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Breast Health Intervention Effects on Knowledge and Beliefs Over Time Among Chinese American Immigrants--a Randomized
Frances Lee-Lin1, Nisreen Pedhiwala, Thuan Nguyen
1School of Nursing, Oregon Health & Science University, 3455 SW US Veterans Hospital Rd., Portland, OR, 97239-2941, USA, leelinf@ohsu.edu.
Summary
A targeted educational program improved breast cancer knowledge and beliefs in Chinese American immigrant women. This intervention successfully increased mammogram adherence and reduced disparities in screening.
Area of Science:
- Public Health
- Health Disparities
- Health Behavior
Background:
- Mammography screening is crucial for early breast cancer detection.
- Chinese American immigrant women face barriers to mammography adherence.
- Cultural factors influence health decisions in this population.
Purpose of the Study:
- To evaluate the impact of a targeted educational intervention on mammography knowledge, beliefs, and adherence among Chinese American immigrant women.
- To assess changes in perceived susceptibility, benefits, and cultural barriers to mammography.
Main Methods:
- A randomized controlled trial involving 300 nonadherent Chinese American immigrant women.
- Intervention group received targeted education; control group did not.
- Data collected at baseline and 3, 6, and 12 months post-intervention.
Main Results:
- The education group showed significantly higher knowledge scores at all post-intervention time points.
- Women in the education group reported lower concerns about modesty and fewer perceived barriers.
- Increased perceived susceptibility to breast cancer was observed at 3 months in the education group.
Conclusions:
- A targeted breast health program effectively improved knowledge and beliefs regarding mammography.
- The educational intervention demonstrated sustained effects for up to 12 months.
- This approach holds potential for reducing mammography screening disparities in this demographic.