title: Mammography Screening of Chinese Immigrant Women: Ever Screened Versus Never Screened.
abstract: OBJECTIVE
  To compare the differences in mammogram completion rates over time between Chinese American women with and without a history of mammogram screening .
  
  
  METHODS
  Secondary analysis of a randomized, controlled intervention study.
  
  
  METHODS
  Metropolitan areas of Portland, Oregon.
  
  
  METHODS
  300 foreign-born Chinese immigrant women aged 40 years or older. Of these, 83 women (28%) had never had a mammogram.
  
  
  METHODS
  Participants who had not been screened with a mammogram within the past 12 months were randomized into either an education group or a control (brochure) group. All participants completed a baseline survey, which was administered again at 3, 6, and 12 months .
  
  
  METHODS
  Mammography history, breast cancer knowledge, perceived risks, susceptibility, benefits, and common and cultural barriers .
  
  
  RESULTS
  Women who had never been screened were less likely to have insurance, a regular healthcare provider, or to have been instructed to have a mammogram. Postintervention in the education group, mammogram completion was not significantly different between those with or without a history of screening (p = 0.52). In the control brochure group, significantly more women with a history of screening had a mammogram (p = 0.03).
  
  
  CONCLUSIONS
  Practitioners must be aware of differential effects of education on mammography cancer screening based on women's history of screening .
  
  
  CONCLUSIONS
  Print material may not be as effective with women who have never been screened with a mammogram. Targeted approaches based on such understanding has the potential to decrease the breast cancer screening disparity among Chinese immigrant women .
authors: Frances
authors: F
authors: Lee-Lin
authors: Oregon Health and Science University.
authors: Thuan
authors: T
authors: Nguyen
authors: Oregon Health and Science University.
authors: Nisreen
authors: N
authors: Pedhiwala
authors: Oregon Health and Science University in Portland.
authors: Nathan
authors: N
authors: Dieckmann
authors: Oregon Health and Science University.
authors: Usha
authors: U
authors: Menon
mesh_terms: D000328:Adult; D001943:Breast Neoplasms / Q000000981:diagnostic imaging* / Q000517:prevention & control; D002681:China / Q000208:ethnology; D055088:Early Detection of Cancer / Q000379:methods*; D054242:Emigrants and Immigrants; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D008327:Mammography / Q000706:statistics & numerical data*; D008875:Middle Aged; D010342:Patient Acceptance of Health Care / Q000706:statistics & numerical data*; D011795:Surveys and Questionnaires
keywords: Chinese immigrant women; breast cancer screening; cancer screening education; mammography screening