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Issue addressed: This study aimed to examine the participation of Australian Chinese in cardiovascular risk factor and cancer screening. Methods: A telephone survey of a random sample of Chinese in New South Wales, Australia, was conducted. The presence of, and participation in screening for, hypertension, hyperlipidaemia and diabetes were ascertained. Additionally, women were surveyed regarding breast cancer and cervical cancer screening. Results: Five hundred and fifty-five subjects were interviewed. Generally, Australian Chinese were as likely to participate in health screening activities as the general population. However, Chinese with poor English-speaking ability were less likely to have had recent lipid testing (85.4% vs 91.2%, p=0.01) or mammography (63.2% vs 92.6%, p=0.01) than those who were proficient in English (adjusted for age and gender). Those not in employment were less likely to have had lipid testing (86.9% vs 88.4%, p=0.04), mammography (61.1% vs 93.5%, p=0.04) or Pap tests (64.7% vs 85.0%, p<0.01) than those in employment. Chinese who had been in Australia for less than 10 years were also less likely to undergo Pap tests (68.7% vs 79%, p=0.03). Conclusions: Overall, participation of Australian Chinese in health screening is within the community norm. However, those with poor English-speaking skills, who are not employed, or who had been resident in Australia for a shorter duration are less likely to undergo some of these health activities. [ABSTRACT FROM AUTHOR]

Background: Chinese women have been consistently reported as having low breast cancer screening practices. The Chinese Breast Cancer Screening Beliefs Questionnaire (CBCSB) was designed to assess Chinese Australian women's beliefs, knowledge, and attitudes toward breast cancer and screening practices., Objectives: The objectives of the study were to confirm the factor structure of the CBCSB with a new, larger sample of immigrant Chinese Australian women and to report its clinical validity., Methods: A convenience sample of 785 Chinese Australian women was recruited from Chinese community organizations and shopping malls. Cronbach α was used to assess internal consistency reliability, and Amos v18 was used for confirmatory factor analysis. Clinical validity was assessed through linear regression using SPSS v18., Results: The 3-factor structure of the CBCSB was confirmed, although the model required respecification to arrive at a suitable model fit as measured by the goodness-of-fit index (0.98), adjusted goodness-of-fit index (0.97), normed fit index (0.95), and root mean square error of approximation (0.031). Internal consistency reliability coefficients were satisfactory (>.6). Women who engaged in all 3 types of screening had more proactive attitudes to health checkups and perceived less barriers to mammographic screening., Conclusion: The CBCSB is a valid and reliable tool for assessing Chinese women's beliefs, knowledge, and attitudes about breast cancer and breast cancer screening practices., Implication for Practice: The CBCSB can be used for providing practicing nurses with insights into the provision of culturally sensitive breast health education.

Objective: Exploring how cultural meanings of the breast impact on perceived images of breast cancer and breast health practices., Methods: In-depth interviews were conducted with 20 Chinese-Australian women in their native language (Cantonese)., Results: The findings revealed that the meanings of the breast are constructed within the women's social and cultural context where breasts are associated with sex; and talking about, being concerned with or expressing curiosity about breasts is considered inappropriate. These views have a significant impact on (1) the way the informants viewed breast cancer; (2) perceptions of breast health practices; and (3) the explanations of breast cancer and associated risk perception., Conclusion: Understanding the nature of culturally-based barriers to utilization of breast cancer screening is the first step to discovering solutions for making screening tests more acceptable to women from other cultures., Practice Implications: This study provides insight about obstacles for breast health promotion practices and for developing culturally appropriate health education programs and counselling strategies.