Breast and cervical cancer screening in Filipino American women
The goal of this study is to develop a comprehensive intervention designed to increase early breast and cervical cancer detection among Filipino American women. This population has been shown to have high rates of late stage breast and cervical cancer. The first step toward increased early detection is identification and measurement of population characteristics related to screening practices and prospective efforts to improve screening rates.
A multidisciplinary, multicultural team designed and conducted a random telephone survey with a representative sample of 875 Filipino American women in 12 Northern California counties. A Census Tract based random digit dialing (RDD) method was used (using tracts with at least 8 percent Filipinos, based on 1990 Census). The sample included women, aged 20-49, 50-64, and 65+. A questionnaire was developed in three Filipino languages and English. The instrument is based on formative research, a pilot test, and pre-testing. Analysis showed that mammography and pap test rates varied by age, language use, and insurance status and cultural factors (health beliefs, religious practice, modesty, and gender roles). In particular, those who were elderly, less acculturated, without insurance, and highly traditional were less likely to be screened. The product of our findings will be a community-based intervention plan and application for a controlled trial to evaluate proposed interventions.
NCCC Principal Investigator: Melen R. McBride, Ph.D., R.N. (Stanford University)
Co-Principal Investigator: Rena J. Pasick, Dr.P.H.
Collaborators
NCCC: Susan Stewart, Ph.D., Noe Tuason, Pamela Horn-Ross, Ph.D.
UCSF: Fabio Sabogal, Ph.D.
Funding Source: Department of Defense
Dates: 1994-1998
Publications:
Hoggatt KJ, Stewart SL, Pasick R, Sabagol F, Tuason N, Duenas GV, McBride MR, Horn-Ross PL. Comparison of methods for identifying a population-based sample of Filipina women for a health survey. Ethnicity Dis 2004; 14(1):21-25.
McBride M, Pasick RJ, Stewart SL, Tuason N, Sabogal F, Duenas G. Factors associated with cervical cancer screening among Filipino women in California. Asian Amer & Pacific Island J Health 1998; 6 (2):358-367.
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