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Health Education & Behavior
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Breast Self-Examination Among Chinese Immigrant Women

Evaon Wong-Kim, MSW, MPH, PhD

Department of Social Work, California State University, East Bay, Hayward, CA 94542-3048; phone: (510) 885-2148; evaon{at}csueastbay.edu

Caroline C. Wang, DrPH, MPH

University of Michigan, Ann Arbor

The incidence of breast cancer is rising rapidly among the fast-growing demographic group of Asian American and Pacific Islanders (AAPIs). In this study, the authors assessed the awareness of breast self-exam (BSE) and factors predicting practice of BSE among Chinese immigrant women living in San Francisco. Three hundred and ninety-seven women participated in a telephone survey; 80.9% reported having heard of BSE but only 53.9% reported practice of BSE during the past year. Logistic regression modeling found that increased length of stay in the United States, higher income, socializing with more Chinese than non-Chinese, and a birthplace other than U.S. and Chinese communities predicted BSE practice. The findings indicate that although familiarity with BSE is high among this group of Chinese immigrant women, self-reported actual practice is far from optimal. This study points to the need for culturally appropriate interventions that will encourage and motivate immigrant Chinese women to practice BSE on a monthly basis.

Key Words: breast self-examination • Chinese • immigrant women • health education • culture • cultural competence • low-income

This version was published on October 1, 2006

Health Education & Behavior, Vol. 33, No. 5, 580-590 (2006)
DOI: 10.1177/1090198106290800


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