The role of cultural variables in breast self-examination and cervical cancer screening behavior in young Asian women living in the United States

This study examined cultural factors as predictors of breast self-examination (BSE) and participation in cervical cancer screening in young Asian and Caucasian women in the United States. Comparisons between Asian and Caucasian samples revealed significant differences in ever performing BSE and obta...

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Bibliographic Details
Published in:Journal of behavioral medicine 1999-10, Vol.22 (5), p.419-436
Main Authors: TANG, T. S, SOLOMON, L. J, YEH, C. J, WORDEN, J. K
Format: Article
Language:English
Subjects:
Adult
Asian Americans - psychology
Biological and medical sciences
Breast Neoplasms - prevention & control
Breast Neoplasms - psychology
Breast Self-Examination - psychology
Cervical cancer
Cross-Cultural Comparison
Cultural Characteristics
European Continental Ancestry Group - psychology
Factor Analysis, Statistical
Female
Fundamental and applied biological sciences. Psychology
Health Knowledge, Attitudes, Practice
Humans
Illness and personality
Logistic Models
Personality, behavior and health
Population Surveillance
Psychology and medicine
Psychology. Psychoanalysis. Psychiatry
Psychology. Psychophysiology
Sampling Studies
United States
Uterine Cervical Neoplasms - prevention & control
Uterine Cervical Neoplasms - psychology
Vaginal Smears - psychology
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Summary:This study examined cultural factors as predictors of breast self-examination (BSE) and participation in cervical cancer screening in young Asian and Caucasian women in the United States. Comparisons between Asian and Caucasian samples revealed significant differences in ever performing BSE and obtaining a pap test; the Caucasian women reported higher participation in both behaviors. Factor analysis of cultural barriers to screening revealed four factors: communication with mother, openness around sexuality, prevention orientation, and utilization of Western medicine. Logistic regression predicting BSE performance from demographics, acculturation, and cultural barriers revealed openness around sexuality to be a significant predictor. Pap test participation was predicted by year in college, ever having engaged in sexual intercourse, prevention orientation, and global acculturation. Cultural factors should be considered in programs to enhance participation in cancer screening.
ISSN:0160-7715
1573-3521
DOI:10.1023/A:1018653306776