Breast cancer screening among Asian immigrant women in Canada

Sun, Zhonghao; Xiong, Hui; Kearney, Anne; Jin, Zhang; Liu, Wei; Huang, Guowei

doi:10.1016/j.canep.2009.12.001

Cited by 39 publications

(41 citation statements)

References 13 publications

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“…Despite this, screening rates are consistently low in Canada; in 2008, an estimated 60% of Canadians aged 50 and older reported never to have screened for colon cancer [4]. Even lower rates occur among many immigrant groups in North America [5,6], including Chinese-Americans who have been shown to be less likely to undergo colon cancer screening than the general population [7,8].…”

Section: Introductionmentioning

confidence: 98%

Predicting Health Literacy Among English-as-a-Second-Language Older Chinese Immigrant Women to Canada: Comprehension of Colon Cancer Prevention Information

Todd

Hoffman‐Goetz

2010

J Canc Educ

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Inadequate health literacy has been identified as a barrier to the utilization of health-care services, including cancer screening. This study examined predictors of health literacy among 106 older Chinese immigrant women to Canada and how colon cancer information presented in their first versus second language affected health literacy skill. Only 38.7% of the women had adequate health literacy based on Short Test of Functional Health Literacy for Adults, and 54.3% had adequate comprehension of the colon cancer information. Comprehension of the cancer information was significantly lower among women who received the information in English compared with those who received the information in Chinese. Age, acculturation, self-reported proficiency reading English, and education were significant predictors of health literacy but varied depending on the measure of health literacy used and language of the information. Presentation of cancer prevention information in one's first rather than second language improves health literacy but does not eliminate comprehension difficulties for older ESL Chinese immigrants.

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Section: Introductionmentioning

confidence: 98%

Predicting Health Literacy Among English-as-a-Second-Language Older Chinese Immigrant Women to Canada: Comprehension of Colon Cancer Prevention Information

Todd

Hoffman‐Goetz

2010

J Canc Educ

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“…Disappointing breast screening participation rates as well as a desire to assess potential health inequities in cancer screening have motivated several recent investigations into potential screening disparities among socio‐demographic groups in Canada 4, 5, 6, 7, 8, 9, 10, 11, 12. Studies that have specifically examined breast screening have found screening disparities among immigrant subpopulations, as well as associations between mammography rates and duration of residence in Canada, primary care physician characteristics, primary care contacts, and other health and socio‐demographic variables 8, 9, 10, 11, 12.…”

Section: Introductionmentioning

confidence: 99%

Breast screening participation and retention among immigrants and nonimmigrants in British Columbia: A population‐based study

et al. 2018

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Breast cancer screening programs operate across Canada providing mammography to women in target age groups with the goal of reducing breast cancer mortality through early detection of tumors. Disparities in breast screening participation among socio‐demographic groups, including immigrants, have been reported in Canada. Our objectives were to: (1) assess breast screening participation and retention among immigrant and nonimmigrant women in British Columbia (BC), Canada; and (2) to characterize factors associated with screening among screening‐age recent immigrant women in BC. We examined 2 population‐based cohorts of women eligible for breast screening participation (537 783 women) and retention (281 052 women) using linked health and immigration data. Breast screening rates were presented according to socio‐demographic and health‐related variables stratified by birth country. Factors associated with screening among recent immigrant women were explored using Poisson regression. We observed marked variation in screening participation across birth country cohorts. Eastern European/Central Asian women showed low participation (37.9%) with rates from individual countries ranging from 35.0% to 49.0%. Participation rates for immigrant women from the most common birth countries, such as China/Macau/Hong Kong/Taiwan (45.7%), India (44.5%), the Philippines (45.9%), and South Korea (39.0%), were lower than the nonimmigrant rates (51.2%). Retention rates showed less variation by birth country; however, some disparities between immigrant and nonimmigrant groups persisted. Associations between screening indicators and study factors varied considerably across immigrant groups. Primary care physician visits were consistently positively associated with screening participation; this variable was also the only predictor associated with screening within each of the groups of recent immigrants. Our study provides unique data on both screening participation and retention among Canadian immigrant women compiled by individual country of birth. Our results are further demonstration that screening disparities exist among immigrant populations as well as in comparison with nonimmigrant women.

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“…Numerous studies in the USA and Canada suggest lower participation rates in preventive cancer screening among many ethnic immigrant groups, including Chinese women [8][9][10][11]. Asian immigrant women to Canada had significantly lower rates of breast cancer screening than non-immigrants [12], consistent with identified disparities in mammography use among AsianAmerican and Chinese-American women [13][14][15]. ChineseAmericans have also been shown to be less likely to undergo colon cancer screening than the general population [16][17][18][19].…”

Section: Introductionmentioning

confidence: 99%

Predicting Breast and Colon Cancer Screening Among English-as-a-Second-Language Older Chinese Immigrant Women to Canada

2010

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Little is known about the cancer screening behaviors of older ESL Chinese immigrant women. To explore predictors of colon and breast cancer screening in this population, 103 Mandarin- and Cantonese-speaking immigrant women ages 50 years and older were recruited. Participants completed questionnaires to evaluate screening behaviors, health literacy, and demographic characteristics. Eighty-five percent self-reported that they were current breast cancer screeners, and 75% were current colon cancer screeners. Recommendation from a physician, having a female physician, and high or moderate proficiency in English predicted current mammography screening. Physician recommendation, first language, and self-efficacy predicted use of colon cancer screening. Bivariate analyses also revealed an association between use of colon cancer screening and greater health literacy and longer residency in Canada. Important predictors of screening emerged that potentially informs interventions to increase cancer prevention among older Chinese immigrants. The essential role of physician recommendation was identified for both breast and colon cancer screening.

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Breast cancer screening among Asian immigrant women in Canada

Cited by 39 publications

References 13 publications

Predicting Health Literacy Among English-as-a-Second-Language Older Chinese Immigrant Women to Canada: Comprehension of Colon Cancer Prevention Information

Predicting Health Literacy Among English-as-a-Second-Language Older Chinese Immigrant Women to Canada: Comprehension of Colon Cancer Prevention Information

Breast screening participation and retention among immigrants and nonimmigrants in British Columbia: A population‐based study

Predicting Breast and Colon Cancer Screening Among English-as-a-Second-Language Older Chinese Immigrant Women to Canada

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