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Ying Luo

Date of Award


Document Type


Degree Name

Master of Science in Nursing (MSN)



Thesis Committee Chairperson

Virginia Hart, DNP, RN, ANP-BC


Breast cancer is the most diagnosed cancer among Chinese Americans and breast cancer screening rates are low among this group. The purpose of this study was to describe factors associated with the utilization of breast cancer screening among Chinese American women, and to examine the associations of demographic characteristics, individual risk factors, and knowledge and breast cancer screening practice. Andersen’s Behavior Model of Health Services was applied as the theoretical framework for the study. The findings revealed education, English proficiency, health insurance, regular primary care provider and overall health status was associated with the utilization of mammography. The results also revealed overall individual breast cancer risk scores and the utilization of mammography were independent. The results indicated knowledge deficit among Chinese American women regarding breast cancer and breast cancer screening. The study suggested the need of culturally appropriate strategy and intervention programs to provide information regarding breast cancer and to promote breast cancer screening practices and to increase adherence.