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The 130th Annual Meeting of APHA |
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The 130th Annual Meeting of APHA |
Cindy A. Leong-Wu, MPH, School of Public Health, University of Texas Houston, 7000 Fannin, 2554H, Houston, TX 77030, 713-500-9627, cleong@sph.uth.tmc.edu and Maria E. Fernandez, PhD, Center for Health Promotion and Prevention Research, University of Texas Houston, 7000 Fannin, School of Public Health UCT 2558, Houston, TX 77030.
Objectives: This study examines the correlates of mammogram utilization among a cross section of Asian American women recruited through the ENCOREplus program, a community-based program disseminated by YWCA sites nationally. Andersen’s behavioral model of health services utilization was applied as a framework to explore these correlates.
Methods: Two dependent variables were used to characterize breast cancer screening: ever had a mammogram, and adherence to mammography screening guidelines. A descriptive group comparison design was used to compare the groups of Asian American women 40 years old and greater at baseline. Logistic regression was conducted in this secondary analysis of data from the ENCOREplus program from July 1996 to June 1998, to examine the roles of predisposing, enabling and need factors in relation to screening status.
Results: Cost was a barrier. There was also a lack of recognition of the terms “mammogram” or “mammography.” Foreign born Asian American women who had been in the United States greater than 10 years, who had more than six years of education, were between 50 and 64 years old and who had a family history of breast cancer, were more likely to have ever had a mammogram. Women were less likely to be adherent if they were foreign born and had lived in the United States less than five years, were between 40 and 49 years old, and had no insurance.
Conclusions: Policy work needs to be directed to improving access to health care. Education about mammography among Asian American women also needs to be increased.
Learning Objectives:
Keywords: Asian Women, Breast Cancer Screening
Presenting author's disclosure statement:
I do not have any significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.