Published in Cancer Detection and Prevention 2000; 24(6):549-563.

Breast Cancer Screening Among Cambodian American Women

Shin-Ping Tu, MD, MPH,a Yutaka Yasui, PhD,d Alan Kuniyuki, MS,d Beti Thompson, PhD,b,d Stephen M. Schwartz, PhD,c,d J. Carey Jackson, MD, MPH,a and Vicky M. Taylor, MD, MPHb,d

aInternational Medicine Clinic, Harborview Medical Center, and Departments of aMedicine, bHealth Services, and cEpidemiology, University of Washington; and dDivision of Public Health Sciences, Fred Hutchinson Cancer Research Center, Seattle, Washington

Address all correspondence and reprint requests to: Shin-Ping Tu, MD, MPH, Division of General Internal Medicine, Harborview Medical Center, Box 359780, 325 Ninth Avenue, Seattle, WA 98104.

ABSTRACT: Our aim was to describe and identify factors associated with breast cancer screening among Cambodian American women. We conducted a cross-sectional survey of 1,365 households using bilingual and bicultural interviewers. We found that low proportions of Cambodian American women were up to date on their clinical breast examinations (CBE; 42%) and mammograms (40%). More than 80% of women with female physicians have had at least one prior screening, and 52% have had the tests recently. Women with male Asian American physicians were less likely to have had screening as compared to women with female non-Asian physicians: ever had CBE (odds ratio [OR], 0.26); recent CBE (OR, 0.39); ever had mammogram (OR, 0.36); and recent mammogram (OR, 0.22). Breast cancer screening among Cambodian American women lags behind the general U.S. population. Tailored promotion efforts should address barriers and promote cancer screening by physicians, staff, and organizations serving this population.

KEY WORDS: Asian, clinical breast examination, mammography.