Breast cancer screening: stages of adoption among Cambodian American women.
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.
Tu
Shin-Ping
SP
Department of Medicine, University of Washington, Seattle 98104, USA. shinping@u.washington.edu
Yasui
Yutaka
Y
Kuniyuki
Alan
A
Schwartz
Stephen M
SM
Jackson
J Carey
JC
Taylor
Vicky M
VM
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