Abstract A78: Factors associated with screening mammography in Asian Americans: Test of the Andersen's Behavioral Model of Health Services Use

Abstract

Abstract Despite its effectiveness as a preventive measure, minority women are less likely to obtain screening mammograms. Although numerous studies have examined factors associated with mammography utilization and women's adherence to mammography screening guidelines, less attention has been directed to mammography adherence among Asian Americans and how nativity influences adherence. Asian Americans may be one of the fastest growing racial/ethnic groups in the United States, but remains one of the most poorly understood minorities in terms of screening mammography adherence. Using an adapted Andersen's Behavioral Model of Health Services Use and data from the California Health Interview Survey (2001-2009), this study sought to determine the relationship between predisposing, enabling, and need factors on mammography adherence among Asian Americans and to determine if it varied by nativity. The sample included 8,353 Asian Americans with 80.2% foreign-born. A multivariate logistic regression models were used to explore the association between enabling, predisposing, and need factors to screening mammography. The factors associated with screening mammography varied by nativity. Among U.S.-born Asian females, mammography adherence was associated with current smokers, prior cancer prevention health service use, Asians over the age of 65 years old, household size, speaking English very good or well and being uninsured. Among foreign-born Asian females, mammography adherence is associated with being overweight, sedentary, prior cancer prevention health service use, age (50-64 years old), household size, marital status, health insurance, and having one or more chronic conditions. Understanding the factors that impact mammography adherence may inform intervention strategies. Citation Format: ThuyQuynh Ngoc Do, M. Kristen Peek. Factors associated with screening mammography in Asian Americans: Test of the Andersen's Behavioral Model of Health Services Use. [abstract]. In: Proceedings of the Sixth AACR Conference: The Science of Cancer Health Disparities; Dec 6–9, 2013; Atlanta, GA. Philadelphia (PA): AACR; Cancer Epidemiol Biomarkers Prev 2014;23(11 Suppl):Abstract nr A78. doi:10.1158/1538-7755.DISP13-A78