The 131st Annual Meeting (November 15-19, 2003) of APHA

The 131st Annual Meeting (November 15-19, 2003) of APHA

3105.0: Monday, November 17, 2003 - 11:30 AM

Abstract #56934

Evaluation of an educational program on Chinese and Vietnamese American women’s breast health screening experiences

Jeanette M Lim, MPH1, Shin-Ping Tu, MD, MPH2, Lorrie Alfonsi, MSW3, Veronica Kim, RN3, Kathy Lin, BN3, May Lo, RN3, and Beatrice Wo3. (1) ICHS NW Office, Harborview Medical Center/University of Washington, P.O. Box 3007, Seattle, WA 98114, (2) Division of General Internal Medicine, Harborview Medical Center, Box 359780, 325 Ninth Avenue, Seattle, WA 98104, 206-731-4236,, (3) NW Office, International Community Health Services, P.O. Box 3007, Seattle, WA 98114

Breast cancer is the most common major malignancy among several Asian American ethnic groups. Studies also show Asian American women are less likely to follow-up with abnormal mammograms compared to white women.

Our study objectives included evaluating the effectiveness and acceptability of a linguistically and culturally tailored brochure on Chinese and Vietnamese American women’s experience with mammograms.

Study respondents were 255 women (77.2% Cantonese, 10.2% Mandarin and 11.8% Vietnamese) who received mammograms at a Seattle community clinic. Our results are based on data from the posttest (50% complete). All women who read the new brochure (intervention group) reported they were satisfied with the brochure: 42.3% stated the brochure helped them understand mammograms “a lot”. Most women (80.8%) said that reading the brochure did not make them feel anxious. Over 80% of the intervention group said the amount of information provided was “just enough”. Twice as many women in the control group (32.3%) felt they did not receive enough information as compared to 18.5% of those who received the brochure. A statistically significant proportion of the intervention group stated that they were satisfied with the overall Breast and Cervical Health Program as compared with the control group (p=.034).

Our results suggest that comprehensive breast health education that is culturally and linguistically appropriate is effective in improving Chinese and Vietnamese American women’s experience of mammograms. In addition to promoting mammography screening, efforts to inform Chinese and Vietnamese American women on subsequent diagnostic procedures and basic treatment options are warranted.

Learning Objectives:

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.

Health Issues of Asian American and Pacific Islander Women

The 131st Annual Meeting (November 15-19, 2003) of APHA