Evidence map›Paper›PMID 22537294›Full record

ArticleJournal of obstetric, gynecologic, and neonatal nursing : JOGNN

Findings from focus groups indicating what Chinese American immigrant women think about breast cancer and breast cancer screening.

Frances Lee-Lin, Usha Menon, Lillian Nail, Kristin F Lutz

Abstract read
In one paragraph

Article in Journal of obstetric, gynecologic, and neonatal nursing : JOGNN. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 2 pooled it
2.1field-weighted citation impact, top 13% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

22 citing papers in PubMed, 2 syntheses or guidelines pooled it, 51 citations in OpenAlex.

  1. Culturally Tailored Intervention to Promote Mammography Screening Practice Among Chinese American Women: a Systematic Review.Journal of cancer education : the official journal of the American Association for Cancer Education · 2020
    Pooled it
  2. Pooled it
  3. Expressive writing intervention for posttraumatic stress disorder among Chinese American breast cancer survivors: the moderating role of social constraints.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2020
    Trial
  4. Breast Health Intervention Effects on Knowledge and Beliefs Over Time Among Chinese American Immigrants--a Randomized Controlled Study.Journal of cancer education : the official journal of the American Association for Cancer Education · 2015
    Trial
  5. Article
  6. Article
  7. Cancer Screening, Knowledge, and Fatalism among Chinese, Korean, and South Asian Residents of New York City.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2024
    Article
  8. Article
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  12. Self-perceived burden mediates the relationship between self-stigma and quality of life among Chinese American breast cancer survivors.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2019
    Article
  13. Article
  14. Article
  15. Article
  16. Cervical Cancer Screening Experiences Among Chinese American Immigrant Women in the United States.Journal of obstetric, gynecologic, and neonatal nursing : JOGNN · 2018
    Article
  17. Article
  18. Breast Cancer Screening Beliefs Among Older Chinese Women in Chicago's Chinatown.The journals of gerontology. Series A, Biological sciences and medical sciences · 2017
    Article
  19. The Role of Community Education in Increasing Knowledge of Breast Health and Cancer: Findings from the Asian Breast Cancer Project in Boston, Massachusetts.Journal of cancer education : the official journal of the American Association for Cancer Education · 2017
    Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 1 institution in 1 country.

Frances Lee-Lin
Usha Menon
Lillian Nail
Kristin F Lutz
Oregon Health & Science University · US

Funding

OREGON CLINICAL AND TRANSLATIONAL SCIENCE INSTITUTEUL1RR024140 · NCRR · OREGON HEALTH & SCIENCE UNIVERSITY · PI ORWOLL, ERIC S. · 2006 to 2011
$61.1M
NCRR NIH HHS 5 UL1 RR024140NCRR NIH HHS UL1 RR024140
6 · The paper itself

Abstract

objectivesTo explore beliefs of Chinese American, immigrant women related to breast cancer and mammography.

designQualitative description with semistructured focus groups.

settingMetropolitan Portland, Oregon.

participantsThirty eight foreign-born Chinese women, age 40 and older, in five focus groups.

methodsFocus group discussions in Chinese were audiotaped, transcribed, and translated into English. Using a process of directed content analysis, group transcripts were coded for themes based on the discussion guide.

resultsThree main themes emerged from the analysis: knowledge and beliefs; support, communication, and educational needs; and access to care. Subthemes included beliefs such as barriers and facilitators to screening and perceptions about personal breast cancer risk. Several women were profoundly affected by the negative breast cancer-related experiences of relatives and friends. Some common myths remain about causes and treatment of breast cancer.

conclusionsAlthough Chinese American immigrant women share beliefs with other minority women in the United States, some culturally related barriers such as alienation due to cultural reasons for not sharing diagnosis with anyone and beliefs about the efficacy of Eastern versus Western medicine may affect adherence to screening and treatment. Facilitators included being told to get the test and getting screened for the sake of the family, whereas erroneous information about the cause of breast cancer such as diet and stress remained. Primary care providers such as advanced practice nurses should take into account culturally driven motivations and barriers to mammography adherence among Chinese American immigrant women. Provider/client interactions should involve more discussion about women's breast cancer risks and screening harms and benefits. Such awareness could open a dialogue around breast cancer that is culturally sensitive and nonthreatening to the patient. Information may need to be tailored to women individually or targeted to subethnic groups rather than using generic messages for all Asian immigrant women.

Indexed as

AdultAgedAsianAttitude to HealthBreast NeoplasmsCultureEarly Detection of CancerEmigrants and ImmigrantsFemaleFocus GroupsHumansIncidenceMiddle AgedNeeds AssessmentPatient Acceptance of Health CareQualitative Researchbreast cancerChinese immigrant womenfocus groupshealth beliefs

Identifiers

PMID22537294
PMCPMC3410053
OpenAlexW1849954069

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.