Factors associated with breast and cervical cancer screening practices among Vietnamese American women

Cancer Detect Prev. 1997;21(6):510-21.

Abstract

Purpose: To investigate predictors of breast and cervical cancer screening tests among Vietnamese women in California in preparation for developing and testing interventions to promote such screening.

Methods: Cross-sectional telephone survey of 933 randomly selected Vietnamese women in four California counties.

Results: Overall, 70% of the respondents had had at least one prior clinical breast examination, but only 30% had had a mammogram and 53% a Pap test. Among women who had been screened, more than two-thirds were up-to-date and among those who had not been screened, more than two-thirds were planning future tests. Factors positively associated with receipt of one or more of the tests included age (among women < 40 years old), number of years in the United States, having ever married, and having health insurance. Factors negatively associated with test receipt included having a Vietnamese doctor, being unemployed, and being of Chinese-Vietnamese background.

Conclusion: The multiple factors associated with utilization suggest intervention targets for promoting breast and cervical screening among new immigrant women. Increasing screening test receipt to recommended levels will require a two-pronged approach directed at both Vietnamese consumers and Vietnamese physicians.

Publication types

  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Adolescent
  • Adult
  • Age Factors
  • Asian Americans*
  • Breast Neoplasms / diagnosis
  • Breast Neoplasms / ethnology
  • Breast Neoplasms / prevention & control*
  • California
  • Cross-Sectional Studies
  • Emigration and Immigration
  • Female
  • Humans
  • Mammography / statistics & numerical data
  • Middle Aged
  • Uterine Cervical Neoplasms / diagnosis
  • Uterine Cervical Neoplasms / ethnology
  • Uterine Cervical Neoplasms / prevention & control*
  • Vaginal Smears / statistics & numerical data
  • Vietnam / ethnology