Breast cancer screening behaviors among immigrant Iranian women in the United States Public Deposited

http://ir.library.oregonstate.edu/concern/graduate_thesis_or_dissertations/j96023143

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  • The purpose of this study was to describe Iranian immigrant women's knowledge, beliefs and attitudes towards breast cancer, and their breast cancer screening behaviors. Specifically, this research examined the predictors of age-specific breast cancer screening participation among this population. The participants in this study consisted (n=34 1) of self-identified first generation immigrant Iranian women who were born and/or lived in Iran before they migrated to the United States and were recruited through a snowball sampling technique. The inclusion criteria for the participants were: a) women between the ages of 30-80 years who lived in California, b) women were able to read and speak English and/or Persian. Survey data was entered using SPSS, and was analyzed using descriptive univariate frequencies and bivariate cross tabulations. The Chi square statistic was used to test the significance of bivariate cross-tabulations at a.05. Secondly, Logistic regression was used to identify predictors of women's breast cancer screening. Logistic regression using the method of likelihood estimation was conducted to identify the most important predictors after adjusting for other variables (P>.05 for removal from model). The logistic regression results appear as odds ratios (ORs) and 95% confidence intervals. In general screening rates for CBE and mammography among the participants in the current study were higher than levels set in the year 2010 Health Objectives and those reported for women nationally. These findings are inconsistent with previous studies on immigrant women living in the United States which indicate low rates of screening compared with the predominantly white populations and even lower rates of screening among first generation immigrants. The comparatively lower BSE compliance rates are in contrast with the higher annual age specific CBE and mammography rates. However, the low rate of BSE practice is consistent with previous findings from other studies on immigrant women's screening behaviors. Research regarding breast cancer screening behaviors of Middle Eastern women remains very limited and studies about breast cancer screening behaviors of Iranian immigrant women are non-existent. This study was the first attempt to address this research gap and provide a preliminary understanding of the health practices in this understudied ethnic group. This information will in turn provide suggestions for more focused ethnic specific health promotion programs to increase breast cancer screening behavior among this population.
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