title: Impact of breast cancer screening intervention on Korean-American women in Maryland.
abstract: BACKGROUND
  Adherence to mammography guidelines among Korean-American women (KAW) is lower than that of Caucasian-Americans, and disparities in breast cancer screening related to lack of English proficiency is under-researched. This study examined the impact of a breast cancer intervention on intentions to use mammography among KAW.
  
  
  METHODS
  Face-to-face pre-intervention surveys were conducted in control (n=95) and intervention groups (n=105), and were followed by implementation of a breast cancer education program. At 6 months, both groups were re-interviewed by phone (92 control and 94 intervention participants). Generalized estimating equation (GEE) analysis was used to assess the intervention effect before and after the breast cancer educational program.
  
  
  RESULTS
  The intervention effect was statistically significant. Women in the intervention reported 2.96 times greater posttest intentions to have mammogram than those in the control group (95% CI, 1.13-7.66). Prior intentions, age, and positive attitudes toward mammography were associated with follow-up intentions to have a mammogram.
  
  
  CONCLUSIONS
  This culturally and linguistically tailored educational intervention was effective in increasing breast cancer awareness in a non-English speaking population.
authors.affiliation: Department of Health, Behavior & Society, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD 21205, USA. hjuon@jhsph.edu
authors.forename: Hee-Soon
authors.initials: HS
authors.lastname: Juon
authors.forename: Seunghee
authors.initials: S
authors.lastname: Choi
authors.forename: Ann
authors.initials: A
authors.lastname: Klassen
authors.forename: Debra
authors.initials: D
authors.lastname: Roter
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001213:Asian; D001943:Breast Neoplasms / Q000175:diagnosis* / Q000208:ethnology; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D008327:Mammography / Q000706:statistics & numerical data; D008396:Maryland; D008403:Mass Screening / Q000379:methods* / Q000706:statistics & numerical data; D008875:Middle Aged; D010342:Patient Acceptance of Health Care; D011795:Surveys and Questionnaires; D014481:United States