title: Breast Cancer and Mammography Screening: Knowledge, Beliefs and Predictors for Asian Immigrant Women Attending a Specialized Clinic in British Columbia, Canada.
abstract: Screening mammography (MMG) reduces breast cancer mortality; however, Asian immigrant women underutilize MMG. The Asian Women's Health Clinic (AWHC) was established to promote women's cancer screening amongst this population. This study evaluated the rate, and predictors, of MMG amongst women attending the AWHC. Women (N = 98) attending the AWHC completed a questionnaire. Descriptive statistics and multivariable logistic regression evaluated rate and predictors of MMG. Most participants (87 %, n = 85) reported having had a mammogram. Significant MMG predictors were: lower perceived MMG barriers [lifetime: OR (CI) 1.19 (1.01-1.49); past 2 years: OR (CI) 1.11 (1.01-1.25)], and knowing someone with breast cancer [past year: OR (CI) 3.42 (1.25-9.85); past 2 years: OR (CI) 4.91 (1.32-2.13)]. Even amongst women using preventive medicine, 13 % report never having had a mammogram. More research is needed into innovative interventions, e.g. the AWHC, and breast cancer-related outcomes amongst Asian immigrant women.
authors.affiliation: Women's Health Research Institute, Women's Hospital and Health Centre, Vancouver, BC, Canada. catriona.hippman@ubc.ca.|Department of Psychiatry, University of British Columbia, Translational Research Building, 3rd Floor-938 West 28th Avenue, Vancouver, BC, V5Z 4H4, Canada. catriona.hippman@ubc.ca.|BC Mental Health and Addictions Research Institute, BC Mental Health and Substance Use Services, Vancouver, BC, Canada. catriona.hippman@ubc.ca.
authors.forename: Catriona
authors.initials: C
authors.lastname: Hippman
authors.affiliation: Women's Health Research Institute, Women's Hospital and Health Centre, Vancouver, BC, Canada.
authors.forename: Arezu
authors.initials: A
authors.lastname: Moshrefzadeh
authors.affiliation: Women's Health Research Institute, Women's Hospital and Health Centre, Vancouver, BC, Canada.
authors.forename: Zoe
authors.initials: Z
authors.lastname: Lohn
authors.affiliation: Women's Health Research Institute, Women's Hospital and Health Centre, Vancouver, BC, Canada.
authors.forename: Zoë G
authors.initials: ZG
authors.lastname: Hodgson
authors.affiliation: Women's Health Research Institute, Women's Hospital and Health Centre, Vancouver, BC, Canada.
authors.forename: Kathryn
authors.initials: K
authors.lastname: Dewar
authors.affiliation: Women's Health Research Institute, Women's Hospital and Health Centre, Vancouver, BC, Canada.|Asian Women's Health Clinic, Women's Hospital and Health Centre, Vancouver, BC, Canada.
authors.forename: Melanie
authors.initials: M
authors.lastname: Lam
authors.affiliation: Women's Health Research Institute, Women's Hospital and Health Centre, Vancouver, BC, Canada.
authors.forename: Arianne Y K
authors.initials: AY
authors.lastname: Albert
authors.affiliation: Asian Women's Health Clinic, Women's Hospital and Health Centre, Vancouver, BC, Canada.
authors.forename: Juliet
authors.initials: J
authors.lastname: Kwong
mesh_terms: D000328:Adult; D000368:Aged; D044466:Asian People / Q000706:statistics & numerical data*; D001943:Breast Neoplasms / Q000175:diagnosis / Q000208:ethnology* / Q000517:prevention & control; D001955:British Columbia / Q000453:epidemiology; D003430:Cross-Sectional Studies; D055088:Early Detection of Cancer / Q000706:statistics & numerical data*; D054242:Emigrants and Immigrants / Q000706:statistics & numerical data*; D005260:Female; D007722:Health Knowledge, Attitudes, Practice / Q000208:ethnology; D006801:Humans; D016015:Logistic Models; D008327:Mammography / Q000706:statistics & numerical data*; D008875:Middle Aged; D010342:Patient Acceptance of Health Care / Q000208:ethnology; D012959:Socioeconomic Factors; D016387:Women's Health
keywords: Asian; Breast cancer; Canada; Immigrant; Mammography