ANALYZING FACTORS OF BREAST CANCER SCREENING ADHERENCE AMONG KOREAN AMERICAN WOMEN USING ANDERSEN'S BEHAVIORAL MODEL OF HEALTHCARE SERVICES UTILIZATION

Loading...
Thumbnail Image
Date
2019
Journal Title
Journal ISSN
Volume Title
Publisher
Ethnicity & Disease
Abstract

Objectives: Regular uptake of mammography screening reduces the risk of advanced stage diagnosis of breast cancer (BC). However, BC screening rates remain suboptimal among Korean American (KA) women. Using the Andersen's Behavioral Model of Healthcare Services Utilization, this study examined factors associated with mammography screening among KA women aged 50 to 80 years in the state of Georgia, USA. Methods: We used purposive sampling to recruit study participants in the Atlanta metropolitan area from May 2015 to February 2016. A total of 303 KA women completed a cross-sectional, self-report survey about their sociodemographics, health care access information, knowledge, self-efficacy, decisional balance, and mammography history. Results: Descriptive analyses confirmed low rates of mammography screening in the participants. Multiple logistic regression analyses showed that having a mammogram within the past year was associated with greater BC knowledge, higher scores of decisional balance and fewer annual health check-ups among KA women without any cancer history. Conclusions: The findings offer implications for health policy aimed at increasing BC screening by leveraging enabling factors among medically underserved KA women at both structural and cultural levels.

Description
Keywords
Breast Cancer, Mammography, Korean American Women, Andersen's Behavioral Model of Healthcare Services Utilization, CALIFORNIA, LITERACY, Public, Environmental & Occupational Health
Citation
Jin, S. W., Lee, H. Y., & Lee, J. (2019). Analyzing Factors of Breast Cancer Screening Adherence among Korean American Women Using Andersen’s Behavioral Model of Healthcare Services Utilization. In Ethnicity & Disease (Vol. 29, Issue Supp2, pp. 427–434). Ethnicity and Disease Inc. https://doi.org/10.18865/ed.29.s2.427