Impact of breast cancer screening intervention on Korean-American women in Maryland

Hee Soon Juon, Seunghee Choi, Ann Klassen, Debra Roter

Research output: Contribution to journalArticlepeer-review

41 Scopus citations


Background: Adherence to mammography guidelines among Korean-American women (KAW) is lower than that of Caucasian-Americans, and disparities in breast cancer screening related to lack of English proficiency is under-researched. This study examined the impact of a breast cancer intervention on intentions to use mammography among KAW. Methods: Face-to-face pre-intervention surveys were conducted in control (n = 95) and intervention groups (n = 105), and were followed by implementation of a breast cancer education program. At 6 months, both groups were re-interviewed by phone (92 control and 94 intervention participants). Generalized estimating equation (GEE) analysis was used to assess the intervention effect before and after the breast cancer educational program. Results: The intervention effect was statistically significant. Women in the intervention reported 2.96 times greater posttest intentions to have mammogram than those in the control group (95% CI, 1.13-7.66). Prior intentions, age, and positive attitudes toward mammography were associated with follow-up intentions to have a mammogram. Conclusion: This culturally and linguistically tailored educational intervention was effective in increasing breast cancer awareness in a non-English speaking population.

Original languageEnglish (US)
Pages (from-to)297-305
Number of pages9
JournalCancer detection and prevention
Issue number3
StatePublished - 2006


  • Aculturation
  • Breast cancer
  • Cancer education program
  • Cancer survivor
  • Cronbach's coefficient
  • Cultural relevance
  • Early detection
  • English proficiency
  • Health education
  • Insurance provider status
  • Intervention
  • Korean-American
  • Literacy
  • Mammogram
  • Physician recommendation

ASJC Scopus subject areas

  • Oncology
  • Cancer Research


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