Published in Cancer Detection and Prevention 2000; 24(6):589-601.

Cancer Screening Behaviors Among Korean-American Women

Hee-Soon Juon, PhD, Yoonjoung Choi, MPH, and Miyong T. Kim, PhD

Department of Health Policy and Management, Johns Hopkins University School of Hygiene, Johns Hopkins University, Baltimore, MD

Address all correspondence to: Hee-Soon Juon, PhD, Depanment of Health Policy and Management, Johns Hopkins University School of Hygiene, 624 North Broadway, Baltimore, MD 21205.

ABSTRACT: The goals of this study were to evaluate breast and cervical cancer screening tests and to examine the correlates of cancer screening behaviors. A cross-sectional face-to-face survey of 438 Korean-American women residing in Maryland was conducted. About 50% of women age 18 and older had had a Pap smear and 46.6% of these women age 40 and older had had a mammogram in the past 2 years. In multiple logistic regression analyses, the strongest correlate of screening behaviors was having a regular medical checkup. Age and acculturation were found to be important correlates of cancer screening tests: Women less than 50 years of age were more likely to have cancer screening tests than those 50 years and older. English language proficiency was associated with having a mammogram and the proportion of life spent in the United States was associated with having a Pap smear. Employment interacted with marital status for a Pap smear, with those married and unemployed being less likely to have a Pap smear than women who were both married and employed. For strategies to increase cancerscreening tests among Korean-American women, we need to aim at developing culturally appropriate educational programs about cancer for less acculturated and recent immigrants.

KEY WORDS: Pap smear, mammography, acculturation, access to health care, Korean.