Monday, November 3, 2003

This presentation is part of : Women's Health

Barriers for Breast Screening in Somali Women

Zohra Aziz Gulzar, RN, BSN and Elizabeth Kraatz, RN, PhD, AOCN. School of Nursing, University of Minnesota, Minneapolis, MN, USA
Learning Objective #1: Identify various barriers for breast cancer screening in Somali women
Learning Objective #2: Recognize the need for planning culturally- sensitive breast cancer screening programs for Somali women in the future

Objective: The number of Somali immigrants in the United States has increased dramatically in recent years. Breast cancer screening services are under-utilized by this population. Unique cultural beliefs and traditions are thought to present barriers to health promotion and disease prevention. However, limited information is available about cultural beliefs, knowledge and health practices regarding breast cancer screening in this population. This study examined breast cancer knowledge, mammogram use, health beliefs and barriers to breast screening among Somali women residing in Hennepin County in Minnesota. Design: This is an exploratory descriptive study. Population, Sample, Setting, Years: This study was sponsored by the Confederation of Somali Community in Minnesota. The sample consisted of eleven asymptomatic Somali immigrant women who attended a Somali community center. Interview and questionnaire data were collected in 2002. Variables studied: The variables studied were breast cancer knowledge, mammogram use, health beliefs, and perceived barriers to breast screening Methods: After taking part in an educational program on breast cancer, participants completed the Barriers for Breast Screening Questionnaire, a culturally-sensitive instrument designed specifically for use in the Somali population, and met with a trained Somali community worker who conducted a face-to-face structured interview in the Somali language. Mammography was subsequently offered to interested participants. Findings/Conclusion: Analysis of both quantitative and qualitative data is in progress and findings will be presented at the conference. Implications: This pioneering work establishes the groundwork further investigation in the Somali immigrant community. It provides important baseline information for health care professionals about knowledge and barriers, which will be helpful in planning culturally sensitive health programs for Somali immigrants in the future.

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