Impact of breast cancer screening intervention on Korean-American women in Maryland.
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.
Juon
Hee-Soon
HS
Department of Health, Behavior & Society, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD 21205, USA. hjuon@jhsph.edu
Choi
Seunghee
S
Klassen
Ann
A
Roter
Debra
D
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