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Canadian Journal of Public Health

, Volume 94, Issue 4, pp 275–280 | Cite as

Screening Mammography Among Chinese Canadian Women

  • Sara L. Jackson
  • T. Greg Hislop
  • Chong Teh
  • Yutaka Yasui
  • Shin-Ping Tu
  • Alan Kuniyuki
  • J. Carey Jackson
  • Vicky M. Taylor
Article

Abstract

Background

Though breast cancer is the most common malignancy among Chinese women, screening mammography is underutilized. This study examined barriers and facilitators of screening mammography among Chinese Canadian women.

Methods

Using community-based sampling, Chinese women in British Columbia were interviewed in 1999 about multiple preventive health behaviours. We included 213 women in the mammography analysis; main outcome measures were ever having a mammogram and routine mammography.

Results

Seventy-five percent of women 50 to 79 years old reported ever having had a mammogram, and 53% had two or more mammograms within the last five years. Receiving a recommendation for a mammogram from medical personnel or from a family member, and believing that cancer cannot be prevented by faith were independently associated with both screening outcomes.

Conclusions

A multifaceted approach to screening mammography promotion in Chinese Canadian women is suggested. Interventions that include education of and by medical providers and family members should be considered.

Résumé

Contexte

Le cancer du sein est la tumeur maligne la plus répandue chez les Chinoises, mais la mammographie de dépistage est sous-utilisée. L’étude porte sur les obstacles et les facteurs facilitants de cet outil de dépistage chez les Canadiennes d’origine chinoise.

Méthode

Par échantillonnage à L’échelon de la collectivité, nous avons interviewé des Chinoises de Colombie-Britannique en 1999 au sujet de divers comportements préventifs liés à la santé. L’analyse des données sur la mammographie portait sur 213 femmes; nos principaux indicateurs de résultats étaient le fait d’avoir déjà eu une mammographie et le fait d’en avoir périodiquement.

Résultats

Soixante-quinze p. cent des femmes de 50 à 79 ans ont dit avoir déjà eu une mammographie, et 53 % en avaient eu deux ou plus au cours des cinq années précédentes. Les deux indicateurs étaient indépendamment associés au fait qu’un membre du personnel médical ou de la famille ait recommandé une mammographie et à la conviction que la foi ne peut prévenir le cancer.

Conclusion

Nous suggérons une approche multidimensionnelle pour la promotion de la mammographie de dépistage auprès des Canadiennes d’origine chinoise. Il faudrait envisager des mesures comme la sensibilisation des dispensateurs de soins médicaux et des membres de la famille.

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Copyright information

© The Canadian Public Health Association 2003

Authors and Affiliations

  • Sara L. Jackson
    • 1
  • T. Greg Hislop
    • 2
  • Chong Teh
    • 2
  • Yutaka Yasui
    • 3
  • Shin-Ping Tu
    • 3
  • Alan Kuniyuki
    • 3
  • J. Carey Jackson
    • 1
  • Vicky M. Taylor
    • 3
    • 4
  1. 1.Department of MedicineUniversity of WashingtonSeattleCanada
  2. 2.Cancer Control Research, British Columbia Cancer AgencyVancouverCanada
  3. 3.Division of Public Health SciencesFred Hutchinson Cancer Research CenterSeattleCanada
  4. 4.Department of Health ServicesUniversity of WashingtonSeattleCanada

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