220663 Role of acculturation in explaining breast cancer prevention behaviors among immigrant Asian Indian women in the United States

Tuesday, November 9, 2010

Farha Marfani , Health, Behavior & Society, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD
Rajiv N. Rimal, PhD , Department of Health, Behavior and Society, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD
Hee-Soon Juon, PhD , Department of Health, Behavior and Society, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD
Background: One out of eight Asian Indian women is expected to get breast cancer. Asian women immigrants to the United States have higher breast cancer rates compared to their counterparts in their native countries. Immigrant Indian women have low rates of breast screening practices, and their information needs are not fully met. Risk perception, efficacy, and anxiety generally have been linked to breast cancer prevention behaviors. This project seeks to understand the influence of acculturation on risk, efficacy, and anxiety on breast cancer screening and information seeking practices among immigrant Asian Indian women. Methods:In-person interviews were conducted among a convenient sample of immigrant Indian women (N=413). Average age was 54.2 years (SD=9.4) and average number of years in the US was 20.1 years (SD=11.2). Results: More information was sought by women with greater efficacy (β =0.24, p<.001) and anxiety (β =0.14, p<0.01). Acculturation was a significant predictor of frequency of breast self-exams (β=0.13, p<.05), clinical breast exams (β=0.30, p<.001), and mammography (β=0.34, p<.001). Efficacy also predicted breast self-exams (β=0.35, p<.001) and clinical breast exams (β=0.13, p<0.01). Conclusion: Self-efficacy and acculturation are clearly important constructs for understanding motivations for breast cancer screening among immigrant Asian Indian women. Well-acculturated women with greater efficacy were much more likely to engage in preventive behaviors. Efficacy and anxiety are also important in understanding information-seeking behaviors. Health communication efforts for promoting breast health among immigrants should consider how efficacy can be enhanced, and they need to pay attention to the role of acculturation among immigrants.

Learning Areas:
Assessment of individual and community needs for health education
Diversity and culture
Planning of health education strategies, interventions, and programs
Public health or related education
Public health or related research
Social and behavioral sciences

Learning Objectives:
1. Identify factors related to breast cancer prevention behaviors, as they pertain to immigrants 2. Apply concepts from health behavior change theory in an intervention setting

Keywords: Breast Cancer, Immigrants

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I was involved in the conceptualization, data analysis, and writing of the abstract
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.