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A tailored intervention to promote breast cancer screening among South Asian immigrant women

A tailored intervention to promote breast cancer screening among South Asian immigrant women

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Title: A tailored intervention to promote breast cancer screening among South Asian immigrant women
Author: Ahmad, F
Cameron, J
Stewart, DE
Abstract: This study developed and evaluated a socioculturally tailored intervention to improve knowledge, beliefs and clinical breast examination (CBE) among South Asian (SA) immigrant women. The intervention comprised a series of socioculturally tailored breast-health articles published in Urdu and Hindi community newspapers. A pre- and post-intervention design evaluated the impact of the mailed articles among 74 participants. The mean age of participants was 37 years (SD 9.7) and they had lived 6 years (SD 6.6) in Canada. After the intervention, there was a significant increase in self-reporting 'ever had' routine physical checkup (46.4-70.8%; p < 0.01) and CBE (33.3-59.7%; p < 0.001). Also, the total summed scores of accurate answers to 12 knowledge items increased (3.3-7.0; p < 0.001). For constructs of health belief model, participants rated their level of agreement for a number of items on a scale of 1-4 (disagree to agree). After the intervention the following decreased: misperception of low susceptibility to breast cancer among SA immigrant women (3.0-2.4; p < 0.001); misperception of short survival after diagnosis (2.7-1.8; p < 0.001); and perceived barriers to CBE (2.5-2.1; p < 0.001). Self-efficacy to have CBE increased (3.1-3.6; p < 0.001). The change scores of five predictor variables were entered in a direct logistic regression to predict the uptake of CBE among participants who never had it prior to the intervention. The model, as a set, was statistically reliable [x2(5, n = 48) = 14.2 , p < 0.01] and explained 35% of variance in the outcome; perceived barriers remained an independently significant predictor. The results support the effectiveness of written socioculturally tailored language-specific health education materials in promoting breast cancer screening within the targeted population. Future research should test the intervention in other vulnerable populations.
Sponsor: The study was funded by the Canadian Breast Cancer Foundation.
Subject: Breast cancer
Health promotion
Intervention
Health belief model
Stages of change
South Asian immigrants
Type: Article
Rights: Attribution-NonCommercial-NoDerivs 2.5 Canada
https://doi.org/10.1016/j.socscimed.2004.05.018
http://creativecommons.org/licenses/by-nc-nd/2.5/ca/
URI: http://hdl.handle.net/10315/31832
Published: Social Science and Medicine
Citation: Ahmad F, Cameron J & Stewart DE. A tailored intervention to promote breast cancer screening among South Asian immigrant women. Social Science and Medicine 2005. 60(3):575-86
Date: 2005-02

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Attribution-NonCommercial-NoDerivs 2.5 Canada Except where otherwise noted, this item's license is described as Attribution-NonCommercial-NoDerivs 2.5 Canada