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Health Education Research Advance Access originally published online on May 11, 2005
Health Education Research 2005 20(6):739-747; doi:10.1093/her/cyh034
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© The Author 2005. Published by Oxford University Press. All rights reserved. For permissions, please email: journals.permissions@oxfordjournals.org

Factors associated with mammographic decisions of Chinese-Australian women

Cannas Kwok1,3, Rosemary Cant2 and Gerard Sullivan1

1 Faculty of Education and Social Work, University of Sydney, Sydney, NSW 2006 and 2 Faculty of Health Science, University of Sydney, Sydney, NSW 1825, Australia

3 Correspondence to: C. Kwok, E-mail: cannas{at}student.usyd.edu.au

BreastScreen (a free breast cancer screening service) has been implemented in Australia since 1991. Surveys conducted overseas consistently report that women of Chinese ancestry have low participation rates in breast cancer screening. Although Chinese women's use of breast cancer screening services has been investigated abroad, to date there are few studies of mammographic screening behavior among Chinese-Australian women. The purpose of this study is to explore and investigate the factors associated with mammographic decisions of Chinese-Australian women. Using a qualitative approach, in-depth interviews were conducted with 20 Chinese-Australian women. These were augmented by additional data from ethnographic observations. The findings show two facilitators: organizational factors (an invitation letter from BreastScreen and seniors' clubs arrangements) and the influence of ‘significant others’. Barriers identified were fear perceptions of mammography, modesty and fear of stigmatization. This study provides a useful framework for designing and implementing mammographic screening services for Chinese-Australian women that may improve their participation rates.


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