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Factors Influencing Mammography Screening of Chinese American Women
Mei-yu Yu 1 Tsu-yin Wu, 2
  1 Mei-yu Yu, PhD, is an associate research scientist in the School of Nursing at University of Michigan, Ann Arbor.   2 Tsu-yin Wu, PhD, is an associate professor in the Department of Nursing at Eastern Michigan University, Ypsilanti.
 Address for correspondence: Mei-yu Yu, PhD, School of Nursing, University of Michigan, Room 3248, 400 N. Ingalls, Ann Arbor, MI 48109-0482. E-mail: yujiang@umich.edu.
Copyright 2005 Association of Women's Health, Obstetric and Neonatal Nurses
KEYWORDS
Barriers to health care • Chinese American women • Cultural affiliation • Health beliefs • Mammography screening

ABSTRACT

Objective: To explore factors influencing breast cancer screening behavior among Chinese women residing in the United States.

Design: A descriptive study guided by the health belief model adapted for Chinese American women. An English-language questionnaire was modified, translated, and pretested before use in the study sample. Data were analyzed using descriptive and multivariate analysis techniques.

Setting: An urban area in Michigan in 2001.

Participants: A consecutive nonprobability sample of 206 Chinese American women age 40 and older.

Main Outcome Measure: The percentage of women age 40 and older who received a mammogram in the past year.

Results: Access to health care, perceived barriers to mammography screening, need for breast health care, and information-seeking behavior had direct effects on Chinese American women's mammography screening utilization. Cultural affiliation had an indirect effect on breast cancer screening behavior, moderated through access to health care. The variance in mammography screening explained by these factors was 51%.

Conclusion: Effective strategies for promoting breast cancer screening among Chinese American women should address ways to improve information-seeking behaviors and access to health care. Cultural affiliation and beliefs should be considered when counseling Chinese American women regarding breast cancer screening.


Accepted: September 2004

DIGITAL OBJECT IDENTIFIER (DOI)
10.1177/0884217505276256 About DOI

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