Date of Award

2025

Document Type

Project

College/School

College of Nursing

Degree Name

Doctor of Nursing Practice (DNP)

Project Mentor

Mo-Kyung Sin

Readers

Kumhee Ro

Abstract

Background: Breast cancer is the most diagnosed cancer among Asian American women, yet have lower screening rates than non-Hispanic Americans.

Objective: This project evaluated mammogram rates among Asian American women at a Federally Qualified Health Center, assessed demographic factors affecting screening, and identified perceived barriers through a survey.

Methods: A chart review was conducted to assess rates of mammogram screenings rates, the percent difference between planned and actual screenings, and patient demographics that may affect screening rates. A 13-question quantitative survey was developed and completed by participants to assess common barriers and identify potential strategies to reduce barriers to screening.

Results: Fifty-seven percent (n=745) of Asian American women received a mammogram, compared to the overall clinic rate of 68.8% (n=1,196), falling short of the FQHC’s 74% target. The most commonly screened age group was 61–65, with Vietnamese being the most frequently identified ethnicity. Women living in Seattle had both the highest screening rate and the highest proportion overdue (43.9%). A 13-question survey of clinical staff revealed that fear and discomfort were the most commonly reported barriers to screening.

Conclusion: To improve screening rates, culturally sensitive educational tools addressing fear and discomfort are needed, along with expanded access through mobile mammography services in underserved regions.

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