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Breast cancer is the most common malignancy affecting women around the world. In the US, approximately 1 in 8 women will develop breast cancer over the course of their lifetime. There is a growing incidence of breast cancer among Asian American (AA) women. Breast cancer screening by mammography is the most effective early detection method to reduce mortality but AA women have the lowest utilization rates. This study aims to identify the determinants affecting mammography among AA women. A literature search in PubMed Central, MEDLINE, and CINAHL was undertaken to include all peer-reviewed studies published within the past 20 years about determinants affecting mammography in AA women. A total of 16 studies met the inclusion criteria. Of these, six used secondary data, nine used cross-sectional surveys, and one used a qualitative design. Only three studies used behavioral theories (health belief model and transtheoretical model). Six studies reported the rates of obtaining mammography in AA which ranged from 53% to 82%. The primary positive determinants were U.S. citizenship, education, knowledge of guidelines, health insurance, having a primary care provider and their recommendation, years of residency in the U.S., and knowing someone with a history of breast cancer and/or undergone mammography. The negative factors were less acculturation, perceived religious discrimination, logistical barriers, and religious barriers including impingement on modesty. There were variations among determinants based on national origin. There is a need for utilizing behavioral theories in designing interventions to promote mammography among different subgroups of AA women.

Publication Date

Spring 2021




Breast cancer; Asian American; Mammography; Women


Cancer Biology | Public Health

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3329 KB


Faculty Mentor: Manoj Sharma, Ph.D.

Identifying Determinants of Breast Cancer Screening Through Mammography Among Asian American Women