Coalition Building and the Intervention Wheel to Address Breast Cancer Screening in Hmong Women

Abstract

Br east cancer is the most frequently diagnosed cancer among women in the United States, where 1 in 8 women will face breast cancer in their lifetime.1 In 2010, this translates to approximately 207,090 women who will be diagnosed with this disease, and about 54,010 who will die of breast cancer. 1While Caucasian women have the highest incidence of breast cancer in comparison to any other cultural group, Asian American and Pacific Islander (AAPI) women, in aggregate, are more likely to die from breast cancer than any other ethnic group.2,3 Furthermore, Asian American females are the first American population to experience cancer as the leading cause of death in the United States.3,4 Death rates have increased in AAPI women by 200% since 1990. 5 In addition, AAPI women collectively have the lowest screening rates of all ethnic populations, with roughly 45% reporting that they have ever had a mammogram. 4 Hmong women, an ethnic group within the AAPI population, are among those at the highest risk for health problems due to high rates of poverty, language isolation, and cultural barriers. 3A national health initiative, Healthy People 2020, 6 was created to increase health promotion and disease prevention that address issues such as these. A primary objective identifies cancer as one of the ten leading health indicators. The goal is to reduce the number of new cases, as well as the illness, disability, and death caused by cancer. The ability to decrease cancer death rates depends on the existence and application of various types of resources, and providing culturally and linguistically appropriate information on prevention, early detection, and treatment to the public is essential in order to meet this goal. 6A new and more specific goal presented by Healthy People 2020 is to decrease the incidence of late stage breast cancer. This is of particular importance in Asianborn Asian American women with breast cancer, in which approximately 79% have a greater proportion of tumors larger than 1 cm at diagnosis.7 It has been shown that many tumors greater than 1 cm have lymph node involvement and are considered later stage disease.Another goal established from Healthy People 2020 is to increase the proportion of women aged 40 or older who have received a breast cancer screening based on the most recent guidelines. It is essential that a high percentage of females over age 40 comply with these mammographic screening recommendations in order to reduce breast cancer burden and death rates.

A Novel Approach Based on a Weighted Interactive Network to Predict Associations of MiRNAs and Diseases

“…Recently, increasing evidence demonstrated that miRNAs play an extensive and important role in the physiological processes of the body [35]. In addition, in developed countries such as the United States and throughout Europe, cancer is the second leading cause of human death, while it ranks second or third in developing countries [36]. Therefore, in order to further evaluate the accuracy of WINMDA in predicting potential disease–miRNA associations, we chose three kinds of cancers, i.e., colon neoplasms, gastric neoplasms, and prostate neoplasms, as case studies for WINMDA, and the prediction results were verified by recently published experimental studies and two databases, namely miR2Disease and dbDEMC.…”

Twenty years with the public health intervention wheel: Evidence for practice

“…In a systematic review, the PHI Model was used to analyze nurse‐led interventions that promoted the quality of life for older adults in 13 countries (Schaffer et al., 2017). Also, several authors have expanded on specific Wheel interventions in practice, including coalition‐building and outreach (Depki & Onitilo, 2011; Tembreull & Schaffer, 2006).…”

Population-based public health nursing practice (intervention wheel) and instances from Turkey

“…IW has been started to be also used in studies and researches. In their study Depke and Onitilo (2011) specified that coalition-building among the IW's 17 interventions is important in terms of reducing obstacles and empowering trainings for raising awareness through the development of breast cancer screening programs among the women living in Hmong in Southeast Asia and creating health trainings (15). "Public Health Nursing Competences Tool/Criteria" has been developed in line with IW for the populationbased public health nursing.…”