Factors Associated with Breast Cancer Screening among Korean American Women in California: Results from the California Health Interview Survey 2015–2016

Document Type : Research Articles


1 Department of Nursing at Chosun University 309 Pilmun-daero, Dong-gu, Gwangju, Republic of Korea.

2 School of Nursing, University of California, Los Angeles, California, USA.

3 School of Nursing, California State University, San Marcos, USA.


Background: Few studies have examined preventive lifestyle behaviors and breast cancer (BC) screening behaviors
simultaneously to determine whether BC screening behaviors are associated with preventive lifestyle behaviors. The
purposes of this study are to (a) describe BC screening utilization and preventive lifestyle behaviors and (b) examine
factors associated with BC utilization among Korean American (KA) women. Methods: Data from the 2015–2016
California Health Interview Survey were analyzed. Survey-weighted adjusted logistic regressions were used to determine
whether preventive lifestyle behaviors and characteristics of KA women 50 years of age and older at the time of the
survey were associated with obtaining mammograms. Results: Most participants were born outside of the US and
had lived in the US for 15 years or more at the time of the survey. This study found that KA women who were 50–64
years old had 38 times greater odds of having ever had a mammogram and a 13 times greater odds of having a recent
mammogram than those 65 and older. KA women who walked at least 10 minutes per week for transportation and leisure
purposed were 61 times more likely to have ever had a mammogram than those who did not walk. Conclusion: This
study provides important perspectives on associations of BC screening behaviors and preventive life-style behaviors,
especially walking. Future research should be conducted to better understand the association between BC screening
and preventive life-style behaviors and to develop feasible interventions to improve BC screening behaviors among
KA women, particularly elderly and physically inactive ones.




Main Subjects

Volume 19, Issue 11
November 2018
Pages 3271-3277
  • Receive Date: 24 June 2018
  • Revise Date: 07 September 2018
  • Accept Date: 19 October 2018
  • First Publish Date: 01 November 2018