Predictors of clinical breast examination among South Asian immigrant women.
To determine predictors of clinical breast examination (CBE) among South Asian immigrant women residing in Toronto, Canada. A cross-sectional self-administered survey with women patients visiting family physician group practices. Fifty-four women participated in the study (response rate 77%). Twenty women (38.5%) "ever had" CBE. Compared to women who never had CBE, women who had CBE were statistically older, had lived more years in Canada, had better knowledge of breast cancer, had lower perceived barriers to CBE, and were more likely to have ever had a periodic health exam. No significant differences were found between the two groups for education, employment, English language abilities, perceived health, and perceived benefits of CBE. A direct logistic regression with five predictor variables, significant at a univariate level, was statistically reliable, chi(2) (5, n=51) = 34.7, p < 0.001 and explained 67% of the variance in the CBE status. Age and perceived barriers to CBE remained significant over and above other predictor variables. The odds of "ever had" CBE increased with age and decreased with more perceived barriers. The study highlights the need for education interventions on breast cancer and screening among SA recent immigrant women.
Women's Health Program, University Health Network, and Faculty of Medicine, University of Toronto, Ontario, Canada. farah.ahmad@uhn.on.ca
Farah
F
Ahmad
Donna E
DE
Stewart
D000328:Adult; D001208:Asia / Q000208:ethnology; D001213:Asian / Q000523:psychology*; D001294:Attitude to Health; D001943:Breast Neoplasms / Q000175:diagnosis / Q000523:psychology; D016504:Breast Self-Examination / Q000523:psychology; D016009:Chi-Square Distribution; D003144:Communication Barriers; D003430:Cross-Sectional Studies; D003466:Cultural Characteristics; D004641:Emigration and Immigration; D005260:Female; D006266:Health Education / Q000592:standards; D006801:Humans; D016015:Logistic Models; D008875:Middle Aged; D009864:Ontario / Q000453:epidemiology; D011322:Primary Prevention / Q000592:standards; D011369:Professional-Patient Relations; D011795:Surveys and Questionnaires; D016387:Women's Health