The 130th Annual Meeting of APHA

5014.0: Wednesday, November 13, 2002 - 9:05 AM

Abstract #41291

Breast cancer risk factors and screening among Cambodian American women

Shin-Ping Tu, MD, MPH1, Nadine L. Chan, MPH2, Yutaka Yasui, PhD3, Alan Kuniyuki, MS4, J. Carey Jackson, MD, MA, MPH5, and Victoria M. Taylor, MD, MPH3. (1) General Internal Medicine, Harborview Medical Center, 325 9th Avenue, Box 359780, Seattle, WA 98104, 206-731-4236, shinping@u.washington.edu, (2) Public Health Sciences Division/Cancer Prevention Research Program, Fred Hutchinson Cancer Research Center, 1100 Fairview Ave. N., MP702, PO Box 19024, Seattle, WA 98109-1024, (3) Cancer Prevention Research Program, Fred Hutchinson Cancer Research Center, 1101 Fairview Ave. N., MP702, PO Box 19024, Seattle, WA 98109-1024, (4) Public Health Sciences/SCHARP, Fred Hutchinson Cancer Research Center, Seattle, WA, 1100 Fairview Ave N., MP-1195, PO Box 19024, Seattle, WA 98109-1024, (5) Refugee & Immigrant Health Promotion Program, Harborview Medical Center, 325 Ninth Avenue, Box 359780, Seattle, WA 98104

We previously reported that breast cancer screening among Cambodian-American women lagged behind the general US population. This study examined how breast cancer risk factors may be associated with screening. Bilingual, bicultural interviewers conducted surveys of Cambodian women at least 40 years of age (n=238) in Seattle, Washington during 1999. The questionnaire included items about breast cancer risk factors and screening practices. Our findings show the average age at menarche was 16 years (SD=2) while average age at menopause was 49 years (SD=5). Most women had given birth to children (97%), with the average age at delivery of their first child being 22 years (SD=4). About one third of women had ever used estrogen for menopause. Also, a third of women had ever used birth control pills. Three women (1%) had been diagnosed with breast cancer, with the average age at diagnosis being 43 years (SD=2). Twenty-four women (10%) had a relative who had breast cancer. Women who had a clinical breast exam (CBE) were younger than women who had not (53 years of age vs 59 years of age, p<.001). Also, those who had ever taken birth control pills were more likely to have had a CBE compared to women who had never used the pills (81% vs 66%, p<.05). Cambodian-American women appear to have low prevalence of breast cancer risk factors. Breast cancer screening promotion among Cambodian-American women should continue, especially as this young group grows more acculturated.

Learning Objectives:

Keywords: Asian and Pacific Islander 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.

Assessing Disparities in Health Status and Health Care for Immigrants and Refugees in the United States

The 130th Annual Meeting of APHA