Tailored lay health worker intervention improves breast cancer screening outcomes in non-adherent Korean-American women

Hae Ra Han, H. Lee, M. T. Kim, K. B. Kim

Research output: Contribution to journalArticle

63 Citations (Scopus)

Abstract

Despite rapidly increasing incidence rates of breast cancer, recent immigrants such as Korean-American (KA) women report disproportionately lower utilization of screening tests compared with other ethnic groups. Early screening of breast cancer for this population may be greatly facilitated by indigenous lay health workers (LHWs). We conducted an intervention trial with a 6-month follow-up. Trained LHWs recruited 100 KA women 40 years of age or older who had not had a mammogram during the past 2 years. Ninety-three completed follow-up questionnaires. A 120-min, in-class education combined with LHW follow-up counseling and navigation assistance through the health care system was provided. Rates of breast cancer screening behaviors significantly increased at 6 months (P < 0.001); changes between pre- and post-intervention were 31.9% for mammography, 23% for clinical breast examination and 36.2% for breast self-examination. Modesty toward screening significantly decreased over time, but we did not find any significant differences in breast cancer knowledge and beliefs before and after the intervention. Results support the efficacy of this neighborhood-based, culturally sensitive intervention. Further research should seek to replicate these findings and to incorporate more self-care skills such as health literacy when designing an intervention program for linguistically and culturally isolated immigrant women.

Original languageEnglish
Pages (from-to)318-329
Number of pages12
JournalHealth Education Research
Volume24
Issue number2
DOIs
Publication statusPublished - 2009 Apr 1

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Asian Americans
Early Detection of Cancer
cancer
Breast Neoplasms
worker
Health
health
Breast Self-Examination
Health Literacy
Mammography
Self Care
immigrant
Ethnic Groups
Counseling
examination
Breast
Delivery of Health Care
Education
counseling
Incidence

All Science Journal Classification (ASJC) codes

  • Education
  • Public Health, Environmental and Occupational Health

Cite this

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Tailored lay health worker intervention improves breast cancer screening outcomes in non-adherent Korean-American women. / Han, Hae Ra; Lee, H.; Kim, M. T.; Kim, K. B.

In: Health Education Research, Vol. 24, No. 2, 01.04.2009, p. 318-329.

Research output: Contribution to journalArticle

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