A breast health educational program for Chinese-American women: 3- to 12-month postintervention effect.
OBJECTIVE
To test the efficacy of a culturally targeted breast cancer screening educational program in increasing mammogram completion in Chinese-American immigrant women.


METHODS
Randomized controlled study.


METHODS
Chinese communities, Portland, Oregon.


METHODS
From April 2010 to September 2011, 300 women were randomized to receive a theory-based, culturally targeted breast cancer screening educational intervention (n = 147) or a mammography screening brochure published by the National Cancer Institute (n = 153).


METHODS
The two-part intervention consisted of group teaching with targeted, theory-based messages followed by individual counseling sessions.


METHODS
Mammography completion, perceived susceptibility, perceived benefits, perceived barriers, perceived cultural barriers, and demographic variables.


METHODS
A 2 × 3 mixed logistic model was applied to determine odds ratio of mammogram completion.


RESULTS
Behavior changed in both groups, with a total of 170 participants (56.7%) reporting a mammogram at 12 months. The logistic model indicated increased odds of mammogram completion in the intervention compared to the control group at 3, 6, and 12 months. When controlling for marital status, age, and age moved to the United States, the intervention group was nine times more likely to complete mammograms than the control group.


CONCLUSIONS
The culturally targeted educational program significantly increased mammogram use among Chinese immigrant women. Further testing of effectiveness in larger community settings is needed. The intervention may also serve as a foundation from which to develop education to increase cancer screening among other minority subgroups.
Frances
F
Lee-Lin
Thuan
T
Nguyen
Nisreen
N
Pedhiwala
Nathan
N
Dieckmann
Usha
U
Menon
D000328:Adult; D001213:Asian; D001943:Breast Neoplasms / Q000175:diagnosis* / Q000208:ethnology*; D002681:China / Q000208:ethnology; D054521:Cultural Competency; D055088:Early Detection of Cancer; D054242:Emigrants and Immigrants; D005260:Female; D007722:Health Knowledge, Attitudes, Practice / Q000208:ethnology; D006293:Health Promotion / Q000458:organization & administration*; D006801:Humans; D008327:Mammography; D008875:Middle Aged; D010342:Patient Acceptance of Health Care / Q000208:ethnology; D014481:United States / Q000453:epidemiology
Cancer Screening Promotion; Chinese Immigrant Women; Chinese-American immigrants; Health focus: Medical self care; Mammography Screening; Manuscript format: research; Oregon; Outcome measure: behavioral; Portland; Prevention Research; Research purpose: intervention testing; Setting: local community; Strategy: education; Study design: randomized trial; Target population age: adults, seniors; Target population circumstances: all education levels, all income levels; Targeted Intervention