups across the world have varying values, norms, and beliefs, which often influence health-related behaviors and decisions. 1 'Culture' is a concept that defines the shared values, beliefs, behaviors, and practices of a particular community, communicated from one generation to the next. 2 Among Asian societies, religious, and spiritual beliefs have been shown to significantly impact cancer beliefs and prevention and treatment practices. 3 For example, among the Malay population, the use of traditional medicine and/or

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“…In this study, more than half of all the participants, including both younger (69.5%) and older (53.3%) women, believed that they would not get breast cancer if they took good care of themselves. As reported in a recent study of Asian and African women living in Australia [34], this cultural factor plays a key role in shaping breast cancer beliefs and screening behaviors in women. For example, certain groups of women do not realize that they are at risk of getting the disease even though they feel healthy.…”

Section: Discussionmentioning

confidence: 99%

Cultural beliefs about breast cancer in Vietnamese women

et al. 2019

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Background This study examined factors influencing cultural beliefs associated with later-stage detection of breast cancer and determined what factors influence those cultural beliefs in Vietnamese women residing in a rural Vietnamese community. Methods A cross-sectional survey was conducted with 289 women aged 20–64 years from 12 villages using a self-administered structured questionnaire. Cultural beliefs were measured with a 13-item cultural beliefs scale consisting of four domains—characteristics of breast lumps, self-help techniques, faith-based beliefs, and futility of treatment. Data were collected in February 2017 and analyzed using chi-square tests, nonparametric tests, Fisher’s exact tests, and multiple linear regression analyses with SPSS/WIN 24.0 statistical software. Results Although the total score was relatively low (3.4 out of 13), cultural beliefs that could contribute to later-stage breast cancer were identified. Younger women (β = .15, p = .016) and women with a lower income (β = .21, p < .001) held more erroneous cultural beliefs as compared to their counterparts. Most women believed they would not get breast cancer if they took care of themselves. More than one-third held cultural beliefs about breast lumps, thinking they would need to be painful and/or actively growing to be breast cancer. Conclusions The results support the urgent need for education concerning breast cancer health promotion, including breast cancer assessment as well as guidance on evidence-based and up-to-date detection measures to change rural Vietnamese women’s cultural beliefs. Electronic supplementary material The online version of this article (10.1186/s12905-019-0777-3) contains supplementary material, which is available to authorized users.

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Prevalence and sociodemographic correlates of routine breast cancer screening practices among migrant‐Australian women

Cited by 14 publications

References 32 publications

The impact of translated reminder letters and phone calls on mammography screening booking rates: Two randomised controlled trials

The impact of translated reminder letters and phone calls on mammography screening booking rates: Two randomised controlled trials

The influence of Malay cultural beliefs on breast cancer screening and genetic testing: A focus group study

Cultural beliefs about breast cancer in Vietnamese women

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