Effects of Educational Interventions in Facilitating Mammography Screening Among Asian American Women: A Meta-Analysis

Abstract

Problem identification: This meta-analysis evaluated the effects of various types of educational interventions on increasing breast cancer screening uptake among Asian American women.

Literature search: Web of Science, MEDLINE®, PubMed®, and Cochrane Library were searched for randomized controlled trials published from 2010 to 2020 of interventions developed to promote mammography uptake among Asian American women.

Data evaluation: A random-effects model was used to estimate pooled effect sizes using relative risk measures. A funnel plot was used to assess publication bias.

Synthesis: Seven studies were included in this review. Educational interventions identified were primarily culturally sensitive approaches combined with access-enhancing, individually tailored, or group-based approaches. The interventions were effective at increasing the receipt of mammography.

Implications for nursing: This review provides insight into the importance of combining other approaches with educational interventions to increase their effectiveness for Asian American women. Future interventions can incorporate various approaches to enhance the ability of Asian American women to overcome barriers to breast cancer screening.

Keywords: breast cancer; cancer disparities; cancer screening; early detection; mammogram.