1 / 26

Breast-Health Screening Perceptions of Chinese Canadian Immigrant Women

Breast-Health Screening Perceptions of Chinese Canadian Immigrant Women . Immigrant & Racialized Women’s Health Conference February 21, 2014 Heidi Sin RN, PhD. Outline. Problem and purpose of the study Approach Research questions S tudy participants Data collection

hector
Télécharger la présentation

Breast-Health Screening Perceptions of Chinese Canadian Immigrant Women

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Breast-Health Screening Perceptions of Chinese Canadian Immigrant Women Immigrant & Racialized Women’s Health Conference February 21, 2014 Heidi Sin RN, PhD

  2. Outline • Problem and purpose of the study • Approach • Research questions • Study participants • Data collection • Results and Interpretation • Recommendations • Implications for Practices

  3. Problem • Breast cancer is a prominent type of cancer in women. • Breast cancer accounted for 458,000 deaths globally. • In Canada, 22,700 individuals diagnosed with breast cancer along with 5,100 cancer-related deaths in 2012. • Regular breast-health screening could reduce mortality from breast cancer. • Screening rate was low within ethno-cultural groups. • Result in high mortality and morbidity.

  4. Purpose To explore the perceptions of breast-health screening among Chinese Canadian immigrant women, aged 30 to 69 and barriers that prevented them from having breast-health screening.

  5. Research Method and Design • Qualitative case study • Demographic survey • Semistructured interview • Focus group

  6. Research Question What are the perceptions of breast-health screening among Chinese Canadian immigrant women aged 30 to 69?

  7. Research Subquestions • Types of preventive health measures • Perceived benefits of breast-health screening • Obstacles to breast-health screening • Females’ perceptions of condition, situations, or contexts that influence their lived experiences with breast-health screening • Perceived role of breast-health screening

  8. Characteristics of population • Chinese women aged 30 to 69. • Born and received education in mainland China. • First language is Mandarin. • Have immigrated to Canada for 5 years or less. • Residents in the Greater Toronto Area. • Acquired no history of breast cancer. • Approached Welcome Centre Immigrant Services-Markham South or The Cross-Cultural Community Services Association.

  9. Data Collection • Pilot study • Fifteen semistructured interviews • Two focus groups

  10. Results and Interpretations Subquestion 1: What types of preventive health measures used by Chinese Canadian immigrant women? Theme: Influence of Chinese cultural beliefs and practices to maintain health • Healthy eating • Physical activities • Positive attitude • Regular daily activities

  11. Results and Interpretations Subquestion 2: What are the perceived benefits of breast-health screening for Chinese Canadian immigrant women? Theme: Important role of a female caregiver in a family • Early detection of breast cancer • Prevention of illness • Beneficial to individuals and family members

  12. Results and Interpretations Subquestion 3: What are the obstacles to breast-health screening for Chinese Canadian immigrant women? Theme: Accessibility to and utilization of screening services • Lack of knowledge • Inconvenience • Language proficiency • Embarrassment • Perceived illness • Radiation • Cost

  13. Results and Interpretations Subquestion 4: What are the females’ perceptions of condition, situations, or contexts that influence their lived experiences with breast-health screening? Two themes: Lack of preventive health concept and experiences affect participation Lack of preventive health concept • Perceived illnesses • Awareness of breast cancer impact

  14. Results and Interpretations Subquestion 4: What are the females’ perceptions of condition, situations, or contexts that influence their lived experiences with breast-health screening? Theme: Experiences affect participation • Positive / negative perceptions of screening • Someone with breast cancer • Screening experiences • Screening instructions • Positive / negative emotional responses

  15. Results and Interpretations Subquestion 5: What perceived role does breast-health screening play in Chinese Canadian immigrant women’s health? Theme: Lack of information about breast-health screening program • Benefits of screening • Importance of screening • Individual responsibility • Breast-health screening program • Current health status

  16. Recommendations • Develop culturally-sensitive linguistic programs and educational materials in consideration of Chinese health beliefs. • Establish better communication between health care providers and clients and recommendation by physicians. • Include breast-health screening as a standard item within annual check-up. • Promotion of breast-health screening through ethnic media.

  17. Recommendations • Expand the operating hours for screening clinic and initiation of mobile women’s clinic. • Provide translation services, comfortable and supportive environment at the breast-health screening clinics. • Provide linguistic culturally educational program to include preventive health concept. • Provide community-based outreach educational programs and a lay health educator program.

  18. Implications for Practices To increase participation in breast-health screening: • Increase knowledge. • Reduce perceived barriers, facilitate perceived benefits, minimize negative experiences. • Promote self care message. • Involve physicians. • Send reminders through a systematic approach. • Remove embarrassment by given options. • Review health organizations role. • Conduct further longitudinal studies.

  19. Thank you!!

  20. References • Anagnostououlos, F., Dimitrakaki, C., Fitzsimmons, D., Potamianos, G., Niakas, D., & Tountas, Y. (2012). Health beliefs and illness perception as related to mammography uptake in randomly selected women in Greece. Journal of Clinical Psychology in Medical Settings, 19, 147-164. doi:10.1007/s10880-011-9272-1 • Ayala, G. X., Vaz, L., Earp, J. A., Elder, J. P., & Cherrington, A. (2010). Outcome effectiveness of the lay health advisor model among Latino in the United States: An examination by role. Health Education Research, 25(5), 815-840. doi:10.1093/her/cyq035 • Bloomberg, L., & Volpe, M. (2008). Completing your qualitative dissertation: A roadmap form beginning to end. Thousand Oaks, CA. Sage.

  21. References • Canadian Cancer Society , Public Health Agency of Canada, & Statistics Canada. (2012). Canadian cancer statistics 2012. Toronto, Canada: Canadian Cancer Society. • Cancer Care Ontario. (2010). Ontario breast cancer screening program 20th anniversary report 1990-2010. Toronto, ON: Author. • Chen, Y. L. D. (1996). Conformity with nature: A theory of Chinese American elders’ health promotion and illness prevention process. Advances in Nursing Science, 19(2), 17-26. • Christensen, L. B., Johnson, R. B., & Turner, L.A. (2011). Research methods, design, and analysis (11th ed.). Boston, MA: Allyn & Bacon. • Finlay, L. (2009). Debating phenomenological research methods. Phenomenological and Practices, 3(1), 6-25. • Gay, L. R., Mills, G. E., & Airasian, P. (2006). Educational research. Competencies for analysis and applications. Upper Saddle River, NJ: Pearson.

  22. References • Glanz, K., Rimer, B. K., & Viswanath, K. (Eds.). (2008). Health behavior and health education. Theory, research and practice (4th ed.). Hoboken, NJ: Jossey-Bass. • Inoue, M., Pickard, G. J., Welch-Saleeby, P., & Johnson, S. (2009). African-American caregivers’ breast health behavior. Health Education Research, 24(5), 735-747. doi:10.1093/her/cyp008 • Kwok, C., Fethney, J., & White, K. (2012). Mammographic screening practices among Chinese-Australian women. Journal of Nursing Scholarship, 44 (1), 11-18. doi:10.1111/j.1547-5069.2011.01429x • Lee-Lin, F., Menon, U., Pett, M., Nail, L., Lee, S., & Mooney, K. (2007). Breast cancer beliefs and mammography screening practices among Chinese American immigrants. Journal of Obstetric, Gynecologic, & Neonatal Nursing, 36, 212-221. doi:10.1111/J.1552-6909.2007.00141.x

  23. References • Lee-Lin, F., Menon, U., Nail, L., & Lutz, K. F. (2012). Findings from focus groups indicating what Chinese American immigrant women think about breast cancer and breast cancer screening. Journal of Obstetric Gynecologic & Neonatal Nursing, 00(00), 1-11. doi:10.1111/j.1552-6909.2012.01348x • Leedy, P. D., & Ormrod, J. E. (2010). Practical research: Planning and design (9th ed.). Upper Saddle River, NJ: Pearson. • Liang, W., Wang, J. H., Chen, M. Y., Feng, S., Lee, M., Schwartz, M. D.,…Mandelblatt, J. S. (2008). Developing and validating a measure of Chinese cultural views of health and cancer. Health Education and Behavior, 35, 361-375. doi:10.1177/1090198106294893 • Mapp, T. (2008). Understanding phenomenology: The lived experience. British Journal of Midwifery, 16, 308-311.

  24. References • Morgan, D. L. (1997). Focus groups as qualitative research. Newbury Park, California: Sage. • Moustakas, C. (1994). Phenomenological research methods. Thousand Oaks, CA: Sage. • Shin, K., Kim, M., & Chung, S. (2009). Methods and strategies utilized in publishedqualitative research. Qualitative Health Research, 19, 850-858. • Sun, A., Zhang, J., Tsoh, J., Wong-Kim, E., & Chow, E. (2007). The effectiveness in utilizing Chinese media to promote breast health among Chinese women. Journal of Health Communication, 12, 157-171. doi:10.1080/10810730601150106

  25. References • Tabar, L., Vitak, B., Yen, A. M., Cohen, A., Tot, T., Chui, S.Y.,…Duffy, S. W. (2011). Swedish two-country trial: Impact of mammography screening on breast cancer mortality during 3 decades. Radiology, 260, 658-663. doi:10.1148/radiol.11110469 • Todd, L. Harvey, E., & Hoffman-Goetz, L. (2011). Predicting breast and colon screening among English-as-a- second-language older Chinese immigrant women to Canada. Journal of Cancer Education, 26, 161-169. doi: 10.1007/s13187-010-0141-7 • World Health Organization. (2013). Breast cancer: Prevention and control. Retrieved from http://www.who.int/cancer/detection/breastcancer/en

More Related