Skip to main content

Advertisement

SpringerLink
Log in

Factors Influencing Mammography Uptake Following a Screening Intervention among Asian American Women: A Systematic Review

  • Review Paper
  • Published:
Journal of Immigrant and Minority Health Aims and scope Submit manuscript

Abstract

Asian American women, both immigrant and US-born, are known to have low mammography screening rates. To reduce health disparities and address community health needs, we undertook a systematic review to identify factors that affect mammography uptake among Asian American women following a mammography screening intervention. Following the PRISMA guidelines, we searched four databases and selected 12 studies that met our inclusion criteria. We identified 22 relevant factors and developed a new conceptual model that comprehensively captures these sociodemographic; cultural; knowledge, attitude, and perception; health history; health care accessibility and availability; and intervention factors, including components and mode of intervention. This conceptual model can be used to guide development of interventions that effectively promote mammography screening. Future research should focus on the effect of acculturation on screening behaviors and the importance of culturally tailored intervention and information-sharing elements to improving mammography screening among Asian Americans.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2

Similar content being viewed by others

References

  1. Heron M. Deaths leading causes for 2017. National vital statistics reports. Natl Center Health Stat. 2019;68:4.

    Google Scholar 

  2. DeSantis CE, Ma J, Gaudet MM, et al. Breast cancer statistics, 2019. CA: Cancer J Clin. 2019;69:438–51.

    Google Scholar 

  3. Gomez SL, Von Behren J, McKinley M, et al. Breast cancer in Asian Americans in California, 1988–2013: increasing incidence trends and recent data on breast cancer subtypes. Breast Cancer Res Treat. 2017;164:139–47.

    Article  Google Scholar 

  4. Morey BN, Gee GC, von Ehrenstein OS, et al. Higher breast cancer risk among immigrant asian american women than among us-born asian american women. Prev Chronic Dis. 2019;16:E20.

    Article  Google Scholar 

  5. American Cancer Society. Breast cancer facts & figures 2019–2020. Am. Cancer Soc. 2019. https://www.cancer.org/content/dam/cancer-org/research/cancer-facts-and-statistics/breast-cancer-facts-and-figures/breast-cancer-facts-and-figures-2019-2020.pdf.

  6. Gomez SL, Quach T, Horn-Ross PL, Pham JT, Cockburn M, Chang ET, Keegan TH, Glaser SL, Clarke CA. Hidden breast cancer disparities in Asian women: disaggregating incidence rates by ethnicity and migrant status. Am J Public Health. 2010;100:125–31.

    Article  Google Scholar 

  7. Society of breast imaging. mammography screening: facts and figures. 2020. https://www.sbi-online.org/endtheconfusion/FactsFigures.aspx.

  8. U.S. department of health and human services, centers for disease control and prevention, national center for health statistics. Health, United States, 2018. https://www.cdc.gov/nchs/data/hus/hus18.pdf.

  9. Lin CH, Yap YS, Lee KH, et al. The Asian Breast Cancer Cooperative Group Contrasting epidemiology and clinicopathology of female breast cancer in Asians versus the US population. J Natl Cancer Inst. 2019;111(12):djz090.

    Article  Google Scholar 

  10. Lu M, Moritz S, Lorenzetti D, Sykes L, Straus S, Quan H. A systematic review of interventions to increase breast and cervical cancer screening uptake among Asian women. BMC Public Health. 2012;12:413.

    Article  Google Scholar 

  11. Oh KM, Taylor KL, Jacobsen KH. Breast cancer screening among Korean Americans: a systematic review. J Community Health. 2017;42:324–32.

    Article  Google Scholar 

  12. Gu J, Maxwell AE, Ma GX, Qian X, Tan Y, Hsieh HC, Tu SP, Wang JH. Evaluating the training of Chinese-speaking community health workers to implement a small-group intervention promoting mammography. J Cancer Educ. 2019;15:705–11.

    Article  Google Scholar 

  13. Sadler GR, Beerman PR, Lee K, Hung J, Nguyen H, Cho J, Huang W. Promoting breast cancer screening among Asian American women: the Asian grocery store-based cancer education program. J Cancer Educ. 2012;1:612–7.

    Article  Google Scholar 

  14. Wilson IB, Cleary PD. Linking clinical variables with health-related quality of life: a conceptual model of patient outcomes. JAMA. 1995;273(1):59–65.

    Article  CAS  Google Scholar 

  15. Ferrans CE, Zerwic JJ, Wilbur JE, Larson JL. Conceptual model of health-related quality of life. J Nurs Scholarsh. 2005;37(4):336–42.

    Article  Google Scholar 

  16. Jang MK, Hershberger PE, Kim S, et al. Factors influencing surveillance mammography adherence among breast cancer survivors. Oncol Nurs Forum. 2019;46:701–14.

    Article  Google Scholar 

  17. Moher D, Liberati A, Tetzlaff J, Altman DG, The PRISMA Group. Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. Ann Intern Med. 2009;151(4):264–9.

    Article  Google Scholar 

  18. National Cancer Institute, National Heart, Lung, and Blood Institute. Study Quality Assessment Tools, 2020. https://www.nhlbi.nih.gov/health-topics/study-quality-assessment-tools.

  19. Melnyk B, Fineout-Overholt E. Box 1.3: Rating system for the hierarchy of evidence for intervention/treatment questions. Evidence-based practice in nursing & healthcare: A guide to best practice 2015:11.

  20. Jenkins CN, McPhee SJ, Bird JA, et al. Effect of a media-led education campaign on breast and cervical cancer screening among Vietnamese-American women. Prev Med. 1999;28:395–406.

    Article  CAS  Google Scholar 

  21. Tu S, Taplin SH, Barlow WE, Boyko EJ. Breast cancer screening by Asian-American women in a managed care environment. Am J Prev Med. 1999;17:55–61.

    Article  CAS  Google Scholar 

  22. Maxwell AE, Bastani R, Vida P, Warda US. Results of a randomized trial to increase breast and cervical cancer screening among Filipino American women. Prev Med. 2003;37:102–9.

    Article  Google Scholar 

  23. Juon H, Choi S, Klassen A, Roter D. Impact of breast cancer screening intervention on Korean-American women in Maryland. Cancer Detect Prev. 2006;30:297–305.

    Article  Google Scholar 

  24. Sun A, Zhang J, Tsoh J, Wong-Kim E, Chow E. The effectiveness in utilizing Chinese media to promote breast health among Chinese women. J Health Commun. 2007;12:157–71.

    Article  Google Scholar 

  25. Han H, Lee H, Kim M, Kim K. Tailored lay health worker intervention improves breast cancer screening outcomes in non-adherent Korean-American women. Health Educ Res. 2009;24:318–29.

    Article  Google Scholar 

  26. Maxwell AE, Wang JH, Young L, et al. Pilot test of a peer-led small-group video intervention to promote mammography screening among Chinese American immigrants. Health promot pract. 2011;12:887–99.

    Article  Google Scholar 

  27. Wang JH, Schwartz MD, Brown RL, et al. Results of a randomized controlled trial testing the efficacy of a culturally targeted and a generic video on mammography screening among Chinese American immigrants. Cancer Epidemiol Biomarkers Prev. 2012;21:1923–32.

    Article  Google Scholar 

  28. Lee E, Menon U, Nandy K, et al. The effect of a couples intervention to increase breast cancer screening among Korean Americans. Oncol Nurs Forum. 2014;41:185–93.

    Article  Google Scholar 

  29. Sun Y, Sarma EA, Moyer A, Messina CR. Promoting mammography screening among Chinese American women using a message-framing intervention. Patient Educ Couns. 2015;98:878–83.

    Article  Google Scholar 

  30. Wu TY, Lin C. Developing and evaluating an individually tailored intervention to increase mammography adherence among Chinese American women. Cancer Nurs. 2015;38:40–9.

    Article  Google Scholar 

  31. Han H, Song Y, Kim M, et al. Breast and cervical cancer screening literacy among Korean American women: a community health worker-led intervention. Am J Public Health. 2017;107:159–65.

    Article  Google Scholar 

  32. National Cancer Institute, Surveillance, Epidemiology, and End results Program. Cancer Stat Facts: Female Breast Cancer 2020. https://seer.cancer.gov/statfacts/html/Breast.html.

  33. Fan L, Goss PE, Strasser-Weippl K. Current status and future projections of breast cancer in Asia. Breast Care (Basel). 2015;10:372–8.

    Article  Google Scholar 

  34. Ryu SY, Crespi CM, Maxwell AE. What factors explain disparities in mammography rates among Asian-American immigrant women? A population-based study in California. Womens Health Issues. 2013;23:403–10.

    Article  Google Scholar 

  35. Shoemaker ML, White MC. Breast and cervical cancer screening among Asian subgroups in the USA: estimates from the National Health Interview Survey, 2008, 2010, and 2013. Cancer Causes Control. 2016;27:825–9.

    Article  Google Scholar 

  36. Hsia J, Kemper E, Kiefe C, et al. The importance of health insurance as a determinant of cancer screening: evidence from the Women’s Health Initiative. Prev Med. 2000;31:261–70.

    Article  CAS  Google Scholar 

  37. Lee S, Chen L, Jung MY, Baezconde-Garbanati L, Juon H. Acculturation and cancer screening among Asian Americans: role of health insurance and having a regular physician. J Community Health. 2014;39:201–12.

    Article  Google Scholar 

  38. Andrews CS. Modesty and healthcare for women: understanding cultural sensitivities. Community Oncol. 2006;7:443–6.

    Article  Google Scholar 

  39. Guimond ME, Salman K. Modesty matters: cultural sensitivity and cervical cancer prevention in Muslim women in the United States. Nurs Womens Health. 2013;17:210–7.

    Article  Google Scholar 

  40. Dareng EO, Jedy-Agba E, Bamisaye P, et al. Influence of spirituality and modesty on acceptance of self-sampling for cervical cancer screening. PLoS One. 2015;10:e0141679.

    Article  Google Scholar 

  41. Ogedegbe G, Cassells AN, Robinson CM, et al. Perceptions of barriers and facilitators of cancer early detection among low-income minority women in community health centers. J Natl Med Assoc. 2005;97:162–70.

    PubMed  PubMed Central  Google Scholar 

  42. Poonawalla IB, Goyal S, Mehrotra N, Allicock M, Balasubramanian BA. Attitudes of South Asian women to breast health and breast cancer screening: findings from a community-based sample in the United States. Asian Pac J Cancer Prev. 2014;15:8719–24.

    Article  Google Scholar 

  43. Cohen M. Breast cancer early detection, health beliefs, and cancer worries in randomly selected women with and without a family history of breast cancer. Psychooncology: J Psychol, Soc Behav Dimens Cancer. 2006;15:873–83.

    Article  Google Scholar 

  44. Coughlin SS, Leadbetter S, Richards T, Sabatino SA. Contextual analysis of breast and cervical cancer screening and factors associated with health care access among United States women, 2002. Soc Sci Med. 2008;66:260–75.

    Article  Google Scholar 

  45. Lee S. Cultural factors associated with breast and cervical cancer screening in Korean American women in the US: an integrative literature review. Asian Nurs Res. 2015;9:81–90.

    Article  Google Scholar 

Download references

Acknowledgements

This work was supported by the National Institute of Nursing Research of the National Institutes of Health (K24NR015340). The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health. This work was supported by the University of Illinois at Chicago Asian American Cancer Initiative.

Author information

Authors and Affiliations

  1. Department of Biobehavioral Nursing Science, College of Nursing, University of Illinois at Chicago, Chicago, IL, USA

    Min Kyeong Jang, Asha Mathew, Hongjin Li & Ardith Z. Doorenbos

  2. Cancer Survivorship Program, University of Illinois Cancer Center, 818 S Wolcott Ave, Chicago, IL, 60612, USA

    Min Kyeong Jang, Tamara Hamlish, Esther Rhee, Hongjin Li & Ardith Z. Doorenbos

  3. Division of Community Health Sciences, School of Public Health, University of Illinois at Chicago, Chicago, IL, USA

    Davyd W. Chung

  4. Department of Medicine, College of Medicine, University of Illinois at Chicago, Chicago, IL, USA

    Esther Rhee

  5. College of Nursing, Christian Medical College, Vellore, India

    Asha Mathew

Authors
  1. Min Kyeong Jang
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Davyd W. Chung
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Tamara Hamlish
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Esther Rhee
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Asha Mathew
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. Hongjin Li
    View author publications

    You can also search for this author in PubMed Google Scholar

  7. Ardith Z. Doorenbos
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Min Kyeong Jang.

Ethics declarations

Conflict of interest

The authors declare that they have no conflict of interest.

Ethical Approval

This article does not contain any studies with human participants or animals performed by any of the authors.

Additional information

Publisher's Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Jang, M.K., Chung, D.W., Hamlish, T. et al. Factors Influencing Mammography Uptake Following a Screening Intervention among Asian American Women: A Systematic Review. J Immigrant Minority Health 23, 1293–1304 (2021). https://doi.org/10.1007/s10903-021-01172-0

Download citation

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10903-021-01172-0

Keywords

Search

Navigation