Screening mammography among Chinese Canadian women.
BACKGROUND
Though breast cancer is the most common malignancy among Chinese women, screening mammography is underutilized. This study examined barriers and facilitators of screening mammography among Chinese Canadian women.


METHODS
Using community-based sampling, Chinese women in British Columbia were interviewed in 1999 about multiple preventive health behaviours. We included 213 women in the mammography analysis; main outcome measures were ever having a mammogram and routine mammography.


RESULTS
Seventy-five percent of women 50 to 79 years old reported ever having had a mammogram, and 53% had two or more mammograms within the last five years. Receiving a recommendation for a mammogram from medical personnel or from a family member, and believing that cancer cannot be prevented by faith were independently associated with both screening outcomes.


CONCLUSIONS
A multifaceted approach to screening mammography promotion in Chinese Canadian women is suggested. Interventions that include education of and by medical providers and family members should be considered.
Jackson
Sara L
SL
Department of Medicine, University of Washington, Seattle, WA, USA. sljack@u.washington.edu
Hislop
T Greg
TG
Teh
Chong
C
Yasui
Yutaka
Y
Tu
Shin-Ping
SP
Kuniyuki
Alan
A
Jackson
J Carey
JC
Taylor
Vicky M
VM
D000368:Aged; D001943:Breast Neoplasms / Q000000981:diagnostic imaging*; D001955:British Columbia; D002681:China / Q000208:ethnology; D005260:Female; D015438:Health Behavior / Q000208:ethnology; D006300:Health Services Misuse; D006302:Health Services Research; D006801:Humans; D008327:Mammography / Q000706:statistics & numerical data*; D008875:Middle Aged; D010342:Patient Acceptance of Health Care / Q000208:ethnology*