Title: Correlates of breast cancer screening among Asian Americans enrolled in ENCOREplus
Country: United States
Age: Adult Only
Care Setting: Outpatient Ambulatory and Primary Care
Clinical Setting: Breast Cancer Screening
Data Level: National
Data Type: Private Survey
Data Source: Local data
Conclusion: Disparities In All Minority Groups
Health OutComes Reported: No
Free Text Conclusion: Foreign born Asian women less likely than US-born Asian women to receive mammography.
Abstract: This study examines the correlates of mammogram utilization among predominantly low income Asian American women using cross sectional data of women recruited through the ENCOREplus program (n = 1695) between July 1996 and June 1998. Logistic regression was used to examine the independent effect of variables corresponding to Andersen's behavioral model of health services utilization on mammography screening behavior. Foreign-born women living in the U.S. < 5 years and between 5 and 10 years were significantly less likely to have ever had a mammogram than women who were born in the U.S. (OR 0.22; CI 0.12, 0.40 and OR 0.48; CI 0.27, 0.86, respectively). Women 40-49 years old were half as likely to adhere to mammography screening recommendations as women 50-64 years (CI 0.33, 0.76). Health insurance was positively associated with adherence to mammography screening guidelines (OR 1.59; CI 1.02, 2.48). The results of this study highlight the need for health education about breast cancer and mammography among Asian American women. Policy work also needs to be directed toward improving access to health care in this community.