Open AccessAssessing the Effectiveness of Educational Workshops for Breast Cancer Prevention and Early Detection among Samoan and Pacific Islander Women in Southern California
Author(s) -
Dorothy Schmidt-Vaivao,
Genesis Lutu,
Alisi Tulua-Tata,
Marion Hannemann,
Diana M. Tisnado
Publication year - 2010
Publication title -
californian journal of health promotion
Language(s) - English
Resource type - Journals
eISSN - 1545-8725
pISSN - 1545-8717
DOI - 10.32398/cjhp.v8isi.2038
Subject(s) - samoan , pacific islanders , medicine , breast cancer , psychological intervention , test (biology) , family medicine , breast cancer screening , family history , gerontology , demographics , cancer , demography , environmental health , nursing , population , mammography , paleontology , philosophy , linguistics , sociology , biology
Background: Samoans experience among the worst five-year breast cancer survival rates in the U.S., largely due to late stage diagnosis. There is great potential for screening interventions to reduce cancer mortality among Samoans. This paper examines the effectiveness of a culturally and linguistically tailored breast cancer education workshop for Samoan and other Pacific Islander women in Southern California. Methods: Educational workshops were conducted in churches, homes, and the Samoan National Nurses Association office to Pacific Islander women. Effectiveness was assessed using pre- and post-tests. Selfadministered questionnaires queried participants about demographics, access, personal or family breast cancer history, screening knowledge and behaviors, and plans to obtain screening (n=495). Results: Participants were predominantly Samoan, with 57% reporting they were ≥40 years of age. At pre-test, half of the participants did not know how to perform Breast Self Examination (BSE), 40% never had a Clinical Breast Examination (CBE), and 30% never had a mammogram. Less than 40% reported having a mammogram in the past two years. At post-test, 98% reported increased knowledge. Older women were more likely to report plans for screening at post-test. Conclusions: Health educators in Samoan and other Pacific Islander communities must recognize and appropriately address screening barriers such as cultural beliefs and lack of knowledge, and should consider working with important institutions such as the church.