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An intervention to increase mammography use by Korean American women
1School of Nursing, Azusa Pacific University, Azusa, CA, USA. ykim@apu.edu
Purpose/Objectives:
To test the effectiveness of a community-based intervention to increase mammography screening for Korean American women.
Design:
Quasi-experimental, pre-/post-test, three-group design.
Setting:
Urban Korean American communities in Southern California.
Sample:
141 Korean American women, aged 40-75, who had not had a mammogram in the previous 12 months.
Method:
Two Korean churches were selected randomly to be study sites that would provide health screening programs. The study included an experimental group that would have access to a peer-group educational program and low-cost mammography, a group that would have access to low-cost mammography alone, and a control group. Participant-focused strategies were used to involve Korean American women from the community.
Main Research Variables:
Mammography use, breast cancer screening attitudes, and knowledge.
Findings:
Women in the experimental program had significantly improved attitudes and knowledge about breast cancer screening. Mammography use in the experimental group (87%) was not significantly different from that in the mammography-access-only group (72%). Both interventions proved to be more effective than no intervention at all (control group = 47%).
Conclusions:
An educational program that includes participant-focused research strategies and access to low-cost mammograms resulted in higher levels of screening.
Implications For Nursing:
Community-focused interventions can increase rates of cancer screening among Korean American women.
