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dc.contributor.authorAhmad, F
dc.contributor.authorCameron, J
dc.contributor.authorStewart, DE
dc.date.accessioned2016-08-20T05:48:12Z
dc.date.available2016-08-20T05:48:12Z
dc.date.issued2005-02
dc.identifier.citationAhmad 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):575-86en_US
dc.identifier.urihttp://hdl.handle.net/10315/31832
dc.description.abstractThis 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.en_US
dc.description.sponsorshipThe study was funded by the Canadian Breast Cancer Foundation.en_US
dc.publisherSocial Science and Medicineen_US
dc.rightsAttribution-NonCommercial-NoDerivs 2.5 Canada*
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/2.5/ca/*
dc.subjectBreast canceren_US
dc.subjectHealth promotionen_US
dc.subjectInterventionen_US
dc.subjectHealth belief modelen_US
dc.subjectStages of changeen_US
dc.subjectSouth Asian immigrantsen_US
dc.titleA tailored intervention to promote breast cancer screening among South Asian immigrant womenen_US
dc.typeArticleen_US
dc.rights.articlehttps://doi.org/10.1016/j.socscimed.2004.05.018en_US


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