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Strategies for piloting a breast health promotion program in the Chinese-Australian population
journal contribution
posted on 2023-05-20, 10:48 authored by Koo, FK, Kwok, C, White, K, D Abrew, N, Jessica RoydhouseJessica RoydhouseIn Australia, women from non–English-speaking backgrounds participate less frequently in breast cancer screening than English-speaking women, and Chinese immigrant women are 50% less likely to participate in breast examinations than Australian-born women. Chinese-born Australians comprise 10% of the overseas-born Australian population, and the immigrant Chinese population in Australia is rapidly increasing. We report on the strategies used in a pilot breast health promotion program, Living with Healthy Breasts, aimed at Cantonese-speaking adult immigrant women in Sydney, Australia. The program consisted of a 1-day education session and a 2-hour follow-up session. We used 5 types of strategies commonly used for cultural targeting (peripheral, evidential, sociocultural, linguistic, and constituent-involving) in a framework of traditional Chinese philosophies (Confucianism, Taoism, and Buddhism) to deliver breast health messages to Chinese-Australian immigrant women. Creating the program’s content and materials required careful consideration of color (pink to indicate femininity and love), symbols (peach blossoms to imply longevity), word choice (avoidance of the word death), location and timing (held in a Chinese restaurant a few months after the Chinese New Year), communication patterns (the use of metaphors and cartoons for discussing health-related matters), and concern for modesty (emphasizing that all presenters and team members were female) to maximize cultural relevance. Using these strategies may be beneficial for designing and implementing breast cancer prevention programs in Cantonese-speaking Chinese immigrant communities.
History
Publication title
Preventing Chronic DiseaseVolume
9Article number
100293Number
100293Pagination
1-7ISSN
1545-1151Department/School
Menzies Institute for Medical ResearchPublisher
United States Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health PromotionPlace of publication
United StatesRights statement
Copyright 2012 United States GovernmentRepository Status
- Restricted