Impact of breast cancer screening intervention on Korean-American women in Maryland

被引:46
作者
Juon, Hee-Soon
Choi, Seunghee
Klassen, Ann
Roter, Debra
机构
[1] Johns Hopkins Bloomberg Sch Publ Hlth, Dept Hlth Behav & Soc, Baltimore, MD 21205 USA
[2] Howard Cty Hlth Dept, Columbia, MD 21046 USA
来源
CANCER DETECTION AND PREVENTION | 2006年 / 30卷 / 03期
关键词
breast cancer; Korean-American; mammogram; intervention; literacy; English proficiency; health education; cancer education program; cancer survivor; cultural relevance; aculturation; early detection; Cronbach's coefficient; insurance provider status; physician recommendation;
D O I
10.1016/j.cdp.2006.03.008
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Background: Adherence to mammography guidelines among Korean-American women (KAW) is lower than that of Caucasian-Americans, and disparities in breast cancer screening related to lack of English proficiency is under-researched. This study examined the impact of a breast cancer intervention on intentions,, use mammography among KAW. Methods: Face-to-face pre-intervention surveys were conducted in control (n = 95) and intervention groups (n = 105), and were followed by implementation of a breast cancer education program. At 6 months, both groups were re-interviewed by phone (92 control and 94 intervention participants). Generalized estimating equation (GEE) analysis was used to assess the intervention effect before and after the breast cancer educational program. Results: The intervention effect was statistically significant. Women in the intervention reported 2.96 times greater posttest intentions to have mammogram than those in the control group (95 % CI, 1.13-7.66). Prior intentions, age, and positive attitudes toward mammography were associated with follow-up intentions to have a mammogram. Conclusion: This culturally and linguistically tailored educational intervention was effective in increasing breast cancer awareness in a non-English speaking population. (c) 2006 International Society for Preventive Oncology. Published by Elsevier Ltd. All rights reserved.
引用
收藏
页码:297 / 305
页数:9
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