Culturally and linguistically compatible university students were trained a
s community health educators to provide breast cancer education and screeni
ng information to shoppers at Asian grocery stores. Information about early
detection of breast cancer was shared with 8,877 women, who reported speak
ing 40 different languages. Baseline surveys were completed by 1,202 women;
779 took part in the follow-up survey. The survey questions assessed basel
ine knowledge, attitudes, and screening behaviors regarding breast cancer,
tested the efficacy of the intervention, and sought barriers to accessing s
creening services. Screening adherence at baseline was low, but reported sc
reening compliance had increased by follow-up. This study confirms the cost
-effectiveness of student health educators and Asian grocery store sites as
venues to reach the diverse age, ethnic, and socioeconomic segments of the
Asian community, while demonstrating the community's receptiveness to the
dissemination of health information and introducing bilingual students to h
ealth education and research careers.