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Breast Cancer Screening Knowledge and Perceived Health Beliefs among Immigrant Women in Korea

Breast Cancer Screening Knowledge and Perceived Health Beliefs among Immigrant Women in Korea

초록/요약

Purpose: Recently, through international marriage, immigrantwomen have rapidly increased throughout Korea. This study wasperformed to identify health beliefs and practices related tobreast cancer screening in immigrant women in Korea. Methods:A cross-sectional survey was carried out between March andJuly 2012, and study population included immigrant females fromsix other Asian countries (Cambodia, China, Japan, Mongolia,Vietnam, and the Philippines). We surveyed 197 women and categorizedthem into four groups according to home countries. Thequestionnaire consisted of 55 items, including demographic andsocioeconomic factors, breast cancer-related knowledge regardingrisk factors and symptoms, beliefs and attitudes towardshealth and breast cancer, perceived susceptibility, barriers, andbenefits of screening. Results: Japanese participants were significantlyolder and had resided in Korea for more years than othercountry-of-origin groups (all p<0.001), and showed higherscreening rates without statistical significance (p=0.392). In multivariateanalysis, country of origin showed a significant correlationwith knowledge (p=0.001), positive beliefs (p=0.002), andperceived benefits (p=0.025) of breast cancer screening. Thegroup with the lowest household income showed a significantlylower score of perceived benefits (p=0.022). Through analysis toidentify factors affecting participation in screening mammography,we found that education level (p=0.009), occupation status(p=0.006), and Korean language fluency (p=0.002) were independentpredictors for screening behavior. Conclusion: This studyidentified conditions related to breast cancer screening knowledge,perception, and behavior of immigrant women in Korea. The results reflect the need for increased social aids to removebarriers to medical services and more educational programs tofacilitate higher rates of screening.

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