Breast and cervical cancer screening rates of subgroups of Asian American women in California

Marjorie Kagawa-Singer, Nadereh Pourat, Nancy Breen, Steven Scott Coughlin, Teresa Abend McLean, Timothy S. McNeel, Ninez A. Ponce

Research output: Contribution to journalReview article

77 Citations (Scopus)

Abstract

Although breast and cervical cancer screening rates for Asian American (AA) women are the lowest of any ethnic group in California, few causes for this are known. The authors used the 2001 California Health Interview Survey, conducted in five Asian languages, to conduct the first evaluation of Pap and mammography screening rates for a representative sample of 2,239 AA women. Wide variations in screening rates were found among the seven different subgroups of AA women studied: adjusted Pap test use ranged from 81% (Filipina Americans) to 61% (Vietnamese Americans). Mammography rates ranged from 78% (Japanese Americans) to 53% (Korean Americans). Disaggregating the AA data and using separate multivariate logistic regressions revealed that different factors were independently associated with the low screening rates for each subgroup. The measurement of additional contextual information is needed to identify structural barriers and community resources to provide clearer guidance for the design of effective screening promotion programs for AA subpopulations.

Original languageEnglish (US)
Pages (from-to)706-730
Number of pages25
JournalMedical Care Research and Review
Volume64
Issue number6
DOIs
StatePublished - Dec 1 2007

Fingerprint

Asian Americans
Early Detection of Cancer
Uterine Cervical Neoplasms
Breast Neoplasms
Mammography
Papanicolaou Test
Health Surveys
Ethnic Groups
Language
Logistic Models
Interviews

Keywords

  • Asian American
  • Breast cancer
  • Cervical cancer
  • Mammography
  • Papanicolaou test

ASJC Scopus subject areas

  • Health Policy

Cite this

Breast and cervical cancer screening rates of subgroups of Asian American women in California. / Kagawa-Singer, Marjorie; Pourat, Nadereh; Breen, Nancy; Coughlin, Steven Scott; Abend McLean, Teresa; McNeel, Timothy S.; Ponce, Ninez A.

In: Medical Care Research and Review, Vol. 64, No. 6, 01.12.2007, p. 706-730.

Research output: Contribution to journalReview article

Kagawa-Singer, M, Pourat, N, Breen, N, Coughlin, SS, Abend McLean, T, McNeel, TS & Ponce, NA 2007, 'Breast and cervical cancer screening rates of subgroups of Asian American women in California', Medical Care Research and Review, vol. 64, no. 6, pp. 706-730. https://doi.org/10.1177/1077558707304638
Kagawa-Singer, Marjorie ; Pourat, Nadereh ; Breen, Nancy ; Coughlin, Steven Scott ; Abend McLean, Teresa ; McNeel, Timothy S. ; Ponce, Ninez A. / Breast and cervical cancer screening rates of subgroups of Asian American women in California. In: Medical Care Research and Review. 2007 ; Vol. 64, No. 6. pp. 706-730.
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