title: Breast cancer screening: stages of adoption among Cambodian American women.
abstract: BACKGROUND
  Little information is available on the breast cancer screening behavior of Cambodian American women.
  
  
  METHODS
  We identified households from multiple sources using Cambodian surnames and conducted a cross-sectional survey, administered by bilingual and bicultural interviewers. Breast cancer screening stages of adoption were examined based on concepts from the transtheoretical model of behavioral change.
  
  
  RESULTS
  Our response rate was 73% (398 women in clinical breast exam (CBE) analysis, and 248 in mammography analysis) with approximately 25% each in the maintenance stage. We found significant associations between screening stage with physician characteristics. Asian American female physician increased the likelihood of being in the maintenance stage (CBE, OR = 10.1, 95% CI 2.8-37.1; mammogram, OR = 74.7,95% CI 8.3-674.6), compared to Asian American male physician with precontemplation/contemplation stage as our referent outcome.
  
  
  CONCLUSIONS
  Results from this study support the need to promote regular breast cancer screening among Cambodian American women.
authors.affiliation: Department of Medicine, University of Washington, Seattle 98104, USA. shinping@u.washington.edu
authors.forename: Shin-Ping
authors.initials: SP
authors.lastname: Tu
authors.forename: Yutaka
authors.initials: Y
authors.lastname: Yasui
authors.forename: Alan
authors.initials: A
authors.lastname: Kuniyuki
authors.forename: Stephen M
authors.initials: SM
authors.lastname: Schwartz
authors.forename: J Carey
authors.initials: JC
authors.lastname: Jackson
authors.forename: Vicky M
authors.initials: VM
authors.lastname: Taylor
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D001213:Asian / Q000523:psychology*; D001943:Breast Neoplasms / Q000208:ethnology / Q000523:psychology*; D002160:Cambodia / Q000208:ethnology; D003144:Communication Barriers; D003430:Cross-Sectional Studies; D003466:Cultural Characteristics; D004641:Emigration and Immigration; D005260:Female; D006306:Health Surveys; D006801:Humans; D007348:Insurance, Health / Q000706:statistics & numerical data; D008327:Mammography / Q000523:psychology* / Q000706:statistics & numerical data; D008403:Mass Screening / Q000523:psychology* / Q000706:statistics & numerical data; D008875:Middle Aged; D016017:Odds Ratio; D010817:Physician-Patient Relations; D010822:Physicians, Women; D012959:Socioeconomic Factors; D014861:Washington / Q000453:epidemiology