Asian American Women in California: A Pooled Analysis of Predictors for Breast and Cervical Cancer Screening (American Journal of Public Health)
Authors examined patterns of cervical and breast cancer screening among Asian American women in California and assessed their screening trends over time.
Weighted data from five cycles of the California Health Interview Survey (2001, 2003, 2005, 2007, 2009) were pooled to examine breast and cervical cancer screening trends and predictors among six Asian nationalities.
Multivariate analyses indicated that Papanicolaou test rates did not significantly change over time, but mammography receipt increased among Asian American women overall. Length of time in the United States was associated with increased breast and cervical cancer screening among all nationalities. Sociodemographic and health care access factors had varied effects, with education and insurance coverage significantly predicting screening for certain groups. Overall, the authors observed striking variation by nationality.
Results underscore the need for intervention and policy efforts that are targeted to specific Asian nationalities, recent immigrants, and individuals without health care access to increase screening rates among Asian women in California.
Publication Authors:
- Neetu Chawla
- Nancy Breen
- Benmei Liu
- Richard Lee
- Marjorie Kagawa Singer, PhD, MA, MN, RN, FAAN