Effects of Perceived Discrimination and Trust on Breast Cancer Screening among Korean American Women

H.C. Hong, C. E Ferrans, C Park, Hyeonkyeong Lee, L Quinn, E. G. Collins

Research output: Contribution to journalArticlepeer-review

20 Citations (Scopus)


Objective: Korean American (KA) women continue to have lower breast cancer screening rates than other racial groups.
Perceived discrimination and trust have been associated with breast cancer screening adherence, but little is known
about the associations in KA women.
Methods: Surveys were completed by 196 KA women in the Chicago metropolitan area. Multiple and Firth logistic
regression analyses were performed to identify factors (perceived discrimination, trust, acculturation, cultural beliefs,
health care access) influencing breast cancer screening adherence (mammogram). In addition, SPSS macro PROCESS was
used to examine the mediating role of trust between perceived discrimination and breast cancer screening adherence.
Results: Ninety-three percent of the women surveyed had health insurance and 54% reported having a mammogram in
the past 2 years. Predictors of having a mammogram were knowing where to go for a mammogram, having a regular
doctor or usual place for health care, greater trust in health care providers, and lower distrust in the health care system.
Perceived discrimination had an indirect effect on breast cancer screening through trust.
Conclusions: The breast cancer screening rate among KA women is low. Perceived discrimination in health care, trust in
health care providers, and distrust in the health care system directly or indirectly influenced breast cancer screening
adherence in KA women. Trust is a factor that can be strengthened with educational interventions.
Original languageEnglish
Pages (from-to)188-196
JournalWomen's Health Issues
Issue number2
Publication statusPublished - 2018 Mar


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