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ABSTRACT: Breast and Cervical Cancer Screening among Chinese American
Women
Purpose: The purpose of this study was to describe breast and
cervical cancer screening knowledge and practices of a representative
sample of Chinese American women and to examine the factors associated
with screening practices.
Results: The results showed a low level of knowledge of cancer
screening tests and low use rates. Multiple logistics regression
analysis showed that women with spoken English fluency were more
likely to have knowledge and use of CBE, BSE, Pap test, and mammograms.
Women with better than an elementary education were more likely
to have knowledge and use of CBE, BSE, and Pap test. The source
of medical care was statistically significant for having had
a mammogram. Knowledge of cancer warning signs and symptoms was
significant for knowledge of mammogram and BSE and for the use
of BSE.
Clinical implications: Multiple strategies are needed.
These might
include the following:
1) integration of research with population-based
care by physicians and scientists;
2) coordinated public health
education on cancer screening and postscreening support in Chinese
languages; and
3) replication of the NHIS survey methodology
and adaptive application of these instruments across several
states and regions, combined with the assessment of screening
performance in Chinese American populations.
04/06/2001; Cancer Practice
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