Colorectal cancer beliefs, knowledge, and screening among Filipino, Hmong, and Korean Americans

Tran, Mi T.; Jeong, Matthew B.; Nguyen, Vickie V.; Sharp, Michael T.; Yu, Edgar; Yu, Filmer; Tong, Elisa K.; Kagawa‐Singer, Marjorie; Cuaresma, Charlene; Sy, Angela; Tsoh, Janice Y.; Gildengorin, Ginny; Stewart, Susan L.; Nguyen, Tung T.

doi:10.1002/cncr.31216

Cited by 27 publications

(31 citation statements)

References 28 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…People who had insurance coverage for CRC screening had better knowledge, most probably because their insurance agent could explain the details about CRC screening and its procedures to them, meaning their perception of CRC and its screening was improved. Subsequently, they were more willing to participate in the CRCSP [ 8 , 10 ]. Insurance coverage reduces the psychological and financial burdens related to obtaining an expensive CRC screening test, leading to better attitudes and practices towards CRC and CRC screening [ 8 , 10 ].…”

Section: Discussionmentioning

confidence: 99%

“…Similar CRC screening programs (CRCSP) have been promoted in other countries [ 6 , 7 ], however the participation rates have been low [ 5 , 6 , 7 ]. Evidence has shown that poor knowledge affects attitudes and practices of participation in CRC [ 8 , 9 , 10 , 11 ]. Studies were conducted to understand factors associated with participation rates in CRC screening [ 12 , 13 ].…”

Section: Introductionmentioning

confidence: 99%

“…According to a report from the Department of Health in Hong Kong, about 30% ( n =1423) of eligible persons enrolled in the screening program were found to be FIT-positive, and of these, more than 76.5% were found to have adenoma or adenocarcinoma [ 5 ]. Screening has been acknowledged as an effective detection tool for early diagnosis and treatment and has also reduced the burden of CRC healthcare costs [ 10 , 13 , 15 ].…”

Section: Introductionmentioning

confidence: 99%

“…Inadequate knowledge results in poor attitudes and participation in CRC screening [ 10 , 13 ]. A recent local study was conducted in a population aged 26 or older and found that fewer than 30% of subjects had adequate knowledge about CRC and its screening [ 13 ].…”

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Factors Associated with Knowledge, Attitudes, and Practice towards Colorectal Cancer and Its Screening among People Aged 50–75 Years

Wong

2021

IJERPH

View full text Add to dashboard Cite

Background: Colorectal cancer (CRC) screening is effective for early detection of CRC, particularly for males aged 50 or above. However, the rate of participation in the screening program is still low. This study was to examine knowledge, attitudes, and practice toward CRC and its screening and explored their associated factors. Methods: A descriptive cross-sectional study was conducted in a convenience sample of adults aged 50–75 years without cognitive problems, who were recruited at multi-elderly centers in Hong Kong. A questionnaire was used to measure knowledge, attitudes, and practice (KAP) towards CRC and its screening. Results: The total of 300 Chinese people included 147 (49.0%) males with a mean age of 58.72 (SD 6.91) years old. This study population had good knowledge and practice, as well as very good attitudes toward CRC and its screening. The multivariate regression results showed that receiving insurance coverage was the most significant factor positively associated with knowledge, attitudes, and practice. Other than this, lower educational level had significant negative association with knowledge and practice. Having self-sufficient financial support and receiving screening program information had positive associations with knowledge. Conclusion: People who are receiving insurance coverage have better KAP towards CRC and its screening. This indicates that they can receive adequate information about the screening procedure from their insurance agents and receive financial support under their insurance coverage. Therefore, they are more willing to participate in the screening program. Other factors, including having good self-sufficient financial support and receiving adequate information about CRC and its screening, significantly enhance knowledge. Based on the relationships among KAP, knowledge enhancement can improve attitude and practice in participating in the CRC screening program. Those who attained lower education should receive more attention. In this sense, adequate financial support from health insurance or subsidies from the government can increase an individual’s willingness to participate in the CRC screening, particularly those at a low socioeconomic level. Educational programs should be promoted to enhance knowledge about CRC and its screening, especially to those who attained lower education levels.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Factors Associated with Knowledge, Attitudes, and Practice towards Colorectal Cancer and Its Screening among People Aged 50–75 Years

Wong

2021

IJERPH

View full text Add to dashboard Cite

show abstract

“…Despite the high incidence and death rates from CRC for KAs, their CRC screening rates (32.7%) remain significantly lower than those of non-Latino Whites (57.7%) and subgroups (46.8%) of Asian Americans, including Chinese (81.3%), Japanese (59.8%), and Vietnamese (47.8%), as well as the national target (i.e., 70.5%) specified by Healthy People 2020 (Jackson, Oman, Patel, & Vega, 2016; Tran et al, 2018; U.S. Department of Health and Human Services, 2010).…”

Section: Introductionmentioning

confidence: 99%

Analyzing Factors Associated With Decisional Stage of Adoption for Colorectal Cancer Screening Among Older Korean Americans Using Precaution Adoption Process Model

Jin

Lee

2018

J Transcult Nurs

View full text Add to dashboard Cite

Introduction: For Korean Americans (KAs), colorectal cancer (CRC) screening rates remain lower than the national target. This study aimed to examine factors predicting decisional stage of CRC screening adoption among older KAs using the precaution adoption process model. Method: Convenience sampling was employed to recruit KAs aged 50 to 75 years from the Atlanta metropolitan area in the United States. A total of 433 KAs completed a cross-sectional survey that collects information on sociodemographics, CRC screening history, a physician’s recommendation, knowledge, self-efficacy, and decisional balance pertaining CRC screening, and precaution adoption process model stage. Results: Higher scores of decisional balance (odds ratio [ OR] = 1.34), having a physician’s recommendation ( OR = 8.61), and having regular annual medical checkups ( OR = 4.44) were significantly associated with higher decisional stage compared with lower stage, controlling for other variables. Discussion: Intervention research should incorporate consideration of individuals’ decisional stage to move KAs forward from not engaging the screening to maintaining regular participation in CRC screening.

show abstract

Survival of the Hmong population diagnosed with colon and rectal cancers in the United States

Walker,

Lor,

Lor

et al. 2024

Cancer Medicine

View full text Add to dashboard Cite

BackgroundThe Hmong population constitutes an independent ethnic group historically dispersed throughout Southeast Asia; fallout from the Vietnam War led to their forced migration to the United States as refugees. This study seeks to investigate characteristics of the Hmong population diagnosed with in colorectal cancer (CRC) as well as survival within this population.MethodsCases of colon and rectal adenocarcinoma diagnosed between 2004 and 2017 were identified from the National Cancer Database (NCDB). Summary statistics of demographic, clinical, socioeconomic, and treatment variables were generated with emphasis on age and stage at the time of diagnosis. Cox‐proportional hazard models were constructed for survival analysis.ResultsOf 881,243 total CRC cases within the NCDB, 120 were classified as Hmong. The average age of Hmong individuals at diagnosis was 58.9 years compared 68.7 years for Non‐Hispanic White (NHW) individuals (p < 0.01). The distribution of analytic stage differed between the Hmong population and the reference NHW population, with 61.8% of Hmong individuals compared to 45.8% of NHW individuals with known stage being diagnosed at stage III or IV CRC compared to 0, I, or II (p = 0.001). However, there was no difference in OS when adjusting for potential confounders (HR 1.00 [0.77–1.33]; p = 0.998).ConclusionsHmong individuals are nearly a decade younger at the time of diagnosis of CRC compared to the NHW individuals. However, these data do not suggest an association between Hmong ethnicity and overall survival, when compared to the NHW population.

show abstract

Colorectal cancer beliefs, knowledge, and screening among Filipino, Hmong, and Korean Americans

Abstract: Knowledge regarding the causes of CRC and its prevention among Filipino, Hmong, and Korean individuals is low. However, health care access, not knowledge or beliefs, was found to be a key determinant of CRC screening. Cancer 2018;124:1552-9. © 2018 American Cancer Society.

Cited by 27 publications

References 28 publications

Factors Associated with Knowledge, Attitudes, and Practice towards Colorectal Cancer and Its Screening among People Aged 50–75 Years

Factors Associated with Knowledge, Attitudes, and Practice towards Colorectal Cancer and Its Screening among People Aged 50–75 Years

Analyzing Factors Associated With Decisional Stage of Adoption for Colorectal Cancer Screening Among Older Korean Americans Using Precaution Adoption Process Model

Survival of the Hmong population diagnosed with colon and rectal cancers in the United States

Contact Info

Product

Resources

About