title: Cultural affiliation and mammography screening of Chinese women in an urban county of Michigan.
abstract: The aim of this study is to explore the relationship of culturally based attitudes on breast cancer screening behavior of Chinese women currently residing in the United States. This cross-sectional study used a survey instrument that was administered to a consecutive nonprobability sample of 202 Chinese women residing in an urban Michigan county. Mood's strength of cultural affiliation scale (SCAS) was modified for cultural appropriateness prior to being translated into Chinese, back-translated, and pretested prior to use for this study. Data were analyzed using descriptive, correlational, and multivariate analysis techniques. Statistical analyses revealed that cultural diversity within the Chinese sample was associated with differing health behaviors and that the SCAS had indirect effects, through access to health care, on women's mammography screening use (R2 = 28.3%). These study's findings reveal that cultural affiliation and beliefs are related to the breast cancer screening behavior of immigrant Chinese women.
authors.affiliation: International Health Promotion Project, School of Nursing, University of Michigan, USA.
authors.forename: Mei-Yu
authors.initials: MY
authors.lastname: Yu
authors.forename: Tsu-Yin
authors.initials: TY
authors.lastname: Wu
authors.forename: Darlene W
authors.initials: DW
authors.lastname: Mood
mesh_terms: D000069:Acculturation; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001213:Asian / Q000193:education / Q000208:ethnology*; D002681:China / Q000208:ethnology; D003430:Cross-Sectional Studies; D005260:Female; D015438:Health Behavior / Q000208:ethnology; D019538:Health Care Surveys; D007722:Health Knowledge, Attitudes, Practice; D006297:Health Services Accessibility; D006723:Hong Kong / Q000208:ethnology; D006801:Humans; D016014:Linear Models; D008327:Mammography / Q000523:psychology / Q000706:statistics & numerical data*; D008403:Mass Screening / Q000523:psychology / Q000706:statistics & numerical data*; D008824:Michigan; D008875:Middle Aged; D008960:Models, Psychological; D015999:Multivariate Analysis; D010342:Patient Acceptance of Health Care / Q000208:ethnology* / Q000706:statistics & numerical data; D012649:Self Concept; D012933:Social Identification; D012959:Socioeconomic Factors; D011795:Surveys and Questionnaires; D013624:Taiwan / Q000208:ethnology; D014505:Urban Population / Q000706:statistics & numerical data; D014930:Women / Q000193:education / Q000523:psychology*