Content Validity of a Screening Instrument for Breast Cancer Early Detection Among Asian American Women: The Cultural Health and Screening Mammography Belief Scale

2016 ◽  
Vol 24 (3) ◽  
pp. 356-364
Author(s):  
Meng Zhao ◽  
Patricia L. Conard

Background and Purpose: Asian American women have the lowest mammography screening rate in the United States. There is no standardized instrument available to measure their cultural beliefs regarding screening mammography. The purpose of this study is to evaluate the content validity of the Cultural Health and Screening Mammography Belief Scale (CHSMBS) developed for this population. Procedures for Instrument Development: The content validity was examined using content validity index (CVI). Both item-level (I-CVI) and scale-level CVIs (S-CVI) were evaluated. Results: The instrument’s I-CVIs ranged from 0.75 to 1.00, and the S-CVI was 1.00, reflecting excellent inter-rater agreement. Conclusions: The study has established the scale’s content validity to evaluate Asian American women’s use of screening mammography. Further examination of the reliability and construct validity will add further support of the scale’s utility in health research and practice.

2012 ◽  
Vol 20 (2) ◽  
pp. 123-141 ◽  
Author(s):  
Suwattana Kumsuk ◽  
Louise H. Flick ◽  
Joanne K. Schneider

Asian American women have not benefited from the decline in breast cancer mortality and have lower rates of mammography use. Understanding mammography behaviors among these Asian American women requires culturally specific measures. Champion’s Belief Scale was translated into Thai and cultural items were added. The Thai Breast Cancer Belief Scale (TBCBS), the Suinn-Lew Self-Identification Acculturation, and the Asian Values Scale-Revised were administered to 250 Thai immigrants. The TBCBS was tested for face validity, construct validity, and internal consistency. Factor analysis reflected the 4 constructs of the Health Belief Model and accounted for 45.8% of the variance. Cronbach’s alpha ranged from .77 to .90. Modest correlations were observed between TBCBS subscales and acculturation scales. Results indicate that the TBCBS measures breast cancer beliefs among Thai immigrant population.


2002 ◽  
Vol 21 (1) ◽  
pp. 41-49 ◽  
Author(s):  
Jenny K. Yi ◽  
Cielito C. Reyes-Gibby

Cancer is the leading cause of death among Asian-American women in the United States and breast cancer is the most commonly diagnosed cancer among Asian-American women. Early detection through breast cancer screening has been found to improve the rate of survival for breast cancer. This study examined factors associated with breast cancer screening among 345 Vietnamese women ≥40 years old residing in a low-income Houston area. Data were collected through a self-administered questionnaire assessing socio-demographic characteristics, access to care factors, acculturation, and perceived susceptibility and severity of risks. Results showed 38 percent, 49 percent, and 33 percent of the respondents reporting having had a breast self-exam, a clinical breast exam, and a mammogram, respectively. Predictors of breast cancer screening include education, employment, ability to speak English, having lived in the United States for more than five years, and having a regular place of care. Implications of this study include the need for a culturally-relevant educational program for this understudied population.


Author(s):  
Shirley Hune

Asian women, the immigrant generation, entered Hawai’i, when it was a kingdom and subsequently a US territory, and the Western US continent, from the 1840s to the 1930s as part of a global movement of people escaping imperial wars, colonialism, and homeland disorder. Most were wives or picture brides from China, Japan, Korea, the Philippines, and South Asia, joining menfolk who worked overseas to escape poverty and strife. Women also arrived independently; some on the East Coast. US immigration laws restricting the entry of Asian male laborers also limited Asian women. Asian women were critical for establishing Asian American families and ensuring such households’ survival and social mobility. They worked on plantations, in agricultural fields and canneries, as domestics and seamstresses, and helped operate family businesses, while doing housework, raising children, and navigating cultural differences. Their activities gave women more power in their families than by tradition and shifted gender roles toward more egalitarian households. Women’s organizations, and women’s leadership, ideas, and skills contributed to ethnic community formation. Second generation (US-born) Asian American women grew up in the late 19th and early 20th centuries and negotiated generational as well as cultural differences. Some were mixed race, namely, biracial or multiracial. Denied participation in many aspects of American youth culture, they formed ethnic-based clubs and organizations and held social activities that mirrored mainstream society. Some attended college. A few broke new ground professionally. Asian and Asian American women were diverse in national origin, class, and location. Both generations faced race and gender boundaries in education, employment, and public spaces, and they were active in civic affairs to improve their lives and their communities’ well-being. Across America, they marched, made speeches, and raised funds to free their homelands from foreign occupation and fought for racial and gender equality in the courts, workplaces, and elsewhere.


2003 ◽  
Vol 93 (9) ◽  
pp. 1378-1378 ◽  
Author(s):  
Marilyn Tseng ◽  
Carolyn Fang

2020 ◽  
Vol 26 (4) ◽  
pp. 460-471
Author(s):  
Brittany N. Morey ◽  
Gilbert C. Gee ◽  
Salma Shariff-Marco ◽  
Juan Yang ◽  
Laura Allen ◽  
...  

2020 ◽  
Vol 5 (3) ◽  
pp. 173-176
Author(s):  
Catherine Pravisay-Malmstadt ◽  
Connie K. Y. Nguyen-Truong

Asian American women, including Laotian American women (LAW), have the lowest rate of being up to date with cervical cancer (CC) screenings at 75% compared to other ethnic groups (85% White, 86% Black, 79% Hispanic, 79% American Indian/Alaska Native; American Cancer Society, 2019; Nghiem, Davies, Chan, Mulla, & Cantor, 2016). This rate is substantially lower than the national objective of 93% (Healthy People.gov, 2020). CC is highly treatable if caught early in the localized stage with a 91.8% 5-year survival rate (National Cancer Institute, n.d.). There is scant research on the incidence and factors surrounding CC screening in Laotian Americans and has primarily been representative of California. The Portland metropolitan area in the United States’ (U.S.) Pacific Northwest has one of the top ten highest Laotian American populations (Greblo, 2011). The Laotian American cultural community leaders (CCLs) in the Pacific Northwest expressed to our academic project team at Washington State University Elson S. Floyd College of Medicine and the College of Nursing that the Laotian American community is a private ethnic group wary of those from the outside and particularly researchers.


2021 ◽  
pp. 93-110
Author(s):  
Christian Dyogi Phillips

Chapter 5 underscores a key theme of this study: that understanding how one group’s opportunities are constrained requires simultaneously accounting for how those opportunities are facilitated for others. This chapter encompasses the first comprehensive analysis of the prospects for representation of Latina/os and Asian American women and men in predominantly white districts across the United States. Chapter 5 also provides an account of how partisanship interacts with race-gendered processes to create particular limits on the electoral opportunities for Asian American women and Latinas. The final section of the chapter addresses the phenomenon of the “crossover” candidate. Such a candidate is often characterized by pundits and some scholars as a Latina or Asian American woman running in a racial plurality or predominantly white district, on the basis of her presumed appeal to white voters.


1983 ◽  
Vol 26 (4) ◽  
pp. 423-446 ◽  
Author(s):  
Morrison G. Wong ◽  
Charles Hirschman

Based upon 1970 U.S. Census data and an ethnic stratification analytical framework, this study examines the socioeconomic roles of Asian-American women in the United States relative to Anglo women. In general, Asian-American women are more likely to participate in the labor force and to have above-average earnings. The earnings advantage of Asian women can be explained by their superior educational qualifications, greater levels of full-time work, and geographical location. In spite of their relatively favorable economic position, some Asian women, particularly recent immigrants, remain in the low wage sector of the economy.


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