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Journal of Transcultural Nursing, Vol. 16, No. 2, 107-116 (2005)
DOI: 10.1177/1043659605274745

Cultural Affiliation and Mammography Screening of Chinese Women in an Urban County of Michigan

Mei-Yu Yu, PhD

University of Michigan

Tsu-Yin Wu, PhD

Eastern Michigan University

Darlene W. Mood, PhD

Wayne State University

The aim of this study is to explore the relationship of culturally based attitudes on breast cancer screening behavior of Chinese women currently residing in the United States. This cross-sectional study used a survey instrument that was administered to a consecutive nonprobability sample of 202 Chinese women residing in an urban Michigan county. Mood’s strength of cultural affiliation scale (SCAS) was modified for cultural appropriateness prior to being translated into Chinese, back-translated, and pretested prior to use for this study. Data were analyzed using descriptive, correlational, and multivariate analysis techniques. Statistical analyses revealed that cultural diversity within the Chinese sample was associated with differing health behaviors and that the SCAS had indirect effects, through access to health care, on women’s mammography screening use (R2 = 28.3%). These study’s findings reveal that cultural affiliation and beliefs are related to the breast cancer screening behavior of immigrant Chinese women.

Key Words: culture • cultural affiliation • mammography • mammography screening • Chinese • women


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