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Perceived Discrimination and Pandemic Attitudes on Cancer Screening Behaviors Among Asian American Women: A
Chau D Vo1, Bingjing Mao2, Alexander W Burns1
1Department of Radiology, Massachusetts General Hospital, Boston, Massachusetts.
Journal of the American College of Radiology : JACR
|January 8, 2025
Summary
Pandemic fears, not discrimination, delayed cancer screenings for Asian American women. Concerns about contracting and spreading COVID-19 were key factors.
Area of Science:
- Oncology
- Public Health
- Health Disparities
Background:
- The COVID-19 pandemic significantly disrupted healthcare access and patient behaviors.
- Asian American women (AAW) face unique challenges that may impact cancer screening adherence.
- Understanding pandemic-related influences on cancer screening is crucial for targeted interventions.
Purpose of the Study:
- To evaluate the impact of pandemic-related health concerns and discrimination on cancer screening among Asian American women.
- To identify specific barriers and facilitators to cancer screening during the COVID-19 pandemic for this demographic.
Main Methods:
- A two-phase mixed-methods approach combining surveys and focus group discussions.
- Quantitative survey assessed screening delays, COVID-19 concerns, barriers, and discrimination experiences in 166 eligible AAW.
- Qualitative focus groups explored themes of screening delays and discrimination in relation to generational status and screening history.
Main Results:
- Forty percent of participants reported delays in cancer screening.
- Worry about contracting or spreading COVID-19 was significantly associated with screening delays (aOR=2.57 and aOR=5.78, respectively).
- No direct association was found between discrimination and delayed cancer screening, though qualitative data indicated perceived discrimination impacted daily safety and behaviors.
Conclusions:
- Concerns about COVID-19 transmission were primary drivers of cancer screening delays among Asian American women.
- Radiology practices should spearhead screening initiatives emphasizing early detection and patient psychological safety.
- Future interventions should address infection-related anxieties to improve cancer screening rates in vulnerable populations.
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