Journal of Immigrant and Minority Health
Volume 14, Issue 2, 2012, Pages 242-250

Concept Mapping with South Asian immigrant women: Barriers to mammography and solutions (Article)

Ahmad F.* , Mahmood S. , Pietkiewicz I. , McDonald L. , Ginsburg O.
  • a Dalla Lana School of Public Health, Social and Behavioral, Health Sciences Division, University of Toronto, 155 College Street, Toronto M5T 3M7, Canada
  • b Dalla Lana School of Public Health, Social and Behavioral, Health Sciences Division, University of Toronto, 155 College Street, Toronto M5T 3M7, Canada
  • c Warsaw School of Social Sciences and Humanities, Warsaw, Poland
  • d Health Promotion, Ontario Breast Screening Program, Cancer Care Ontario, Toronto, Canada
  • e Women's College Research Institute, Toronto, Canada, Central East Regional Cancer Program, London, ON, Canada

Abstract

Despite benefits of screening mammography, many South Asian (SA) immigrant women in Canada remain under screened. We aimed to elicit their experiences and beliefs about barriers to mammography and possible solutions. SA immigrant women aged 50 years or over were eligible if they never had a mammogram or had one more than 3 years ago. We employed the participatory mixed-method approach of Concept Mapping. Sixty women participated with a mean age of 58 years. Participants brainstormed 150 items which were consolidated into 67 items. After sorting and rating, cluster analysis revealed eight clusters of barriers on knowledge, fear, language and transportation, access to mammogram center, access to doctor, beliefs and practices, self-care, and family dependence. Participants discussed possible solutions, and emphasized out-reach models to address knowledge gaps and issues of language and transportation. One example was a community-based shuttle bus to screening centres, hosted by trained co-ethnic workers. The results are discussed to enhance the socio-cultural sensitivity of breast screening programs. © Springer Science+Business Media, LLC 2011.

Author Keywords

breast cancer screening Immigrant South Asian Canada qualitative

Index Keywords

human middle aged Asia statistics Asia, Western language ethnology Early Detection of Cancer Humans Breast Neoplasms Mammography Asian Americans Emigrants and Immigrants Asian American breast tumor Socioeconomic Factors female socioeconomics Health Knowledge, Attitudes, Practice Article migration Utilization Review Fear Self Care early diagnosis attitude to health Health Services Accessibility health care delivery
Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-84860835872&doi=10.1007%2fs10903-011-9472-7&partnerID=40&md5=fc522f7c5bccf435dd80b1652e096a9e
DOI: 10.1007/s10903-011-9472-7
ISSN: 15571912
Cited by: 29
Original Language: English