Cancer Screening Among Korean Americans

Sarna, Linda; Tae, Young Sook; Kim, Young Hae; Brecht, Mary Lynn; Maxwell, Annette E.

doi:10.1046/j.1523-5394.2001.009003134.x

Cited by 38 publications

(31 citation statements)

References 11 publications

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“…Only 22-39 % of KA women reported having had a mammogram within the previous year, whereas more than 50 % of White, African American, and Hispanic women had yearly mammograms [5][6][7]. More notably, 22-52 % of KA women have never had a mammogram [8][9][10][11][12][13][14][15][16], placing them at greater risk for detecting BC in later stages. The alarmingly high rate of unscreened KA women indicates an urgent need to understand this vulnerable subgroup of KAs and to develop targeted interventions for them.…”

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confidence: 99%

Korean American Women and Mammogram Uptake

Lee

Nandy

Szalacha

et al. 2015

J Immigrant Minority Health

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A high percentage of Korean American (KA) women have never had a mammogram, which puts them at greater risk for late-stage breast cancer. The aim of this study was to compare health beliefs and spousal support about breast cancer and screening between KA women with and without a history of mammogram completion. Crosssectional data were obtained from 428 non-adherent married KA women. KA women who never had a mammogram were younger, had less access to health care, had less knowledge, and had lower perceived self-efficacy, benefits, and spousal support, and higher perceived barriers to breast cancer screening compared to women who had had a mammogram. Assessing differing characteristics between the two groups of KA women may lead to a better understanding of the variables influencing mammography screening in this population and possibly increase early screening.

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confidence: 99%

Korean American Women and Mammogram Uptake

Lee

Nandy

Szalacha

et al. 2015

J Immigrant Minority Health

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“…Because approximately 38% of the women did not have a child aged 18 years or more, perhaps the discussions were meant to be reassuring and/or prepare the child for possible cancer risk in the future. [35][36][37][38] Future studies could provide insight into the motivations and content of risk communications with younger children.…”

Section: Communication Of Cancer Riskmentioning

confidence: 99%

Selection of family members for communication of cancer risk and barriers to this communication before and after genetic cancer risk assessment

MacDonald

Sarna

Servellen

et al. 2007

Genetics in Medicine

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Purpose: The impact of genetic cancer risk assessment on communication of cancer risk information within families is not fully known. We compared women's selection of family members for cancer risk communication and perceived barriers to this communication before genetic cancer risk assessment and 6 months afterward.Methods: Mailed surveys were used to collect prospective data from consenting women undergoing genetic cancer risk assessment because of a personal and/or family history of breast or ovarian cancers. Analysis included descriptive statistics, chi-square and McNemar tests, and paired t tests. Results: A total of 122 women met the study criteria. Although risk communications increased with first-degree relatives (84%-90% for females; 53%-62% for males) and decreased with non-first-degree relatives (21%-9%) before and after genetic cancer risk assessment, the degree of change was nonsignificant. The most commonly cited communication barrier was loss of contact (30%). Demographics, personal or family cancer history, and BRCA status did not significantly influence findings. Conclusions: There was a high degree of cancer risk communications with female first-degree relatives, but less so with male first-degree relatives, both before and after genetic cancer risk assessment. In the United States, breast cancer is the most common cancer in women and is second only to lung cancer in cancerrelated deaths for women. 1 Although ovarian cancer strikes far fewer women, the mortality rate is disproportionately higher, often because of insufficient early diagnostic tools. Risks for these cancers vary greatly. For instance, breast cancer risk for women with a single first-degree relative (FDR) with postmenopausal breast cancer may be 15% versus 12% risk for the general population by age 80 years. Ovarian cancer risk for a woman with a single FDR with the disease is approximately 5%, versus the 1.6% risk for the general population. 2-5 However, breast cancer risk for women who carry a BRCA gene mutation ranges from approximately 30% to 50% by age 50 years to as high as 87% by age 80 years in some families, with a 40% to 60% risk for a second primary breast cancer. 6 -8 The associated risk for ovarian cancer is approximately 15% to 45%, with onset generally after age 40 years rather than after age 60 years in the general population. 6,7,9 Siblings and offspring of BRCA mutation carriers are at a 50% risk for inheriting the mutation. Because men rarely develop breast cancer and are not at risk for ovarian cancer, BRCA-associated risk may be masked by male transmission and unrecognized by both clinicians and patients.Since the advent of commercial BRCA testing approximately a decade ago, genetic cancer risk assessment (GCRA) has been increasingly integrated into women's health care to provide individuals and their families with age-and risk-level appropriate cancer screening and risk-reduction strategies. GCRA is typically conducted by a physician and nurse or genetic counselor team with expertise in genetics and/or onco...

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“…Such screening rates among Korean women who are living in Korea are even lower than they are for Korean women who are living in United States; that is, only 21% to 56% of women in Korea have ever had a Pap test (Y. B. Kim, Noh, Lee, Park, & Mang, 2000;Park, Chang, & Chung, 2005;Sarna et al, 2001). Korean American women's perceived barriers to having a Pap smear could be partially due to their cultural values and attitudes toward exposing their private body parts and the traditional expectation that women sacrifice their needs.…”

Section: Discussionmentioning

confidence: 99%

Knowledge and Beliefs Related to Cervical Cancer and Screening Among Korean American Women

2008

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The purpose of this article is to examine knowledge and health beliefs associated with cervical cancer screening among Korean American women. A telephone survey was conducted with 189 Korean American women in the Chicago area. Age, marital status, income, knowledge of early detection method for cervical cancer, and perceived beliefs about benefits of and barriers to receiving Pap tests were all related to outcomes of ever having a Pap test and having had one in the preceding 3 years. Variables uniquely related to ever having a Pap test were education, employment status, fluency in English, and proportion of life spent in the United States. Variables uniquely related to having had the test during the preceding 3 years were having a usual source of care and regular checkups. Different intervention components are suggested for the groups of Korean American women who have never had a Pap smear and for those who have not had one in the preceding 3 years, in addition to common intervention strategies that aim to increase knowledge and perceived benefit and to decrease perceived barriers to receiving Pap tests.

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Cancer Screening Among Korean Americans

Cited by 38 publications

References 11 publications

Korean American Women and Mammogram Uptake

Korean American Women and Mammogram Uptake

Selection of family members for communication of cancer risk and barriers to this communication before and after genetic cancer risk assessment

Knowledge and Beliefs Related to Cervical Cancer and Screening Among Korean American Women

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