Despite an emphasis on mammographic screening in Australia, Chinese Australian women have low participation rates. This qualitative study investigated how concepts of health and health promotion influence Chinese Australian women's decisions to participate in cancer screening, which is an important issue for nurses who work with multicultural populations. In-depth interviews were conducted with 20 Chinese Australian women. Using thematic data analysis, the findings showed that health and illness are taken-for-granted experiences of everyday life. When they were asymptomatic, most informants saw no reason to suspect that they may have diseases. Consistent with these health beliefs, the women focused on preserving and promoting health and overall well-being in everyday life rather than attempting to detect hidden disease by screening. These ideas and practices influenced behavior in relation to cancer diagnosis and in particular toward mammography.
Allinson, R.E. (1989). Understanding the Chinese mind. New York: Oxford University Press.
2.
Australian Institute of Health and Welfare. ( 2003). BreastScreen Australia monitoring report 2000-2001. Canberra: Australian Institute of Health and Welfare .
3.
Baum, F. (2002). The new public health (2nd ed.). New York: Oxford University Press.
4.
Bloomfield, R.D., & Illinois, C. (1994). Cultural sensitivity and health care. Journal of the National Medical Association, 86, 819-820.
5.
Borrayo, E.A., & Jenkins, S.R. (2001). Feeling healthy: So why should Mexican-descent women screen for breast cancer?Qualitative Health Research , 11, 812-823.
6.
Bottorff, J.J., Johnson, J.L., Bhagat, R., Grewal, S., Balneaves, L.G., Clarke, H., et al. (1998). Beliefs related to breast health practices: The perceptions of South Asian women living in Canada. Social Science and Medicine, 47, 2075-2085.
7.
Boult, L.B., & Boult, C. (1995). Underuse of physician services by older-Asian American. American Geriatrics Society,43, 408-411.
8.
Browne, J. (2004). Grounded theory analysis: Coming to data with questioning minds. In V. Minichiello, G. Sullivan, K. Greenwood , & R. Axford (Eds.), Research methods for nursing and health science (pp. 624-669). Englewood Cliffs, NJ: Prentice Hall.
9.
Buelow, J.R., Zimmer, A.H., Mellor, M.J., & Sax, R. (1998). Mammography screening for older minority women . Journal of Gerontology, 17, 133-149.
10.
Bunton, R., & Macdonald, G. (2002). Health promotion: Disciplines, diversity and developments . London: Routledge.
11.
Bureau of Immigration Multicultural and Population Research. (1996). Community profiles (1991 census: Overseas born). Canberra: Australian Government Publishing Service.
12.
Burr, V. (2003). Social constructionism. London : Routledge.
13.
Bury, M. (1997). Health and illness in a changing society. London: Routledge.
14.
Calnan, M. (1984). Women and medicalization: An empirical examination of the women's dependence on medical technology in the early detection of breast cancer. Social Science and Medicine, 18, 561-569.
15.
Chan, Y.F., & Quine, S. (1997). Utilization of Australian health care services by ethnic Chinese. Australian Health Review, 20, 64-77.
16.
Chavez, L.R., Hubbell, F.A., McMullin, J.M., Martinez, R.G., Mishra, S.I., & Shiraz, I. (1995). Understanding knowledge and attitudes about breast cancer: A cultural analysis. Archives of Family Medicine, 4, 145-152.
17.
Ching, J. (1993). Chinese religions. Maryknoll, NY: Orbis.
18.
Choudhry, U.K., Srivastava, R., & Fitch, M. (1998). Breast cancer detection practices of South Asian women: Knowledge, attitudes, and beliefs. Oncology Nursing Forum, 25, 1693-1701.
19.
Chu, C. ( 1998). Cross-cultural health issues in contemporary Australia . Ethnicity and Disease, 3, 125-134.
20.
Chui, Y., Donoghue, J., & Chenoweth, L. (2005). Response to advanced cancer: Chinese-Australians . Journal of Advanced Nursing, 52, 498-507.
21.
Dibble, S.L., Vanoni, J.M., & Miaskowski, C. (1997). Women's attitudes toward breast cancer screening procedures: Differences by ethnicity. Women's Health Issues, 7, 47-54.
22.
Dollis, N., Gifford, S., Henenberg, C., & Pirkis, J. (1993). Removing cultural and language barriers to health . Melbourne, Australia: National Health Strategy.
23.
Fairbank, J.K. (1967). Chinese thought and institutions. Chicago: University of Chicago Press.
24.
Ganguly, I. (1995). Promoting the health of women of non-English-speaking backgrounds in Australia. World Health Forum, 16, 157-163.
25.
Han, Y., Williams, R.D., & Harrison, R.A. (2000). Breast cancer screening knowledge, attitudes, and practices among Korean American women. Oncology ofNursing Forum, 27, 1585-1591.
26.
Hoeman, S.P., Ku, Y.L., & Ohl, D.R. (1996). Health beliefs and early detection among Chinese women. Western Journal of Nursing Research, 18, 518-533.
27.
Hoizey, D.A. (1993). A history of Chinese medicine. Vancouver, Canada : University of British Columbia Press.
28.
Huang, X., Butow, P., Meiser, B., & Goldstein, D. (1999). Attitudes and information needs of Chinese migrant cancer patients and their relatives. Australian and New Zealand Journal of Medicine, 29, 207-213.
29.
Jackson, S.L., Hislop, T.G., Teh, C., Yasui, Y., Tu, S., Kuniyuki, A.A., et al. (2003). Screening mammography among Chinese Canadian women. Canadian Journal of Public Health, 94, 275-280.
30.
Juon, H.S., Choi, Y., & Kim, M.T. (2000). Cancer screening behaviors among Korean-American women. Cancer Detection and Prevention, 24, 589-601.
31.
Kasper, A., & Ferguson, S.J. (2000). Breast cancer: Society shapes an epidemic. New York: St. Martin's.
32.
Kung, E.Y.L., Chan, A.C., Chong, Y.S., Pham, T., & Hsu-Hage, B.H.-H. (1997). Promoting breast screen to Melbourne Chinese women using ethnic-specific health promotion strategies . Internet Journal of Health Promotion. Retrieved June 2000 from http://www.monash.edu.au/health/IJHP/1997/3
33.
Kwan, S.Y.L., & Bedody, R. (2000). Transcultural oral health care and the Chinese—An invisible community. Dental Update,27, 296-299.
34.
Kwan, S.Y.L., & Holmes, M.A.M. (1999). An exploration of oral health beliefs and attitudes of Chinese in West Yorkshire: A qualitative investigation . Health Education Research, 14, 453-460.
35.
Kwok, C. (2004). The role of culture in breast cancer prevention among Chinese-Australian women. Unpublished doctoral dissertation, University of Sydney.
36.
Kwok, C., & Sullivan, G. (2005). The influence of fatalism on cancer screening behavior among Chinese-Australian women. Manuscript submitted for publication.
37.
Leininger, M. (1995). Transcultural nursing concepts, theories, research and practices (2nd ed.). New York: McGraw-Hill.
38.
Llewellyn, G., Sullivan, G., & Minichiello, V. (2004). Sampling in qualitative research. In V. Minichiello, G. Sullivan, K. Greenwood , & R. Axford (Eds.), Research methods for nursing and health science (pp. 210-239). Englewood Cliffs, NJ: Prentice Hall.
39.
Liao, X.H., & Mcllwaine, G. (1995). The health status and health needs of Chinese population in Glasgow. Scottish Medical Journal,40(3), 77-80.
40.
Lupton, D. (1999). Introduction: Risk and sociocultural theory. In D. Lupton (Ed.), Risk and socioculutral theory: New directions and perspectives (pp. 12-28). Cambridge, UK: Cambridge University Press.
41.
Ma, G.X. (1999). Between two worlds: The use of traditional and Western health services by Chinese immigrants. Journal of Community Health, 24, 421-437.
42.
Ma, G.X. (2000). Barriers to the use of health services by Chinese Americans. Journal of Allied Health, 29, 64-70.
43.
McAllister, G., & Farquhar, M. (1992). Health beliefs: A cultural division?Journal of Advanced Nursing, 17, 1447-1454.
44.
McPhee, S.J., Stewart, S., Brock, K.C., Bird, J.A., Jenkins, C.N.H., & Pham, G.Q. (1997). Factors associated with breast and cervical cancer screening practices among Vietnamese American women. Cancer Detection and Prevention, 21, 510-521.
45.
Miles, M.B., & Huberman, A.M. (1994). An expanded sourcebook: Qualitative data analysis (2nd ed.). London: Sage.
46.
Minichiello, V., Aroni, R., Timewell, E., & Alexander, L. (1997). In-depth interview: Principles, techniques, analysis (2nd ed.). White Plains, NY : Longman.
47.
Pau, A.K.H., & Croucher, R. (1998). Oral health knowledge, beliefs and practices of a sample of Chinese elders in Inner London, UK, aged 54 years and over: A pilot investigation. Gerodontology, 14, 106-112.
48.
Petersen, A., & Bunton, R. (1997). Foucault health and medicine. London: Routledge.
49.
Rajaram, S.S., & Rashide, A. (1998). Minority women and breast cancer screening: The role of cultural explanatory models. Preventive Medicine, 27, 757-764.
50.
Reid, J., & Trompf, P. (1990). The health of immigrant Australia: A social perspective . Sydney: Harcourt Brace Jovanovich .
51.
Rice, R.L. (1999). Living in a new country: Understanding migrants' health. Melbourne, Australia: Ausmed Publicatios.
52.
Russell, K.M., Swenson, M.M., & Skelton, A.M. (2003). The meaning of health in mammography screening for African American women. Health Care for Women International , 24, 27-39.
53.
Saini, F., & Rowling, L. (1997). It's more than literacy: The assimilation effect of the translation model. Ethnicity and Disease, 2, 323-328.
54.
Salazar, M.K. (1996). Hispanic women's beliefs about breast cancer and mammography. Cancer Nursing, 19, 437-445.
55.
Seow, A., Straughan, P.T., Ng, E.H., Emmanuel, S.C., Tan, C.H., & Lee, H.P. (1997). Factors determining acceptability of mammography in an Asian population: A study among women in Singapore. Cancer Causes and Control, 8, 771-779.
56.
Straughan, P.T., & Seow, A. (1995). Barriers to mammography among Chinese women in Singapore: A focus group approach. Health Education Research , 10, 431-441.
57.
Straughan, P.T., & Seow, A. (2000). Attitudes as barriers in breast screening: A perspective study among Singapore women. Social Science and Medicine, 51, 1695-1703.
58.
Strauss, A., & Corbin, J. (1998). Basics of qualitative research: Techniques and procedures for developing grounded theory. London: Sage.
59.
Tang, K.C. (1998). What do Chinese Australians do when they are unwell?: A study of their health care seeking behaviour and the response of the Australian health care system. Unpublished doctoral dissertation, University of Sydney.
Yeo, S.S., Meiser, B., Barlow-Stewart, K., Goldstein, D., Tucker, K., & Eisenbruch, M. (2005). Understanding community beliefs of Chinese-Australians about cancer: Initial insights using an ethnographic approach. Psycho-Oncology, 14, 174-186.
62.
Yu, E.S.H., Kim, K.K., Chen, E.H., & Brintnall, R.A. (2001). Breast and cervical cancer screening among Chinese American women. Cancer Practice, 9, 81-91.
63.
Yu, M.Y., Hong, O.S., & Seetoo, A.D. (2003). Uncovering factors contributing to under-utilization of breast cancer screening by Chinese and Korean women living in the United States. Ethnicity and Disease, 13, 213-219.
64.
Yu, M.Y., Seeto, A.D., Tsai, C.K., & Sun, C. (1998). Sociodemographic predictors of papanicolaou smear test and mammography use among women of Chinese descent in Southeastern Michigan . Women's Health Issues, 8, 372-381.
