School of Rehabilitation, Kunming Medical University, Kunming, China.
Discipline of Occupational Therapy, School of Health Sciences, The University of Sydney, Sydney, New South Wales, Australia.
Nurs Health Sci. 2022 Mar;24(1):293-303. doi: 10.1111/nhs.12925. Epub 2022 Feb 28.
This study aimed to investigate breast cancer screening practices and associated factors among Chinese-Australian women. A cross-sectional quantitative survey method including convenience and snowball sampling was used to recruit 115 Chinese-Australian women living in Sydney, using a self-administered survey. In all, 69.8% of participants reported recent clinical breast examinations and 73.3% had mammograms. Age, religion, employment status, and length of residence were associated with having a clinical breast examination. Income was related to having a mammogram. Associations between knowledge of breast cancer, cancer-related beliefs, and screening participation were found. Length of residence in Australia was the strongest predictor of having a clinical breast examination and mammogram. The most common barrier to mammography was if women felt that doctors did not recommend it to them. Chinese-Australian women need to be educated about awareness of their usual breast health to be aware of any changes, especially if women are not eligible for mammography or have difficulty in accessing health services. Tailored programs, improving screening experiences, and minimizing perceived barriers are needed to promote early detection of breast cancer among Chinese-Australian women.
本研究旨在调查澳大利亚华裔女性的乳腺癌筛查实践和相关因素。采用横断面定量调查方法，包括便利抽样和雪球抽样，招募了 115 名居住在悉尼的澳大利亚华裔女性，采用自我管理的问卷调查。共有 69.8%的参与者报告了最近的临床乳房检查，73.3%的参与者进行了乳房 X 光检查。年龄、宗教、就业状况和居住时间与临床乳房检查有关。收入与乳房 X 光检查有关。还发现了乳腺癌知识、癌症相关信念与筛查参与之间的关联。在澳大利亚的居住时间是进行临床乳房检查和乳房 X 光检查的最强预测因素。乳房 X 光检查最常见的障碍是女性觉得医生没有向她们推荐这种检查。需要对澳大利亚华裔女性进行有关常规乳房健康意识的教育，以了解任何变化，特别是如果女性不符合进行乳房 X 光检查的条件或难以获得医疗服务。需要制定针对性的方案，改善筛查体验，减少感知障碍，以促进澳大利亚华裔女性的乳腺癌早期发现。
