Mammography screening among Chinese-American women

Shin-Ping Tu, Yutaka Yasui, Alan A. Kuniyuki, Stephen M. Schwartz, J. Carey Jackson, Thomas Gregory Hislop, Vicky Taylor

Research output: Contribution to journalArticle

57 Citations (Scopus)

Abstract

BACKGROUND. Breast carcinoma is the most common major malignancy among several Asian-American populations. This study surveyed mammography screening knowledge and practices among Chinese-American women. METHODS. In 1999, the authors conducted a cross-sectional, community-based survey in Seattle, Washington. Bilingual and bicultural interviewers administered surveys in Mandarin, Cantonese, or English at participants' homes. RESULTS. The survey cooperation rate (responses among reachable and eligible households) was 72% with 350 eligible women (age ≥ 40 years with no prior history of breast carcinoma or double mastectomy). Seventy-four percent of women reported prior mammography screening, and 61% of women reported screening in the last 2 years. In multivariate analysis, a strong association was found between mammography screening and recommendations by physicians and nurses (prior screening: odds ratio [OR], 16.0; 95% confidence interval [95% CI], 7.8-35.0; recent screening: OR, 7.0; 95% CI, 3.8-13.6). This finding applied to both recent immigrants (< 15 years in the U.S.) and earlier immigrants (≥ 15 years in the U.S.). Thirty-two percent of women reported that the best way to detect breast carcinoma was a modality other than mammogram. CONCLUSIONS. The authors recommend a multifaceted approach to increase mammography screening by Chinese-American women: recommendations from the provider plus targeted education to address the effectiveness of screening mammography compared with breast self examination and clinical breast examination.

Original languageEnglish (US)
Pages (from-to)1293-1302
Number of pages10
JournalCancer
Volume97
Issue number5
DOIs
StatePublished - Mar 1 2003
Externally publishedYes

Fingerprint

Asian Americans
Mammography
Breast Neoplasms
Odds Ratio
Confidence Intervals
Breast Self-Examination
Mastectomy
Breast
Multivariate Analysis
Nurses
Interviews
Physicians
Education
Population
Surveys and Questionnaires
Neoplasms

Keywords

  • Asian
  • Chinese
  • Mammography
  • Screening

ASJC Scopus subject areas

  • Oncology
  • Cancer Research

Cite this

Tu, S-P., Yasui, Y., Kuniyuki, A. A., Schwartz, S. M., Jackson, J. C., Hislop, T. G., & Taylor, V. (2003). Mammography screening among Chinese-American women. Cancer, 97(5), 1293-1302. https://doi.org/10.1002/cncr.11169

Mammography screening among Chinese-American women. / Tu, Shin-Ping; Yasui, Yutaka; Kuniyuki, Alan A.; Schwartz, Stephen M.; Jackson, J. Carey; Hislop, Thomas Gregory; Taylor, Vicky.

In: Cancer, Vol. 97, No. 5, 01.03.2003, p. 1293-1302.

Research output: Contribution to journalArticle

Tu, S-P, Yasui, Y, Kuniyuki, AA, Schwartz, SM, Jackson, JC, Hislop, TG & Taylor, V 2003, 'Mammography screening among Chinese-American women', Cancer, vol. 97, no. 5, pp. 1293-1302. https://doi.org/10.1002/cncr.11169
Tu S-P, Yasui Y, Kuniyuki AA, Schwartz SM, Jackson JC, Hislop TG et al. Mammography screening among Chinese-American women. Cancer. 2003 Mar 1;97(5):1293-1302. https://doi.org/10.1002/cncr.11169
Tu, Shin-Ping ; Yasui, Yutaka ; Kuniyuki, Alan A. ; Schwartz, Stephen M. ; Jackson, J. Carey ; Hislop, Thomas Gregory ; Taylor, Vicky. / Mammography screening among Chinese-American women. In: Cancer. 2003 ; Vol. 97, No. 5. pp. 1293-1302.
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AB - BACKGROUND. Breast carcinoma is the most common major malignancy among several Asian-American populations. This study surveyed mammography screening knowledge and practices among Chinese-American women. METHODS. In 1999, the authors conducted a cross-sectional, community-based survey in Seattle, Washington. Bilingual and bicultural interviewers administered surveys in Mandarin, Cantonese, or English at participants' homes. RESULTS. The survey cooperation rate (responses among reachable and eligible households) was 72% with 350 eligible women (age ≥ 40 years with no prior history of breast carcinoma or double mastectomy). Seventy-four percent of women reported prior mammography screening, and 61% of women reported screening in the last 2 years. In multivariate analysis, a strong association was found between mammography screening and recommendations by physicians and nurses (prior screening: odds ratio [OR], 16.0; 95% confidence interval [95% CI], 7.8-35.0; recent screening: OR, 7.0; 95% CI, 3.8-13.6). This finding applied to both recent immigrants (< 15 years in the U.S.) and earlier immigrants (≥ 15 years in the U.S.). Thirty-two percent of women reported that the best way to detect breast carcinoma was a modality other than mammogram. CONCLUSIONS. The authors recommend a multifaceted approach to increase mammography screening by Chinese-American women: recommendations from the provider plus targeted education to address the effectiveness of screening mammography compared with breast self examination and clinical breast examination.

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