Objective: Exploring how cultural meanings of the breast impact on perceived images of breast cancer and breast health practices.
Methods: In-depth interviews were conducted with 20 Chinese-Australian women in their native language (Cantonese).
Results: The findings revealed that the meanings of the breast are constructed within the women's social and cultural context where breasts are associated with sex; and talking about, being concerned with or expressing curiosity about breasts is considered inappropriate. These views have a significant impact on (1) the way the informants viewed breast cancer; (2) perceptions of breast health practices; and (3) the explanations of breast cancer and associated risk perception.
Conclusion: Understanding the nature of culturally-based barriers to utilization of breast cancer screening is the first step to discovering solutions for making screening tests more acceptable to women from other cultures.
Practice Implications: This study provides insight about obstacles for breast health promotion practices and for developing culturally appropriate health education programs and counselling strategies.
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