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Breast and Cervical Cancer Screening Among South Asian Women in New York City

  • Asians and Asian Americans
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Abstract

The purpose of this paper is to document the breast and cervical cancer screening practices of a community sample of South Asian women living in the New York City area. A convenience sample of 98 women was engaged in face-to-face interviews regarding their socio-demographic characteristics and cancer screening utilization. Sixty-seven percent of women had ever had a Pap test; 54% had one in the last 3 years. Seventy percent of women over 40 had ever had a mammogram; 56% had one in the last 2 years. Sixty-six percent of women had knowledge of breast self-exam (BSE); 34% of women ever practiced BSE. Multiple logistic regression analysis indicated that insurance status was a significant predictor of ever having a Pap test or mammogram, receiving timely Pap tests, and ever practicing BSE. Education was a significant predictor of ever having a Pap test and having knowledge of BSE. Marital status was a predictor of receiving timely Pap tests, and having spent more time in the U.S. was a predictor of ever practicing BSE. The study concludes that increased educational efforts must be developed targeting immigrant South Asian women of low socioeconomic status with limited access to healthcare.

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References

  1. American Cancer Society: Cancer Facts and Figures 2004. Atlanta: American Cancer Society; 2004

    Google Scholar 

  2. Chen MS Jr, Koh HK: The need for cancer prevention and control among Asian Americans and Pacific islanders. Asian Am Pac Isl J Health 1997; 5(1):3–6

    PubMed  Google Scholar 

  3. Miller BA, Kolonel LN, Bernstein L, et al.: Racial/ethnic patterns of cancer in the United States 1988–1992. Bethesda, MD: National Cancer Institute; 1996

    Google Scholar 

  4. Barnes J, Bennett CE: The Asian population: 2000, in Census 2000 Brief. Washington, DC: US Census Bureau; 2002: 1–11

    Google Scholar 

  5. 2000 US Census: Current Population Survey. US Bureau of the Census; 2000.

  6. Parkin DM, Muir CS: Cancer incidence in five continents. Comparability and quality of data. IARC Sci Publ 1992; 120:45–173

    PubMed  Google Scholar 

  7. Winter H, Cheng KK, Cummins C, et al.: Cancer incidence in the South Asian population of England (1990–1992). Br J Cancer 1999; 79(3–4):645–654

    Article  PubMed  CAS  Google Scholar 

  8. Blesch KS, Davis F, Kamath SK: A comparison of breast and colon cancer incidence rates among native Asian Indians, US immigrant Asian Indians, and Whites. J Am Diet Assoc 1999: 99(10):1275–1277

    Article  PubMed  CAS  Google Scholar 

  9. Kwong S: Cancer statistics for California’s Asian Americans. Proceedings of the 5th AANCART Asian American Cancer Control Academy. CA: Sacramento; 2004

  10. Sarna L, Tae YS, Kim YH, et al.: Cancer screening among Korean Americans. Cancer Pract 2001; 9(3):134–140

    Article  PubMed  CAS  Google Scholar 

  11. McDonald CJ: Cancer statistics, 1999: Challenges in minority populations. CA Cancer J Clin 1999; 49(1):6–7

    PubMed  CAS  Google Scholar 

  12. Tu SP, Yasui Y, Kuniyuki A, et al.: Breast cancer screening among Cambodian American women. Cancer Detect Prev 2000; 24(6):549–563

    PubMed  CAS  Google Scholar 

  13. Tu SP, Yasui Y, Kuniyuki AA, et al.: Mammography screening among Chinese-American women. Cancer 2003; 97(5):1293–1302

    Article  PubMed  Google Scholar 

  14. Yu ES, Kim KK, Chen EH, et al.: Breast and cervical cancer screening among Chinese American women. Cancer Pract 2001; 9(2):81–91

    Article  PubMed  CAS  Google Scholar 

  15. Yu MY, Hong OS, Seetoo AD: Uncovering factors contributing to under-utilization of breast cancer screening by Chinese and Korean women living in the United States. Ethn Dis 2003; 13(2):213–219

    PubMed  Google Scholar 

  16. Bird JA, McPhee SJ, Ha NT, et al.: Opening pathways to cancer screening for Vietnamese-American women: Lay health workers hold a key. Prev Med 1998; 27(6):821–829

    Article  PubMed  CAS  Google Scholar 

  17. Tanjasiri SP, Sablan-Santos L: Breast cancer screening among Chamorro women in southern California. J Womens Health Gend Based Med 2001; 10(5):479–485

    Article  PubMed  CAS  Google Scholar 

  18. Tanjasiri SP, Kagawa-Singer M, Foo MA, et al.: Breast cancer screening among Hmong women in California. J Cancer Educ 2001; 16(1):50–54

    PubMed  CAS  Google Scholar 

  19. Taylor VM, Jackson JC, Schwartz SM, et al.: Cervical cancer among Asian American women: A neglected public health problem? Asian Am Pac Isl J Health 1996; 4(4):327–342

    PubMed  Google Scholar 

  20. Kim K, Yu ES, Chen EH, et al.: Breast cancer screening knowledge and practices among Korean American women. Asian Am Pac Isl J Health 1998; 6(2):263–275

    PubMed  CAS  Google Scholar 

  21. Ko CM, Sadler GR, Ryujin L, et al.: Filipina American women’s breast cancer knowledge, attitudes, and screening behaviors. BMC Public Health 2003; 3(1):27

    Article  PubMed  Google Scholar 

  22. Maxwell AE, Bastani R, Warda US: Demographic predictors of cancer screening among Filipino and Korean immigrants in the United States. Am J Prev Med 2000; 18(1):62–68

    Article  PubMed  CAS  Google Scholar 

  23. Maxwell AE, Bastani R, Warda US: Mammography utilization and related attitudes among Korean-American women. Women Health 1998; 27(3):89–107

    Article  PubMed  CAS  Google Scholar 

  24. May DS, Lee NC, Richardson LC, et al.: Mammography and breast cancer detection by race and Hispanic ethnicity: Results from a national program (United States). Cancer Causes Control 2000; 11(8):697–705

    Article  PubMed  CAS  Google Scholar 

  25. Juon HS, Seung-Lee C, Klassen AC: Predictors of regular Pap smears among Korean-American women. Prev Med 2003; 37(6 Pt 1):585–592

    Article  PubMed  Google Scholar 

  26. Juon HS, Choi Y, Kim MT: Cancer screening behaviors among Korean-American women. Cancer Detect Prev 2000; 24(6):589–601

    PubMed  CAS  Google Scholar 

  27. Kagawa-Singer M, Pourat N: Asian American and Pacific Islander breast and cervical carcinoma screening rates and healthy people 2000 objectives. Cancer 2000; 89(3):696–705

    Article  PubMed  CAS  Google Scholar 

  28. Han Y, Williams RD, Harrison RA: Breast cancer screening knowledge, attitudes, and practices among Korean American women. Oncol Nurs Forum 2000; 27(10): 1585–1591

    PubMed  CAS  Google Scholar 

  29. Glanz K, Croyle RT, Chollette VY, et al.: Cancer-related health disparities in women. Am J Public Health 2003; 93(2):292–298

    Article  PubMed  Google Scholar 

  30. Coughlin SS, Uhler RJ: Breast and cervical cancer screening practices among Asian and Pacific Islander women in the United States, 1994–1997. Cancer Epidemiol Biomarkers Prev 2000; 9(6):597–603

    PubMed  CAS  Google Scholar 

  31. Bottorff JL, Balneaves LG, Sent L, et al.: Cervical cancer screening in ethnocultural groups: Case studies in women-centered care. Women Health 2001; 33(3–4):29–46

    PubMed  CAS  Google Scholar 

  32. Bottorff JL, Johnson JL, Bhagat R, et al.: Beliefs related to breast health practices: The perceptions of South Asian women living in Canada. Soc Sci Med 1998; 47(12):2075–2085

    Article  PubMed  CAS  Google Scholar 

  33. Choudhry UK, Srivastava R, Fitch MI: Breast cancer detection practices of South Asian women: Knowledge, attitudes, and beliefs. Oncol Nurs Forum 1998; 25(10):1693–1701

    PubMed  CAS  Google Scholar 

  34. Gupta A, Kumar A, Stewart DE: Cervical cancer screening among South Asian women in Canada: The role of education and acculturation. Health Care Women Int 2002; 23(2):123–134

    Article  PubMed  Google Scholar 

  35. Ahmad F, Stewart DE: Predictors of clinical breast examination among South Asian immigrant women. J Immigr Health 2004; 6(3):119–126

    Article  PubMed  Google Scholar 

  36. Sutton GC, Storer A, Rowe K: Cancer screening coverage of South Asian women in Wakefield. J Med Screen 2001; 8(4):183–186

    Article  PubMed  CAS  Google Scholar 

  37. Ponce NA, Gatchell M, Brown ER: Cancer screening rates among Asian ethnic groups. Fact Sheet UCLA Cent Health Policy Res 2003; (FS2003-10):1–2

  38. Sadler GR, Dhanjal SK, Shah NB, et al.: Asian Indian women: Knowledge, attitudes and behaviors toward breast cancer early detection. Public Health Nurs 2001; 18(5):357–363

    Article  PubMed  CAS  Google Scholar 

  39. Rashidi A, Rajaram SS: Middle Eastern Asian Islamic women and breast self-examination. Needs assessment. Cancer Nurs 2000; 23(1):64–70

    Article  PubMed  CAS  Google Scholar 

  40. Chaudhry S, Fink A, Gelberg L, et al.: Utilization of Papanicolaou smears by South Asian women living in the United States. J Gen Intern Med 2003; 18(5):377–384

    Article  PubMed  Google Scholar 

  41. Taylor VM, Schwartz SM, Jackson JC, et al.: Cervical cancer screening among Cambodian-American women. Cancer Epidemiol Biomarkers Prev 1999; 8(6):541–546

    PubMed  CAS  Google Scholar 

  42. Taylor VM, Jackson JC, Schwartz SM, et al.: Cervical cancer control in a Cambodian American population. Asian Am Pac Isl J Health 1998; 6(2):368–377

    PubMed  Google Scholar 

  43. Taylor VM, Yasui Y, Burke N, et al.: Pap testing adherence among Vietnamese American women. Cancer Epidemiol Biomarkers Prev 2004; 13(4):613–619

    PubMed  Google Scholar 

  44. Swan J, Breen N, Coates RJ, et al.: Progress in cancer screening practices in the United States: Results from the 2000 National Health Interview Survey. Cancer 2003; 97(6):1528–1540

    Article  PubMed  Google Scholar 

  45. Thorpe LE, Mostashari F, Feldman G, et al.: Cancer screening in New York City: We can do much better. NYC Vital Signs 2003; 2(2):1–4

    Google Scholar 

  46. Prashad V: The Karma of Brown Folk. Minneapolis: University of Minnesota; 2000

    Google Scholar 

  47. 2000 US Census: Data derived from an analysis by the Asian American Federation Census Information Center. 2003, Asian American Federation of NY: New York City

    Google Scholar 

  48. Healthy People 2010: Understanding and Improving Health. Woshington, DC: US Department of Health and Human Services; 2000

    Google Scholar 

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Correspondence to Nadia Islam MA.

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Islam, N., Kwon, S.C., Senie, R. et al. Breast and Cervical Cancer Screening Among South Asian Women in New York City. J Immigrant Health 8, 211–221 (2006). https://doi.org/10.1007/s10903-006-9325-y

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  • DOI: https://doi.org/10.1007/s10903-006-9325-y

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