Mammography screening of Chinese immigrant women: Ever screened versus never screened

Frances Lee-Lin, Thuan Nguyen, Nisreen Pedhiwala, Nathan Dieckmann, Usha Menon

Research output: Contribution to journalArticle

Abstract

Purpose/Objectives: To compare the differences in mammogram completion rates over time between Chinese American women with and without a history of mammogram screening. Design: Secondary analysis of a randomized, controlled intervention study. Setting: Metropolitan areas of Portland, Oregon. Sample: 300 foreign-born Chinese immigrant women aged 40 years or older. Of these, 83 women (28%) had never had a mammogram. Methods: Participants who had not been screened with a mammogram within the past 12 months were randomized into either an education group or a control (brochure) group. All participants completed a baseline survey, which was administered again at 3, 6, and 12 months. Main Research Variables: Mammography history, breast cancer knowledge, perceived risks, susceptibility, benefits, and common and cultural barriers. Findings: Women who had never been screened were less likely to have insurance, a regular healthcare provider, or to have been instructed to have a mammogram. Postintervention in the education group, mammogram completion was not significantly different between those with or without a history of screening (p = 0.52). In the control brochure group, significantly more women with a history of screening had a mammogram (p = 0.03). Conclusions: Practitioners must be aware of differential effects of education on mammography cancer screening based on women's history of screening. Implications for Nursing: Print material may not be as effective with women who have never been screened with a mammogram. Targeted approaches based on such understanding has the potential to decrease the breast cancer screening disparity among Chinese immigrant women.

Original languageEnglish (US)
Pages (from-to)470-478
Number of pages9
JournalOncology nursing forum
Volume42
Issue number5
DOIs
StatePublished - Sep 1 2015

Keywords

  • Breast cancer screening
  • Cancer screening education
  • Chinese immigrant women
  • Mammography screening

ASJC Scopus subject areas

  • Oncology(nursing)

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