Objective: To assess adherence to screening mammography guidelines and examine predictors of having a mammogram in the past 2 years among immigrant Asian Indian women (AIW) aged ≥40 years. Methods: Face-to-face surveys of 418 AIW in the Baltimore-Washington metropolitan area were conducted. Subjects were recruited through Asian Indian (AI) religious and other community-based organizations. Results: Of the 418 AIW surveyed, 83% had ever had a mammogram, and 70% had obtained a mammogram within the past 2 years. AIW who had lived in the United States for >10 years had a higher rate of obtaining a mammogram (75.4%) within the past 2 years than did those who had lived in the United States for ≤10 years (24.6%). In multiple logistic regression analysis, length of stay in the United States, marital status, knowledge of mammogram guidelines, age, having health insurance, physician recommendations, and number of relatives who had a mammogram were positively associated with having a mammogram within the past 2 years. Physician ethnicity and not having a healthcare provider were negatively associated with having a mammogram within the past 2 years. Conclusions: This study lays a foundation for designing guidelines for interventions to improve mammography screening behaviors among AIW women. Increasing the use of mammogram to the levels recommended by guidelines will require a two-pronged approach directed at both AIW and AI physicians. Copyright 2010, Mary Ann Liebert, Inc.

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regression analysis health care personnel minority group health insurance human Health Behavior middle aged priority journal Guideline Adherence Aged cancer screening Health Surveys Early Detection of Cancer groups by age Washington American Indian Cross-Sectional Studies United States Humans Mammography Asian Americans Asian American female Aged, 80 and over prevalence Article major clinical study adult ethnicity Baltimore practice guideline health survey