Published in Cancer Detection and Prevention 1997; 21(6):510-521.

Factors Associated with Breast and Cervical Cancer Screening Practices Among Vietnamese American Women

Stephen J McPhee MD, Susan Stewart PhD, Kaye C Brock PhD, Joyce A Bird PhD, Christopher NH Jenkins MA MPH., Giao Q Pham MD

Suc Khoe La Vang! Health is Gold!, Vietnamese Community Health Promotion Project, Division of General Internal Medicine, Department of Medicine, University of California, San Francisco, San Francisco, CA

Address all correspondence and reprint requests to: Stephen J. McPhee, MD, Vietnamese Community Health Promotion Project, 44 Montgomery St., Suite 850, San Francisco, CA 94104.

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.

KEY WORDS: breast cancer screening, cervical cancer screening, Vietnamese.

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