Journal of Cancer Education

, Volume 27, Issue 4, pp 612–617 | Cite as

Promoting Breast Cancer Screening Among Asian American Women: the Asian Grocery Store-Based Cancer Education Program

  • Georgia Robins SadlerEmail author
  • Paula R. Beerman
  • Kathy Lee
  • Jenny Hung
  • Helene Nguyen
  • Janet Cho
  • Wennie Huang


Asian American women's historically low breast cancer mortality rate has remained constant as rates decreased for all other races. From 2000 to 2004, a randomized controlled trial explored the Asian grocery store-based breast cancer education program's impact on Chinese, Filipino, Korean, and Vietnamese women (n = 1,540). Women aged 40 and older and non-adherent for annual screening mammograms were more likely to schedule a mammogram after receiving the breast cancer education program than women randomized to the prostate cancer program (X 2 = 3.85, p = 0.05). With the right program ingredients, late adopters of breast cancer screening can be prompted to change.


Breast cancer Asian grocery stores Asian American Chinese Filipino Korean Vietnamese 



This project was funded by a series of annual grants from the San Diego Affiliate of the Susan G. Komen for the Cure, the National Cancer Institute's R25-CA65745, the Cancer Center Core Grant #5 P30 CA023100, and the Minority Institution/Cancer Center Partnership Program grants U56 CA92079, U56 CA92081, U54CA132379, and U54 CA132384 as well as the National Institutes of Health's Division of National Center on Minority Health and Health Disparities EXPORT grant P60MD00220. The manuscript's contents are the sole responsibility of the authors and do not necessarily represent the official beliefs of the funding agencies. The authors also wish to thank the American Cancer Society, the National Cancer Institute, and the San Diego Union of Pacific Asian Communities for their guidance and generous contribution of printed educational materials and the participating grocery stores.


  1. 1.
    Ahmad F, Cameron JI, Stewart DE (2005) A tailored intervention to promote breast cancer screening among South Asian immigrant women. Soc Sci Med 60:575–586PubMedCrossRefGoogle Scholar
  2. 2.
    American Cancer Society (2009) Cancer prevention & early detection facts & figures 2009Google Scholar
  3. 3.
    California Cancer Registry (2006) Cancer in California, 2005. Available from URL: Accessed 2 Apr 2007
  4. 4.
    Chen MS Jr (2005) Cancer health disparities among Asian Americans: what we do and what we need to do. Cancer 104:2895–2902PubMedCrossRefGoogle Scholar
  5. 5.
    Deapen D, Liu L, Perkins C, Bernstein L, Ross RK (2002) Rapidly rising breast cancer incidence rates among Asian-American women. Int J Cancer 99:747–750PubMedCrossRefGoogle Scholar
  6. 6.
    Gladwell M (2002) The tipping point: how little things can make a big difference. Bay Back Books, New YorkGoogle Scholar
  7. 7.
    McCaskill-Stevens W, McKinney MM, Whitman CG, Minasian LM (2005) Increasing minority participation in cancer clinical trials: the minority-based community clinical oncology program experience. J Clin Oncol 23:5247–5254PubMedCrossRefGoogle Scholar
  8. 8.
    Pineda MD, White E, Kristal AR, Taylor V (2001) Asian breast cancer survival in the US: a comparison between Asian immigrants, US-born Asian Americans and Caucasians. Int J Epidemiol 30:976–982PubMedCrossRefGoogle Scholar
  9. 9.
    Rogers EM (2003) Diffusion of innovations. Simon & Schuster, Inc., New YorkGoogle Scholar
  10. 10.
    Sadler GR, Dhanjal SK, Shah NB et al (2001) Asian Indian women: knowledge, attitudes and behaviors toward breast cancer early detection. Public Health Nurs 18:357–363PubMedCrossRefGoogle Scholar
  11. 11.
    Sadler GR, Dong HS, Ko CM, Luu TT, Nguyen HP (2001) Vietnamese American women: breast cancer knowledge, attitudes, and screening adherence. Am J Health Promot 15:211–214, iiPubMedCrossRefGoogle Scholar
  12. 12.
    Sadler GR, Fullerton JT (2001) Effective strategies that enhance adherence to breast cancer screening guidelines. Breast Dis 13:3–12Google Scholar
  13. 13.
    Sadler GR, Hung J, Beerman PR, Chen M, Chow J, Chan N (2009) Then and now: comparison of baseline breast cancer screening rates at 2 time intervals. J Cancer Educ 24:4–9PubMedCrossRefGoogle Scholar
  14. 14.
    Sadler GR, Nguyen F, Doan Q, Au H, Thomas AG (1998) Strategies for reaching Asian Americans with health information. Am J Prev Med 14:224–228PubMedCrossRefGoogle Scholar
  15. 15.
    Sadler GR, Ryujin L, Nguyen T, Oh G, Paik G, Kustin B (2003) Heterogeneity within the Asian American community. Int J Equity Health 2:12PubMedCrossRefGoogle Scholar
  16. 16.
    Sadler GR, Ryujin LT, Ko CM, Nguyen E (2001) Korean women: breast cancer knowledge, attitudes and behaviors. BMC Publ Health 1:7CrossRefGoogle Scholar
  17. 17.
    Sadler GR, Takahashi M, Ko C, Nguyen T (2003) Japanese American women: behaviors and attitudes toward breast cancer education and screening. Health Care Women Int 24:18–26PubMedGoogle Scholar
  18. 18.
    Sadler GR, Thomas AG, Yen JY et al (2000) Breast cancer education program based in Asian grocery stores. J Cancer Educ 15:173–177PubMedGoogle Scholar
  19. 19.
    Sadler GR, Wang K, Wang M, Ko CM (2000) Chinese women: behaviors and attitudes toward breast cancer education and screening. Womens Health Issues 10:20–26PubMedCrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media New York 2012

Authors and Affiliations

  • Georgia Robins Sadler
    • 1
    Email author
  • Paula R. Beerman
    • 1
  • Kathy Lee
    • 1
  • Jenny Hung
    • 1
  • Helene Nguyen
    • 1
  • Janet Cho
    • 1
  • Wennie Huang
    • 1
  1. 1.Moores UCSD Cancer CenterUniversity of California, San DiegoLa JollaUSA

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