Cancer Nursing
Volume 35, Issue 4, 2012, Pages 278-287

Breast and cervical cancer screening among South Asian Immigrants in the United States (Article)

Menon U.* , Szalacha L.A. , Prabhughate A.
  • a College of Nursing and Health Innovation, Arizona State University, 500 N 3rd St, Phoenix, AZ 85004, United States, Mayo Clinic Cancer Center, Scottsdale, AZ, United States
  • b College of Nursing and Health Innovation, Arizona State University, 500 N 3rd St, Phoenix, AZ 85004, United States
  • c FHI 360, New Delhi, India

Abstract

Background: South Asian (SA) immigrants (from Bangladesh, Bhutan, India, the Maldives, Nepal, Pakistan, and Sri Lanka) constitute the fastest growing of all Asian American immigrants to the United States, with a growth rate of 106% from 1990 to 2001. Data are lacking on health behaviors of this population subgroup, including cancer-related information. Objective: The purpose of this study was to assess rates and correlates of breast and cervical cancer screening in a community sample of SAs. Methods: Participants were recruited from among attendees of 3 community-based agency programs. Data were collected in English, Hindi, and Gujarati from a convenience sample of 198 participants. Results: Two-thirds of the sample (n = 127, 65.5%) had ever had a mammogram, whereas only a third (n = 65, 32.8%) had ever had a Papanicolaou smear or vaginal examination. Several predisposing factors (eg, country of birth, years in the United States, acculturation, age, and acknowledged barriers to screening) were significant predictors of breast and cervical screening, whereas the only enabling factor was past screening behavior. Conclusions: Additional study is warranted on cultural aspects of cancer screening behaviors. These data are formative on facilitators and barriers to mammogram and Papanicolaou test completion among these understudied minority women. Implications for Practice: Nurses who practice in primary care may begin to target health education based on sociodemographics of SA women and emphasize discussion of barriers to screening. © 2012 Wolters Kluwer Health | Lippincott Williams & Wilkins.

Author Keywords

breast cancer screening Cervical cancer screening South Asian

Index Keywords

Vaginal Smears immigrant breast cancer Asian South Asian human middle aged Asia priority journal Aged cancer screening Early Detection of Cancer Cross-Sectional Studies United States Humans Breast Neoplasms Mammography pelvic examination Asian Americans Emigrants and Immigrants female risk factor Risk Factors Multivariate Analysis Psychometrics Article adult uterine cervix cancer Psychological Theory Uterine Cervical Neoplasms Papanicolaou Test

Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-84862886348&doi=10.1097%2fNCC.0b013e31822fcab4&partnerID=40&md5=dda902f7d6fd2bcfac697da6f0b2d723

DOI: 10.1097/NCC.0b013e31822fcab4
ISSN: 0162220X
Cited by: 17
Original Language: English