Knowledge and use of preventive health practices among Korean women in Los Angeles county.
BACKGROUND
The aims of this study are to determine (1) knowledge and use of preventive health practices, and (2) the relationship between acculturation and preventive health practices, in Korean women.


METHODS
The data came from the 2000 Korean American Health Survey (KAHS), which includes 656 women. The dependent variables included use of pap smears, physical examinations and mammograms, and use and knowledge of self-breast examinations. Independent variables included demographic and acculturation variables. Logistic regression modeling was used to assess the role of acculturation on dependent variables.


RESULTS
Some of the acculturation variables significantly predicted preventive practices. Being married (P < 0.0001) and insured (P < 0.05) were significantly associated with receipt of preventive services. A married Korean woman was more likely than an unmarried Korean woman to have a pap smear within 2 years (P < 0.0001), physical exam within 1 year (P < 0.0001), and perform self-breast examinations (P < 0.05).


CONCLUSIONS
Factors related to acculturation influence use of preventive health practices by Korean American women, highlighting the need to consider cultural background in developing systems of care.
Sohn
Linda
L
Special Fellowship Program in Advanced Geriatrics, Geriatric Research Fellow, VA Greater Los Angeles Healthcare System, 11G 11301 Wilshire Boulevard Los Angeles, CA 90073, USA. Linda.sohn@med.va.gov
Harada
Nancy D
ND
D000069:Acculturation; D000293:Adolescent; D000328:Adult; D000367:Age Factors; D000368:Aged; D001213:Asian / Q000193:education / Q000523:psychology*; D016504:Breast Self-Examination / Q000706:statistics & numerical data; D002140:California; D003430:Cross-Sectional Studies; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D007723:Korea / Q000208:ethnology; D016015:Logistic Models; D008327:Mammography / Q000706:statistics & numerical data; D008875:Middle Aged; D065006:Papanicolaou Test; D010342:Patient Acceptance of Health Care / Q000208:ethnology*; D011314:Preventive Health Services / Q000706:statistics & numerical data*; D011336:Probability; D012307:Risk Factors; D012959:Socioeconomic Factors; D011795:Surveys and Questionnaires; D014626:Vaginal Smears / Q000706:statistics & numerical data