Culturally tailored interventions of chronic disease targeting Korean Americans: a systematic review

Heo, Hyun-Hee; Braun, Kathryn L.

doi:10.1080/13557858.2013.857766

Cited by 28 publications

(45 citation statements)

References 36 publications

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“…As Asian Americans have lower levels of health literacy than whites, health literacy-focused interventions could improve screening rates in Asian American populations. Still, additional areas of focus may be needed to reduce Asian American vs. white cancer screening disparities, including intensive cultural tailoring of materials and system navigation assistance (Carney et al 2014 ; Wang et al 2010 ; Heo and Braun 2014 ).…”

Section: Discussionmentioning

confidence: 99%

Health literacy and meeting breast and cervical cancer screening guidelines among Asians and whites in California

et al. 2015

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ObjectivesEmpirical evidence regarding cancer screening and health literacy is mixed. Cancer is the leading cause of death in Asian Americans, yet screening rates are notably low. Using a population-based sample, we determined if health literacy: (1) was associated with breast and cervical cancer screening, and (2) helped to explain Asian cancer screening disparities.MethodsWe analyzed the 2007 California Health Interview Survey for Asian (Japanese, Chinese, Filipino, Korean, Vietnamese, other Asian) and white women within age groups relevant to US Preventive Services Task Force (USPSTF) screening guidelines: cervical: ages 21–65 (n = 15,210) and breast: ages 50–74 (n = 11,163). Multilevel logistic regression models predicted meeting USPSTF screening guidelines both with and without self-reported health literacy controlling for individual-level and contextual-level factors.ResultsLow health literacy significantly (p < 0.05) predicted lower cancer screening in final models for both cancer types. In unadjusted models, Asians were significantly less likely than whites to receive both screening types and significantly more likely to report low health literacy. However, in multivariable models, the addition of the low health literacy variable did not diminish Asian vs. white cancer screening disparities.ConclusionsSelf-reported health literacy predicted cervical and breast cancer screening, but was not able to explain Asian cancer screening disparities. We provide new evidence to support a relationship between health literacy and cancer screening. Health literacy is likely a useful focus for interventions to improve cancer screening and ultimately reduce the burden of cancer. To specifically reduce Asian cancer disparities, additional areas of focus should be considered.

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Section: Discussionmentioning

confidence: 99%

Health literacy and meeting breast and cervical cancer screening guidelines among Asians and whites in California

et al. 2015

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“…Linguistically and culturally competent outreach and enrollment workers could be good resources to connect Korean Americans to the transitional US health care system (28,29). Use of church-based interventions may also help Korean Americans use preventive care (26).…”

Section: Discussionmentioning

confidence: 99%

Disparities in Potentially Preventable Hospitalizations for Chronic Conditions Among Korean Americans, Hawaii, 2010–2012

Heo¹,

Sentell²,

Li³

et al. 2015

Prev. Chronic Dis.

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IntroductionKorean Americans are a growing but understudied population group in the United States. High rates of potentially preventable hospitalizations suggest that primary care is underutilized. We compared preventable hospitalizations for chronic conditions in aggregate and for congestive heart failure (CHF) for Korean Americans and whites in Hawaii.MethodsDischarge data from 2010 to 2012 for all hospitalizations of adults in Hawaii for preventable hospitalizations in aggregate and for CHF included 4,345 among Korean Americans and 81,570 among whites. Preventable hospitalization rates for chronic conditions and CHF were calculated for Korean Americans and whites by sex and age group (18–64 y vs ≥65 y). Unadjusted rate ratios for Korean Americans were calculated relative to whites. Multivariate models, controlling for insurance type and comorbidity, provided adjusted rate ratios (aRRs).ResultsKorean American women and men aged 65 or older were at greater risk of preventable hospitalization overall than white women (aRR, 2.48; P = .003) and white men (aRR, 1.82; P = .049). Korean American men aged 65 or older also were at greater risk of hospitalization for CHF relative to white men (aRR, 1.87; P = .04) and for older Korean American women (aRR, 1.75; P = .07). Younger age groups did not differ significantly.ConclusionOlder Korean American patients may have significant disparities in preventable hospitalizations, which suggests poor access to or poor quality of primary health care. Improving primary care for Korean Americans may prevent unnecessary hospitalizations, improve quality of life for Korean Americans with chronic illness, and reduce health care costs.

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“…Korean Americans (KAs), including individuals born both in Korea and the United States, are the fifth-largest Asian American ethnic group in the United States [ 11 , 12 ]. The number of KAs has increased more than 60%, from 1 million to 1.8 million between 2000 and 2010, and as such KAs represent one of the fastest growing Asian groups in the United States [ 13 ].…”

Section: Introductionmentioning

confidence: 99%

“…KAs continue to have lower rates for cancer screening and healthcare utilization [ 14 , 15 , 16 ]. Several interventions incorporating healthcare access, health beliefs, and cultural factors have been developed and delivered to KAs, but their cancer screening and healthcare utilization rates still remain very low [ 12 , 17 ]. Trust has been identified as a critical factor that influences health service utilization, health status, and patient satisfaction in other populations [ 18 , 19 , 20 , 21 ].…”

Section: Introductionmentioning

confidence: 99%

Translation and Validation of the Korean Version of the Revised Health Care System Distrust Scale (HCSD-K) in Korean American Women

Hong

Min

2018

IJERPH

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Background: Trust in the healthcare system is a major contributor for racial disparities in health and health care. We aimed to formally translate and cross-culturally adapt the Korean version of the Revised Health Care System Distrust (HCSD-K) scale with a sample of Korean American women and examine the psychometric properties of the HCSD-K scale. Methods: Ten Korean American women participated in the cognitive interview. A self-administered questionnaire was completed by 196 Korean American women aged 50–74 years. Instrument adaptation was performed using committee-based translation and cognitive interviewing. Construct validity, convergent validity, and internal consistency were examined to evaluate the psychometric properties of the HCSD-K scale. Results: The translated instrument was found to be semantically sound. A confirmatory factor analysis revealed a two-factor structure with an excellent fit. Convergent validity was supported by correlations between the HCSD-K scale and both the Perceived Discrimination in Health Care and Trust in Physician scales. Cronbach’s alpha for the total HCSD-K was 0.83. Conclusion: The nine-item HCSD-K scale demonstrated satisfactory reliability and validity. It is an appropriate instrument for measuring healthcare system distrust in Korean American women. Further study is needed to confirm the study results in a gender-mixed Korean population.

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Culturally tailored interventions of chronic disease targeting Korean Americans: a systematic review

Cited by 28 publications

References 36 publications

Health literacy and meeting breast and cervical cancer screening guidelines among Asians and whites in California

Health literacy and meeting breast and cervical cancer screening guidelines among Asians and whites in California

Disparities in Potentially Preventable Hospitalizations for Chronic Conditions Among Korean Americans, Hawaii, 2010–2012

Translation and Validation of the Korean Version of the Revised Health Care System Distrust Scale (HCSD-K) in Korean American Women

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