Abstract

Background:Few studies have examined preventive lifestyle behaviors and breast cancer (BC) screening behaviors simultaneously to determine whether BC screening behaviors are associated with preventive lifestyle behaviors. The purposes of this study are to (a) describe BC screening utilization and preventive lifestyle behaviors and (b) examine factors associated with BC utilization among Korean American (KA) women.Methods:Data from the 2015–2016 California Health Interview Survey were analyzed. Survey-weighted adjusted logistic regressions were used to determine whether preventive lifestyle behaviors and characteristics of KA women 50 years of age and older at the time of the survey were associated with obtaining mammograms.Results:Most participants were born outside of the US and had lived in the US for 15 years or more at the time of the survey. This study found that KA women who were 50–64 years old had 38 times greater odds of having ever had a mammogram and a 13 times greater odds of having a recent mammogram than those 65 and older. KA women who walked at least 10 minutes per week for transportation and leisure purposed were 61 times more likely to have ever had a mammogram than those who did not walk.Conclusion:This study provides important perspectives on associations of BC screening behaviors and preventive life-style behaviors, especially walking. Future research should be conducted to better understand the association between BC screening and preventive life-style behaviors and to develop feasible interventions to improve BC screening behaviors among KA women, particularly elderly and physically inactive ones.

Highlights

  • According to Surveillance, Epidemiology and End Results (SEER) data, breast cancer (BC) among Korean American (KA) women increased by 4.7 annual percentage points between 1990 and 2008 (Gomez et al, 2013)

  • KA women’s most cited reason for not obtaining BC screening is a lack of symptoms because many KA women tend to believe that cancer screening tests are needed only after symptoms of cancer occur; such a belief reflects a lack of preventive health orientation (Lee, 2015)

  • This study aimed to describe BC screening utilization and preventive lifestyle behaviors as well as examine factors associated with BC utilization among KA women

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Summary

Introduction

According to Surveillance, Epidemiology and End Results (SEER) data, breast cancer (BC) among Korean American (KA) women increased by 4.7 annual percentage points between 1990 and 2008 (Gomez et al, 2013). Their BC screening rates have been suboptimal, possibly because of a lack of preventive health orientation (perceived importance of avoiding risk factors and detecting health problems early). To better understand the reason for increasing BC incidence rates among KA women, it is essential to understand behavioral risk factors for BC as well as screening habits that could put KA women at risk. The purposes of this study are to (a) describe BC screening utilization and preventive lifestyle behaviors and (b) examine factors associated with BC utilization among Korean American (KA) women. Future research should be conducted to better understand the association between BC screening and preventive life-style behaviors and to develop feasible interventions to improve BC screening behaviors among KA women, elderly and physically inactive ones

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