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 language | English (US) |
|---|---|
| Pages (from-to) | 55-61 |
| Number of pages | 7 |
| Journal | American Journal of Preventive Medicine |
| Volume | 17 |
| Issue number | 1 |
| DOIs | |
| State | Published - Jul 1 1999 |
| Externally published | Yes |
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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 journal › Article
}
TY - JOUR
T1 - Breast cancer screening by Asian-American women in a managed care environment
AU - Tu, Shin-Ping
AU - Taplin, Stephen H.
AU - Barlow, William E.
AU - Boyko, Edward J.
PY - 1999/7/1
Y1 - 1999/7/1
N2 - 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.
AB - 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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UR - http://www.scopus.com/inward/citedby.url?scp=0032764875&partnerID=8YFLogxK
U2 - 10.1016/S0749-3797(99)00043-4
DO - 10.1016/S0749-3797(99)00043-4
M3 - Article
VL - 17
SP - 55
EP - 61
JO - American Journal of Preventive Medicine
JF - American Journal of Preventive Medicine
SN - 0749-3797
IS - 1
ER -