Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ASCO Annual Meeting 2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress
Clinical Collections
Advances in Alzheimer’s

2024 ASCO Annual Meeting

Keep up to date with all the top stories and latest evidence with our hub page, including official congress videos and expert takeaways.
ADVANCED SEARCH
Log in
Top
Journal of Cancer Education
Published in: Journal of Cancer Education 1/2011

01-03-2011

Predicting Breast and Colon Cancer Screening Among English-as-a-Second-Language Older Chinese Immigrant Women to Canada

Authors: Laura Todd, Erin Harvey, Laurie Hoffman-Goetz

Published in: Journal of Cancer Education | Issue 1/2011

Login to get access

Abstract

Little is known about the cancer screening behaviors of older ESL Chinese immigrant women. To explore predictors of colon and breast cancer screening in this population, 103 Mandarin- and Cantonese-speaking immigrant women ages 50 years and older were recruited. Participants completed questionnaires to evaluate screening behaviors, health literacy, and demographic characteristics. Eighty-five percent self-reported that they were current breast cancer screeners, and 75% were current colon cancer screeners. Recommendation from a physician, having a female physician, and high or moderate proficiency in English predicted current mammography screening. Physician recommendation, first language, and self-efficacy predicted use of colon cancer screening. Bivariate analyses also revealed an association between use of colon cancer screening and greater health literacy and longer residency in Canada. Important predictors of screening emerged that potentially informs interventions to increase cancer prevention among older Chinese immigrants. The essential role of physician recommendation was identified for both breast and colon cancer screening.
Literature
1.
Canadian Cancer Society/National Cancer Institute of Canada: Canadian Cancer Statistics 2008, Toronto, Canada, 2008.
2.
Hewitson P, Glaszlov PP, Watson E et al (2008) Cochrane systematic review of colorectal cancer screening using the fecal occult blood test (Hemmoccult): an update. Am J Gastroenterol 103:1541–1549CrossRefPubMed
3.
Mandel JS, Bond JH, Church TR et al (1993) Reducing mortality from colorectal cancer by screening for fecal occult blood: Minnesota colon cancer control study. N Engl J Med 328:365–371CrossRef
4.
Tabar L, Yen MF, Vitak B et al (2003) Mammography service screening and mortality in breast cancer patients: 20-year follow-up before and after introduction of screening. Lancet 361:1405–1410CrossRefPubMed
5.
6.
Wilkins K, Shields M (2009) Colorectal cancer testing in Canada—2008. Health Rep 20(3):21–30PubMed
7.
Shields M, Wilkins K (2009) An update on mammography use in Canada. Health Rep 20(3):7–19
8.
Jackson SL, Hislop TG, Teh C et al (2003) Screening mammography among Chinese Canadian women. Can J Public Health 94(4):275–280PubMed
9.
Do HH, Taylor VM, Yasui Y et al (2001) Cervical cancer screening among Chinese immigrants in Seattle, Washington. J Immigr Health 3(1):15–21CrossRefPubMed
10.
Hislop TG, Inrig KM, Bajdik CD et al (2003) Health care services and pap testing behavior for Chinese women in British Columbia. J Immigr Health 5(4):143–152CrossRefPubMed
11.
Yu ES, Kim KK, Chen EH et al (2001) Breast and cervical cancer screening among Chinese American women. Cancer Pract 9(2):81–91CrossRefPubMed
12.
Sun Z, Xiong H, Kearney A et al (2010) Breast cancer screening among Asian immigrants women in Canada. Cancer Epidemiol 34:73–78CrossRefPubMed
13.
Tu SP, Yasui Y, Kuniyuki AA et al (2003) Mammography screening among Chinese-American women. Cancer 97(5):1293–1302CrossRefPubMed
14.
Ma GX, Shive SE, Wang MQ, Tan Y (2009) Cancer screening behaviors and barriers in Asian Americans. Am J Health Behav 33(6):650–660PubMed
15.
Kandula NR, Wen M, Jacobs EA, Lauderdale DS (2006) Low rates of colorectal, cervical, and breast cancer screening in Asian Americans compared with non-Hispanic whites: cultural influences of access to care? Cancer 107(1):184–192CrossRefPubMed
16.
Yip MP, Tu SP, Chun A, Yasui Y, Taylor VM (2006) Participation in colorectal cancer screening among Chinese Americans. Asian Pac J Cancer Prev 7(4):645–650PubMed
17.
Sung JJ, Chan FK, Leung WK et al (2003) Screening for colorectal cancer in Chinese Americans: comparison of fecal occult blood test, flexible sigmoidoscopy, and colonoscopy. Gastroenterology 124(3):608–614CrossRefPubMed
18.
Jerant AF, Fenton JJ, Franks P (2008) Determinants of racial/ethnic colorectal cancer screening disparities. Arch Intern Med 168(12):1317–1324CrossRefPubMed
19.
Tang TS, Solomon LJ, McCracken LM (2001) Barriers to fecal occult blood testing and sigmoidoscopy among older Chinese-American women. Cancer Pract 9(6):277–282CrossRefPubMed
20.
21.
22.
23.
Donelle L, Hoffman-Goetz L, Arocha JF (2007) Assessing health numeracy among community-dwelling older adults. J Health Commun 12:651–665CrossRefPubMed
24.
Hoffman-Goetz L, Meissner HI, Thomson MD (2009) Literacy and cancer anxiety as predictors of health status: an exploratory study. J Cancer Educ 24(3):218–224CrossRefPubMed
25.
Parker RM, Baker DW, Williams MV, Nurss JR (1995) The test of functional health literacy in adults: a new instrument for measuring patients' literacy skills. J Gen Intern Med 10(10):537–541CrossRefPubMed
26.
McQueen A, Tiro JA, Vernon SW (2008) Construct validity and invariance of four factors associated with colorectal cancer screening across gender, race, and prior screening. Cancer Epidemiol Biomark Prev 17(9):2231–2237CrossRef
27.
Hislop TG, Deschamps M, Teh C et al (2003) Facilitators and barriers to cervical cancer screening among Chinese Canadian women. Can J Public Health 94(1):68–73PubMed
28.
Liang W, Wang J, Chen MY et al (2009) Cultural views, language ability, and mammography use in Chinese American women. Health Educ Behav 36(6):1012–1025CrossRefPubMed
29.
Lee M (1998) Breast and cervical cancer early detection in Chinese American women. Asian Am Pac Isl J Health 6:351–357PubMed
30.
Ramirez AG, Wildes KA, Napoles-Springer A et al (2009) Physician gender differences in general and cancer-specific prevention attitutudes and practices. J Cancer Educ 24(2):85–93CrossRefPubMed
31.
Haggerty J, Tamblyn R, Abrahamowicz M et al (1999) Screening mammography referral rates for women ages 50 to 69 by recently-licensed family physicians: physician and practice environment correlates. Preventative Med 29(5):391–404CrossRef
32.
Shokar NK, Nguyen-Oghalai T, Wu H (2009) Factors associated with a physician's recommendation for colorectal cancer screening in a diverse population. Fam Med 41(6):427–433PubMed
33.
Kwok C, Cant R, Sullivan G (2005) Factors associated with mammographic decisions of Chinese-Australian women. Health Educ Res 20(6):739–745CrossRefPubMed
34.
Wu T, Hsieh HF, West BT (2009) Stages of mammography adoption in Asian American women. Health Educ Res 24(5):748–759CrossRefPubMed
35.
Jacobs EA, Karavolos K, Rathouz PJ et al (2005) Limited English proficiency and breast and cervical cancer screening in a multiethnic population. Am J Public Health 95(8):1410–1416CrossRefPubMed
36.
Wang X, Fang C, Tan Y et al (2010) Evidence-based intervention to reduce access barriers to cervical cancer screening among underserved Chinese American women. J Womens Health 19(3):463–469CrossRef
37.
Chui T, Tran K, Flanders J. 2005. “Chinese Canadians: enriching the cultural mosaic”. Canadian social trends. No. 76. Statistics Canada Catalogue no. 11-008-XI 24-32
38.
Bandura A (1977) Self-efficacy: toward a unifying theory of behavioural change. Psychol Rev 84:191–215CrossRefPubMed
39.
Wong N (2009) Investigating the effects of cancer risk and efficacy perceptions on cancer prevention adherence and intentions. Health Commun 24:95–105CrossRefPubMed
40.
Ritvo P, Myers R, Del Giudice ME et al (2009) Fecal occult blood testing: people in Ontario are unaware of it and not ready for it. Can Fam Physician 55(2):176–177PubMed
41.
Peterson NB, Dwyer KA, Mulvaney SA, Dietrich MS, Rothman RL (2007) The influence of health literacy on colorectal cancer screening knowledge, beliefs and behavior. J Natl Med Assoc 99(10):1105–1112PubMed
42.
Miller DP Jr, Brownlee CD, McCoy TP, Pignone MP (2007) The effect of health literacy on knowledge and receipt of colorectal cancer screening: a survey study. BMC Fam Pract 8:16CrossRefPubMed
43.
von Wagner C, Semmler C, Good A, Wardle J (2009) Health literacy and self-efficacy for participating in colorectal cancer screening: the role of information processing. Patient Educ Couns 75(3):352–357CrossRef
44.
Wang JH, Liang W, Chen MY (2006) The influence of culture and cancer worry on colon cancer screening among older Chinese-American women. Ethn Dis 16(2):404–411PubMed
45.
Champion V, Skinner CS, Menon U (2005) Development of a self-efficacy scale for mammography. Res Nurs Health 28(4):329–336CrossRefPubMed
46.
Metadata
Title
Predicting Breast and Colon Cancer Screening Among English-as-a-Second-Language Older Chinese Immigrant Women to Canada
Authors
Laura Todd
Erin Harvey
Laurie Hoffman-Goetz
Publication date
01-03-2011
Publisher
Springer-Verlag
Published in
Journal of Cancer Education / Issue 1/2011
Print ISSN: 0885-8195
Electronic ISSN: 1543-0154
DOI
https://doi.org/10.1007/s13187-010-0141-7

Other articles of this Issue 1/2011

Journal of Cancer Education 1/2011 Go to the issue

ReviewPaper

Effective Teaching Strategies and Methods of Delivery for Patient Education: A Systematic Review and Practice Guideline Recommendations

OriginalPaper

Breast Cancer Advocacy Internships: Student Motivations, Intentions, and Perceptions

OriginalPaper

Cancer Knowledge Increases After a Brief Intervention Among Arab Americans in Michigan

Editorial

Do Recently Diagnosed Black Breast Cancer Patients Find Questions About Cancer Fatalism Acceptable? A Preliminary Report

OriginalPaper

The Art and Science of Cancer Education and Evaluation: Toward Facilitating Improved Patient Outcomes

ReviewPaper

Recommendations for Enhancing Clinical Trials Education: a Review of the Literature

2024 ASCO Annual Meeting Coverage

Highlights of the Day: Breast cancer – metastatic

Breast Cancer Video

In this session, Dr. Wolff provides his key takeaways from the data presented in the metastatic breast cancer oral abstract session at ASCO 2024.

Watch now

Highlights of the Day: Gynecologic cancer

Gynecologic Cancer Video

Highlights of the Day: Breast Cancer – local/regional/adjuvant

Breast Cancer Video

Neoadjuvant dual immunotherapy improves melanoma outcomes

04-06-2024 Melanoma News

» View more highlights on the ASCO 2024 congress hub page

Webinar | 19-02-2024 | 17:30 (CET)

Keynote webinar | Spotlight on antibody–drug conjugates in cancer

Watch now

Antibody–drug conjugates (ADCs) are novel agents that have shown promise across multiple tumor types. Explore the current landscape of ADCs in breast and lung cancer with our experts, and gain insights into the mechanism of action, key clinical trials data, existing challenges, and future directions.

Dr. Véronique Diéras
Prof. Fabrice Barlesi
Developed by: Springer Medicine
Image Credits