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Evaluation of a Culturally Tailored Education to Promote Breast and Cervical Cancer Screening Among Chinese-Australian Women

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Abstract

This paper aims to evaluate the impact of the culturally sensitive and linguistically appropriate education program on the following: (i) awareness of screening practices (breast awareness, mammogram, and Pap smear test); (ii) screening intention within the next six months; and (iii) knowledge about breast and cervical cancer among Chinese-Australian women. Titled “Happy and Healthy Life in Sydney,” this was a quasi-experimental study with both pre- and post-test design. A convenience sample of 288 Chinese women was recruited through Chinese organizations such as churches and community centers. Participants completed the questionnaires before and after the educational program. The results show that the program was effective in promoting awareness of breast and cervical cancer screening and resulted in increased participative intentions in both mammogram and Pap smear testing within the next 6 months. Results also indicate that knowledge and belief scores were significantly increased. Conclusion: Our study supports that educational programs which use culturally sensitive and linguistically appropriate strategies are effective in improving both knowledge of breast and cervical cancer and awareness of their early detection practices among Chinese-Australian women.

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References

  1. Australian Institute of Health and Welfare & National Breast Cancer Centre (2008) Breast cancer in Australia: an overview 2006. Cancer Series no. 34. Cat no. CAN 29. Australia Institute of Health & Welfare, Canberra

    Google Scholar 

  2. Grulich AE, McCredie M, Coates M (1995) Cancer incidence in Asian migrants to New South Wales, Australia. British Journal of Cancer 71(2):400–408

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  3. Ziegler R, Hoover R, Pike N, Hildesheim A, Nomura A, West D, Wu-Williams A et al (1993) Migration patterns and breast cancer risk in Asian-American women. J Natl Cancer Inst 85(22):1819–1827

    Article  CAS  PubMed  Google Scholar 

  4. Australian Institute of Health and Welfare (2012) Cancer survival and prevalence in Australia: period estimates from 1982 to 2010. Cancer Series no. 69. Cat. no. CAN 65. AIHW, Canberra

    Google Scholar 

  5. Bray F, Ren JS, Masuyer E, Ferlay J (2013) Global estimates of cancer prevalence for 27 sites in the adult population in 2008. Int J Cancer 132:1133–1145

    Article  CAS  PubMed  Google Scholar 

  6. Wang SM, Qiao YL (2014) Implementation of cervical cancer screening and prevention in China—challenges and reality. Jpn J Clin Oncol Adv Access 14:1–5

    Google Scholar 

  7. Pocobelli G, Weiss NS (2015) Breast cancer mortality in relation to receipt of screening mammography: a case-control study in Saskatchewan, Canada. Cancer Causes Control 26(2):231–237

    Article  PubMed  Google Scholar 

  8. Aggarwal P (2014) Cervical cancer: can it be prevented? World J Clin Oncol 10(4):775–780

    Article  Google Scholar 

  9. Australian Government Department of Health. Cancer Screening. Website http://www.cancerscreening.gov.au/ Accessed Dec 01, 2014

  10. BreastScreen Australia (2012) Breastscreen Australia evaluation – Evaluation final report. BreastScreen Australia, Australia

    Google Scholar 

  11. Phillipson L, Larsen-Truong K, Jones S, Pitts L (2012) Improving cancer outcomes among culturally and linguistically diverse communities: a rapid review. Cancer Institute NSW, New South Wales

    Google Scholar 

  12. Hong Kong Hospital Authority. Fees and charges. http://www.ha.org.hk/visitor/ha_visitor_index.asp Accessed 20 Feb 2015

  13. Wu T, Hsieh H, West B (2011) Demographics and perceptions of barriers toward breast cancer screening among Asian-American women. Women Health 48(3):261–281

    Article  Google Scholar 

  14. Todd L, Harvey E, Hoffman-Goetz L (2010) Predicting breast and colon cancer screening among English-as-a-second-language older Chinese immigrant women to Canadian. J Cancer Educ 26(1):161–169

    Article  Google Scholar 

  15. Shang C, Beaver K, Campbell M (2014). Social cultural influences on breast cancer views and breast health practices among Chinese women in the United Kingdom. Cancer Nursing in press

  16. Ma GX, Wang MQ, Ma XS, Shive SE, Tan Y, Toubbeh JI (2013) Pathways of cervical cancer screening among Chinese women. Int J Women’s Health 24(5):351–359

    Article  CAS  Google Scholar 

  17. Kwok C, White K, Roylhouse K (2011) Chinese-Australian women’s knowledge, facilitators and barriers related to cervical cancer screening: a qualitative study. J Immigr Minor Health 13(6):1076–1083

    Article  PubMed  Google Scholar 

  18. Kwok C, Sullivan G, Cant R (2006) The role of culture in breast health practices among Chinese-Australian women. Patient Educ Couns 64(1-3):268–275

    Article  PubMed  Google Scholar 

  19. Liang W, Wang JH, Chen MY, Shibao F, Lee M, Schwartz MD, Pasick RJ, Mandelblatt JS (2008) Developing and validating a measure of Chinese cultural views of health and cancer. Health Educ Behav 35(3):361–375

    Article  PubMed  Google Scholar 

  20. Kim JH, Menon U, Wang E, Szalacha L (2010) Assess the effects of culturally relevant intervention on breast cancer knowledge, beliefs, and mammography use among Korean American women. J Immigr Minor Health 12(4):586–597

    Article  PubMed  Google Scholar 

  21. Ahmad F, Cameron J, Stewart D (2005) A tailored intervention to promote breast cancer screening among South Asian immigrant women. Soc Sci Med 60:575–586

    Article  PubMed  Google Scholar 

  22. Hall C, Hall J, Pfriemer J, Wimberley P, Jones C (2007) Effects of a culturally sensitive education program on the breast cancer knowledge and beliefs of Hispanic women. Oncol Nurs Forum 34(6):1195–1202

    Article  PubMed  Google Scholar 

  23. Tanjasiri SP, Kagawa-Singer M, Foo MA, Chao M, Linayao-Putman I, Nguyen J, Pirumyan G, Valdez A (2007) Designing culturally and linguistically appropriate health interventions: the “Life Is Precious” Hmong breast cancer study. Health Educ Behav 34(1):140–153

    Article  PubMed  Google Scholar 

  24. Kwok C, Fethney J, White K (2012) Confirmatory factor analysis of the Chinese breast cancer screening beliefs questionnaire. Cancer Nurs 35(6):429–437

    Article  PubMed  Google Scholar 

  25. Behling O, Law K (2000) Translating questionnaires and other research instruments: problem and solutions. Sage, CA

    Book  Google Scholar 

  26. Kwong A, Cheung P, Chan S et al (2008) Breast cancer in Chinese women younger than age 40: are they different from their older counterparts? World J Surg 32:2554–2561

    Article  PubMed  Google Scholar 

  27. Wang J, Mandelblatt MD, Liang W, Yi B, Ma I, Schwartz M (2009) Knowledge, cultural, and attitudinal barriers to mammography screening among nonadherent immigrant Chinese women. Cancer 115(20):4828–4838

    Article  PubMed  PubMed Central  Google Scholar 

  28. Nguyen AB, Clark TT (2014) The role of acculturation and collectivism in cancer screening for Vietnamese American women. Health Care Women Int 35(10):1162–1180

    Article  PubMed  Google Scholar 

  29. Kwok C, Sullivan G (2007) Health seeking behaviours among Chinese-Australian women: implication for health promotion programs. Health Interdiscip J Soc Study Health Illn 11(3):401–415

    Google Scholar 

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Acknowledgments

This study was supported by the CSI Cross Divisional Grants Program, Cancer Institute NSW. The authors would like to thank the Chinese organizations and Chinese-Australian women who participated.

Conflict of Interest

The authors declare that they have no competing interests.

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Correspondence to Cannas Kwok.

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Kwok, C., Lim, D. Evaluation of a Culturally Tailored Education to Promote Breast and Cervical Cancer Screening Among Chinese-Australian Women. J Canc Educ 31, 595–601 (2016). https://doi.org/10.1007/s13187-015-0859-3

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  • DOI: https://doi.org/10.1007/s13187-015-0859-3

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