| Titre : | A tailored intervention to promote breast cancer screening among South Asian immigrant women. (2005) |
| Auteurs : | Farah AHMAD ; Jill-I CAMERON ; Donna-E STEWART ; University of Toronto. Women's Health Program. University Health Network and Faculty of Medicine. Toronto. ON. CAN |
| Type de document : | Article |
| Dans : | Social science and medicine (vol. 60, n° 3, 2005) |
| Pagination : | 575-586 |
| Langues: | Anglais |
| Mots-clés : | Cancer ; Thérapeutique ; Sein ; Glande mammaire [pathologie] ; Dépistage ; Migrant ; Femme ; Homme ; Canada ; Amérique ; Promotion santé ; Croyance ; Attitude ; Amérique du Nord |
| Résumé : | [BDSP. Notice produite par INIST-CNRS pe12R0x0. Diffusion soumise à autorisation]. This study developed and evaluated a socioculturally tailored intervention to improve knowledge, beliefs and clinical breast examination (CBE) among South Asian (SA) immigrant women. The intervention comprised a series of socioculturally tailored breast-health articles published in Urdu and Hindi community newspapers. A pre-and post-intervention design evaluated the impact of the mailed articles among 74 participants. The mean age of participants was 37 years (SD 9.7) and they had lived 6 years (SD 6.6) in Canada. After the intervention, there was a significant increase in self-reporting'ever had'routine physical checkup (46.4-70.8% ; p<0.01) and CBE (33.3-59.7% ; p<0.001). Also, the total summed scores of accurate answers to 12 knowledge items increased (3.3-7.0 ; p<0.001). For constructs of health belief model, participants rated their level of agreement for a number of items on a scale of 1-4 (disagree to agree). After the intervention the following decreased : misperception of low susceptibility to breast cancer among SA immigrant women (3.0-2.4 ; p<0.001) ; misperception of short survival after diagnosis (2.7-1.8 ; p<0.001) ; and perceived barriers to CBE (2.5-2.1 ; p<0.001). Self-efficacy to have CBE increased (3.1-3.6 ; p<0.001). The change scores of five predictor variables were entered in a direct logistic regression to predict the uptake of CBE among participants who never had it prior to the intervention. The model, as a set, was statistically reliable [X2 (5, n=48)=14.2, p<0.01] and explained 35% of variance in the outcome ; perceived barriers remained an independently significant predictor. The results support the effectiveness of written socioculturally tailored language-specific health education materials in promoting breast cancer screening within the targeted population. Future research should test the intervention in other vulnerable populations. |
Service Documentation EHESP
Me connecter
PORTAIL DOCUMENTAIRE
École des hautes études en santé publique
Catalogue
Multi-bases
Accueil
Sélection de la langue
Adresse
Service Documentation EHESPBibliothèque Rennes Avenue du Professeur Léon Bernard – CS 74312 – 35043 Rennes Cedex Bibliothèque MSSH Paris 20 avenue George Sand - 93210 La Plaine Saint-Denis
France
Bibliothèque Rennes : 02 99 02 29 50 Bibliothèque MSSH Paris : 02 99 02 24 50
contact