Mammography Screening of Chinese Immigrant Women: Ever Screened Versus Never Screened.

To compare the differences in mammogram completion rates over time between Chinese American women with and without a history of mammogram screening .Secondary analysis of a randomized, controlled intervention study.Metropolitan areas of Portland, Oregon.300 foreign-born Chinese immigrant women aged 40 years or older. Of these, 83 women (28%) had never had a mammogram.Participants who had not been screened with a mammogram within the past 12 months were randomized into either an education group or a control (brochure) group. All participants completed a baseline survey, which was administered again at 3, 6, and 12 months .Mammography history, breast cancer knowledge, perceived risks, susceptibility, benefits, and common and cultural barriers .Women who had never been screened were less likely to have insurance, a regular healthcare provider, or to have been instructed to have a mammogram. Postintervention in the education group, mammogram completion was not significantly different between those with or without a history of screening (p = 0.52). In the control brochure group, significantly more women with a history of screening had a mammogram (p = 0.03).Practitioners must be aware of differential effects of education on mammography cancer screening based on women's history of screening .Print material may not be as effective with women who have never been screened with a mammogram. Targeted approaches based on such understanding has the potential to decrease the breast cancer screening disparity among Chinese immigrant women .