Concept Mapping with South Asian Immigrant Women: Barriers to Mammography and Solutions

Farah Ahmad , Sadia Mahmood , Igor Pietkiewicz , Laura McDonald , Ophira Ginsburg


Despite benefits of screening mammography, many South Asian (SA) immigrant women in Canada remain under screened. We aimed to elicit their experiences and beliefs about barriers to mammography and possible solutions. SA immigrant women aged 50 years or over were eligible if they never had a mammogram or had one more than 3 years ago. We employed the participatory mixed-method approach of Concept Mapping. Sixty women participated with a mean age of 58 years. Participants brainstormed 150 items which were consolidated into 67 items. After sorting and rating, cluster analysis revealed eight clusters of barriers on knowledge, fear, language and transportation, access to mammogram center, access to doctor, beliefs and practices, self-care, and family dependence. Participants discussed possible solutions, and emphasized out-reach models to address knowledge gaps and issues of language and transportation. One example was a community-based shuttle bus to screening centres, hosted by trained co-ethnic workers. The results are discussed to enhance the socio-cultural sensitivity of breast screening programs.
Author Farah Ahmad
Farah Ahmad,,
, Sadia Mahmood
Sadia Mahmood,,
, Igor Pietkiewicz (Wydział Zamiejscowy w Katowicach)
Igor Pietkiewicz,,
- Wydział Zamiejscowy w Katowicach
, Laura McDonald
Laura McDonald,,
, Ophira Ginsburg
Ophira Ginsburg,,
Journal seriesJournal of Immigrant and Minority Health, ISSN 1557-1912, (A 25 pkt)
Issue year2011
Publication size in sheets0.5
ASJC Classification2739 Public Health, Environmental and Occupational Health; 2713 Epidemiology
Languageen angielski
pietkiewicz_mapping.pdf of 01-01-0001
324.75 KB
Score (nominal)25
Publication indicators Scopus SNIP (Source Normalised Impact per Paper): 2011 = 0.814; WoS Impact Factor: 2011 = 1.164 (2) - 2013=1.454 (5)
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