title: Factors associated with mammographic decisions of Chinese-Australian women.
abstract: BreastScreen (a free breast cancer screening service) has been implemented in Australia since 1991. Surveys conducted overseas consistently report that women of Chinese ancestry have low participation rates in breast cancer screening. Although Chinese women's use of breast cancer screening services has been investigated abroad, to date there are few studies of mammographic screening behavior among Chinese-Australian women. The purpose of this study is to explore and investigate the factors associated with mammographic decisions of Chinese-Australian women. Using a qualitative approach, in-depth interviews were conducted with 20 Chinese-Australian women. These were augmented by additional data from ethnographic observations. The findings show two facilitators: organizational factors (an invitation letter from BreastScreen and seniors' clubs arrangements) and the influence of 'significant others'. Barriers identified were fear perceptions of mammography, modesty and fear of stigmatization. This study provides a useful framework for designing and implementing mammographic screening services for Chinese-Australian women that may improve their participation rates.
authors.affiliation: Faculty of Education and Social Work, University of Sydney, Sydney, NSW 2006, Australia. cannas@student.usyd.edu.au
authors.forename: Cannas
authors.initials: C
authors.lastname: Kwok
authors.forename: Rosemary
authors.initials: R
authors.lastname: Cant
authors.forename: Gerard
authors.initials: G
authors.lastname: Sullivan
mesh_terms: D000368:Aged; D001943:Breast Neoplasms / Q000175:diagnosis / Q000000981:diagnostic imaging; D002681:China / Q000208:ethnology; D003657:Decision Making; D005260:Female; D006801:Humans; D007407:Interviews as Topic; D008327:Mammography / Q000706:statistics & numerical data*; D008875:Middle Aged; D009517:New South Wales