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Cervical Cancer Screening Among Chinese Immigrants in Seattle, Washington

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Abstract

Introduction: Chinese American women have high rates of invasive cervical cancer, compared to the general population. However, little is known about the Pap testing behavior of ethnic Chinese immigrants.

Methods: We conducted a community-based survey of Chinese immigrants living in Seattle, Washington, during 1999. Two indicators of cervical cancer screening participation were examined: at least one previous Pap smear and Pap testing in the last 2 years.

Results: The overall estimated response rate was 64%, and the cooperation rate was 72%. Our study sample for this analysis included 647 women. Nearly one quarter (24%) of the respondents had never had a Pap test, and only 60% had been screened recently. Factors independently associated with cervical cancer screening use included marital status, housing type, and age at immigration.

Conclusion: Our findings confirm low levels of cervical cancer screening among Chinese immigrants to North America. Culturally and linguistically appropriate Pap testing intervention programs for less acculturated Chinese women should be developed, implemented, and evaluated.

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REFERENCES

  1. U.S. Department of Commerce: We the Asian Americans. Washington DC: US Department of Commerce; 1993

    Google Scholar 

  2. Lasky E, Martz C: The Asian/Pacific Islander population in the United States: cultural perspectives and their relationship to cancer prevention and early detection. In: Frank-Stromberg M, Olsen S, eds. Cancer Prevention in Minority Populations-Cultural Implications for Health Care Professionals. St. Louis: Mosby; 1993

    Google Scholar 

  3. Mo B: Modesty, sexuality, and breast health in Chinese-American women.Western Journal of Medicine 1992; 157:260–264

    PubMed  Google Scholar 

  4. Lee M, Lee F, Stewart S: Pathways to early breast and cervical cancer detection for Chinese American women. Health Education Quarterly 1996; 23 Suppl:76–78

    Google Scholar 

  5. Parkin D, Pisani P, Ferlay J: Global cancer statistics.CACancer Journal for Clinicians 1999; 49:33–64

    Google Scholar 

  6. Guo W, Hsing A, Li J, Chow W, Blot W: Correlation of cervical cancer mortality with reproductive and dietary markers, and serum markers in China. International Journal of Epidemiology 1994; 23:1127–1132

    PubMed  Google Scholar 

  7. Parkin D, Muir C, Whelan S, Gao Y, Ferlay J, Powell J: Cancer Incidence in Five Continents, volume 6. Lyon: International Agency Cancer Research, 1993

    Google Scholar 

  8. United States Public Health Service: The National Strategic Plan for the Early Detection and Control of Breast and Cervical Cancers. Washington, DC: US Department of Health and Human Services, 1992

    Google Scholar 

  9. Centers for Disease Control: Behavioral Risk Factor Survey of Chinese-California, 1989. Morbidity and MortalityWeekly Reports 1992; 41:266–270

    Google Scholar 

  10. Hiatt R, Pasick R, Perez-Stable E, McPhee SJ, Engelstad L, et al: Pathways to early cancer detection in the multi-ethnic population of the San Francisco Bay area. Health Education Quarterly 1996; 23 Suppl:10–27

    Google Scholar 

  11. Gould-Martin K, Ngin C: Chinese Americans. In: Harwood A, ed. Ethnicity and Medical Care. Cambridge: Harvard University Press, 1981

    Google Scholar 

  12. United States Department of Commerce: 1990 Census of Population and Housing: Population and Housing Characteristics for Census Tracts and Block Numbering Areas: Seattle, WA PMSA. Washington DC: United States Department of Commerce, 1993

    Google Scholar 

  13. Hage B, Oliver G, Powles J, Wahlquist M: Telephone directory listings of presumptive Chinese surnames: an appropriate sampling frame for a dispersed population with characteristic surnames. Epidemiology 1990; 1:405–408

    PubMed  Google Scholar 

  14. Choi B: Use of surnames to identify individuals of Chinese ancestry. American Journal of Epidemiology 1993; 138:723–734

    PubMed  Google Scholar 

  15. Eyton J, Neuwirth G: Cross-cultural validity: ethnocentrism in health studies with special reference to the Vietnamese. Social Science and Medicine 1984; 18:447–445

    PubMed  Google Scholar 

  16. McPhee S, Bird J, Ha N, Jenkins C, Fordham D, Le B: Pathways to early detection for Vietnamesewomen(health is gold). Health Education Quarterly 1996; 23 Suppl:60–75

    Google Scholar 

  17. Fink D: Guidelines for the Cancer-related Checkup: Recommendations and Rationale. Atlanta: American Cancer Society, 1991

    Google Scholar 

  18. United States Preventive Services Task Force: Guide to Clinical Preventive Services. Baltimore: Williams and Wilkins, 1996

    Google Scholar 

  19. Rosner B: Fundamentals of Biostatitstics. Boston: Duxbury, 1995

    Google Scholar 

  20. Breslow N, Day N: Statistical Methods in Cancer Research. Lyon, France: International Agency Cancer Research, 1980

    Google Scholar 

  21. Draper N, Smith H: Applied Regression Analysis. New York: JohnWiley & Sons, 1981

    Google Scholar 

  22. Fruchter R, Nayeri K, Remy J, Wright C, Feldman JG, et al: Cervical and breast cancer incidence in immigrant Caribbean women. American Journal of Public Health 1990; 80:722–724

    PubMed  Google Scholar 

  23. Taylor V, Schwartz S, Jackson C, Kuniyuki A, Fischer M, et al: Cervical cancer screening among Cambodian-American women. Cancer Epidemiology Biomarkers and Prevention 1999; 8:541–546

    Google Scholar 

  24. United States Public Health Service: Healthy People 2000: National Health Promotion and Disease Prevention Objectives. Washington, DC: Department of Health and Human Services, 1990

    Google Scholar 

  25. Yi J: Factors associated with cervical cancer screening behavior among Vietnamese women. Journal of Community Health 1994; 19:189–200

    PubMed  Google Scholar 

  26. McPhee S, Bird J, Ha N, Jenkins C, Pham G: Factors associated with breast and cervical cancer screening practices among Vietnamese-American women. Cancer Detection and Prevention 1997; 21:510–521

    PubMed  Google Scholar 

  27. Hiatt R, Pasick R: Unsolved problems in early breast cancer detection: focus on the underserved. Breast Cancer Research and Treatment 1996; 40:37–51

    PubMed  Google Scholar 

  28. Jenkins C, Le T, McPhee S, Stewart S, Ha N: Health care access and preventive care among Vietnamese immigrants: do traditional beliefs and practices pose barriers? Social Science and Medicine 1996; 43:1049–1056

    PubMed  Google Scholar 

  29. Jackson C, Taylor V, Chitnarong K, Mahloch J, Fischer M, Sam R, Seng P: Development of a cervical cancer control intervention program for Cambodian American women. Journal of Community Health 2000; 25:359–377

    PubMed  Google Scholar 

  30. Mahloch J, Jackson C, Chitnarong K, Sam R, Ngo L, Taylor V: Bridging cultures through the development of a cervical cancer screening video for Cambodian women in the United States. Journal of Cancer Education 1999; 14:109–114

    PubMed  Google Scholar 

  31. National Institutes of Health Consensus Development Panel: National Institutes of Health consensus development conference statement: cervical cancer, April 1–3, 1996. Journal of the National Cancer Institute 1996; 21:vii-xix

    Google Scholar 

  32. Bird J, McPhee S, Ha N, Le B, Thomas D, Jenkins C: Opening pathways to cancer screening for Vietnamese-American women: lay health workers hold a key. Preventive Medicine 1998; 27:821–829

    PubMed  Google Scholar 

  33. Lee M, Lee F, Stewart S, McPhee S: Cancer screening practices among primary care physicians serving Chinese Americans in San Francisco.Western Journal of Medicine 1999; 170:148–155

    PubMed  Google Scholar 

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Authors and Affiliations

  1. Department of Medicine, University of Washington, International Medicine Clinic, Harborview Medical Center, Seattle, Washington

    H. Hoai Do, J. Carey Jackson & Shin-Ping Tu

  2. Division of Public Health Sciences, Department of Health Services, Fred Hutchinson Cancer Research Center, University of Washington, Seattle, Washington

    Victoria M. Taylor

  3. Division of Public Health Sciences, Fred Hutchinson Cancer Research Center, Seattle, Washington

    Yutaka Yasui

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  1. H. Hoai Do
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  2. Victoria M. Taylor
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  3. Yutaka Yasui
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  4. J. Carey Jackson
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  5. Shin-Ping Tu
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Do, H.H., Taylor, V.M., Yasui, Y. et al. Cervical Cancer Screening Among Chinese Immigrants in Seattle, Washington. Journal of Immigrant Health 3, 15–21 (2001). https://doi.org/10.1023/A:1026606401164

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  • DOI: https://doi.org/10.1023/A:1026606401164

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