Breast cancer screening by Asian-American women in a managed care environment

Shin-Ping Tu, Stephen H. Taplin, William E. Barlow, Edward J. Boyko

Research output: Contribution to journalArticle

28 Citations (Scopus)

Abstract

Context: Cross-sectional surveys show that Asian-American women are less likely to have had screening mammograms. Objective: To prospectively assess mammography screening by Asian-American women in a program with mailed recommendations and no out-of-pocket costs. Design: Two prospective cohort studies.Setting: A nonprofit health care system where women members ≥ 40 years old are surveyed for breast cancer risk factors and enrolled into a screening program on survey completion.Participants: Program enrollment-All Asian-American women identified through a compilation of Asian surnames (Chinese, Japanese, Vietnamese, and Korean) and a random sample of 2000 women with non-Asian surnames, who were mailed a survey from May 1988 to April 1995. Mammogram participation-All Asian-American women and a random sample of 3000 women with non-Asian surnames, enrolled in the screening program and were mailed a first recommendation for screening from May 1988 to April 1994. Main Outcome Measures: Odds of program enrollment and mammogram use within one year (participation) by Asian-American women compared to non-Asian controls. Results: Compared to controls, Asian-American women were less likely to enroll in Breast Cancer Screening Program (BCSP) (odds ratio 0.53; 95% CI 0.43, 0.64). In aggregate, Asian-American women had similar mammogram participation rates. Among older Chinese-American women participation was lower compared to controls (odds ratio 0.66; 95% CI 0.44, 0.97). Conclusion: Participation in mammography screening (program enrollment and participation) by Asian-American women was not necessarily enhanced by the removal of financial barriers. Variations of screening behavior among Asian-American women may be obscured when analyzed in aggregate. Copyright (C) 1999 American Journal of Preventive Medicine.

Original languageEnglish (US)
Pages (from-to)55-61
Number of pages7
JournalAmerican Journal of Preventive Medicine
Volume17
Issue number1
DOIs
StatePublished - Jul 1 1999
Externally publishedYes

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Asian Americans
Managed Care Programs
Early Detection of Cancer
Breast Neoplasms
Mammography
Odds Ratio
Health Expenditures
Cohort Studies
Cross-Sectional Studies

ASJC Scopus subject areas

  • Epidemiology
  • Public Health, Environmental and Occupational Health

Cite this

Breast cancer screening by Asian-American women in a managed care environment. / Tu, Shin-Ping; Taplin, Stephen H.; Barlow, William E.; Boyko, Edward J.

In: American Journal of Preventive Medicine, Vol. 17, No. 1, 01.07.1999, p. 55-61.

Research output: Contribution to journalArticle

Tu, Shin-Ping ; Taplin, Stephen H. ; Barlow, William E. ; Boyko, Edward J. / Breast cancer screening by Asian-American women in a managed care environment. In: American Journal of Preventive Medicine. 1999 ; Vol. 17, No. 1. pp. 55-61.
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abstract = "Context: Cross-sectional surveys show that Asian-American women are less likely to have had screening mammograms. Objective: To prospectively assess mammography screening by Asian-American women in a program with mailed recommendations and no out-of-pocket costs. Design: Two prospective cohort studies.Setting: A nonprofit health care system where women members ≥ 40 years old are surveyed for breast cancer risk factors and enrolled into a screening program on survey completion.Participants: Program enrollment-All Asian-American women identified through a compilation of Asian surnames (Chinese, Japanese, Vietnamese, and Korean) and a random sample of 2000 women with non-Asian surnames, who were mailed a survey from May 1988 to April 1995. Mammogram participation-All Asian-American women and a random sample of 3000 women with non-Asian surnames, enrolled in the screening program and were mailed a first recommendation for screening from May 1988 to April 1994. Main Outcome Measures: Odds of program enrollment and mammogram use within one year (participation) by Asian-American women compared to non-Asian controls. Results: Compared to controls, Asian-American women were less likely to enroll in Breast Cancer Screening Program (BCSP) (odds ratio 0.53; 95{\%} CI 0.43, 0.64). In aggregate, Asian-American women had similar mammogram participation rates. Among older Chinese-American women participation was lower compared to controls (odds ratio 0.66; 95{\%} CI 0.44, 0.97). Conclusion: Participation in mammography screening (program enrollment and participation) by Asian-American women was not necessarily enhanced by the removal of financial barriers. Variations of screening behavior among Asian-American women may be obscured when analyzed in aggregate. Copyright (C) 1999 American Journal of Preventive Medicine.",
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