Design and Results of a Culturally Tailored Cancer Outreach Project by and for Micronesian Women

Aitaoto, Nia; Braun, Kathryn L.; Estrella, Julia; Epeluk, Aritae; Tsark, JoAnn U.

doi:10.5888/pcd9.100262

Cited by 32 publications

(52 citation statements)

References 13 publications

(11 reference statements)

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“…This research also better illuminates health information needs, health literacy, and health communication challenges among rural Native Hawaiian and Filipino women, supporting existing research [8, 10] and programs [9, 15] that seek to improve cancer knowledge and address cancer disparities among these populations. Health literacy is useful to consider.…”

Section: Discussionsupporting

confidence: 66%

Health Literacy, Health Communication Challenges, and Cancer Screening Among Rural Native Hawaiian and Filipino Women

et al. 2013

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Native Hawaiians and Filipinos are disproportionately impacted by cancer, and are less likely to participate in cancer screening than whites. Limited information exists about health information pathways and health communication challenges as they relate to cancer screening in these groups. Six focus groups (n=77) of Native Hawaiian and Filipino women age 40+ years were conducted to investigate these research gaps. Participants noted many health information challenges. Challenges were both practical and interpersonal and included both written and oral health communication. Practical challenges included “big” words, complexity of terms, and lack of plain English. Interpersonal issues included doctors rushing, doctors not assessing comprehension, and doctors treating respondents as patients not people. Women noted that they would often not ask questions even when they knew they did not understand because they did not want the provider to think negatively of them. Overarching themes to improve cancer communication gaps included: (1) the importance of family and community in health information dissemination; (2) the key role women play in interpreting health information for others; (3) the importance of personal experience and relationships to the salience of health information; and (4) the desire for local cultural relevance in health communication. Findings are discussed in light of the 2010 National Action Plan for Health Literacy.

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Section: Discussionsupporting

confidence: 66%

Health Literacy, Health Communication Challenges, and Cancer Screening Among Rural Native Hawaiian and Filipino Women

et al. 2013

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“…For example, CNP reports described culturally tailored interventions that resulted in reduced tobacco use among Asian immigrants 46 and Native Hawaiians. 47 They described CBPR projects that attracted rural dwelling adults to cancer screening for the first time 40 ; increased breast and cervical cancer screening among Vietnamese, Hmong, Micronesian, Hispanics, and African-American women 17,23,48–50 ; increased colorectal cancer screening among Chinese Americans, 44 Hispanics, 51,52 and African Americans 53 ; increased Pap test follow-up among American Indian women 54 ; increased hepatitis B immunization among Asian Americans 55 ; increased prostate cancer screening among African Americans 56,57 ; and increased minority participation in clinical trials. 58,59 …”

Section: Resultsmentioning

confidence: 99%

The National Cancer Institute’s Community Networks Program Initiative to Reduce Cancer Health Disparities: Outcomes and Lessons Learned

Braun¹,

Stewart²,

Baquet³

et al. 2015

cpr

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Background We describe reach, partnerships, products, benefits, and lessons learned of the 25 Community Network Programs (CNPs) that applied community-based participatory research (CBPR) to reduce cancer health disparities. Methods Quantitative and qualitative data were abstracted from CNP final reports. Qualitative data were grouped by theme. Results Together, the 25 CNPs worked with more than 2,000 academic, clinical, community, government, faith-based, and other partners. They completed 211 needs assessments, leveraged funds for 328 research and service projects, trained 719 new investigators, educated almost 55,000 community members, and published 991 articles. Qualitative data illustrated how use of CBPR improved research methods and participation; improved knowledge, interventions, and outcomes; and built community capacity. Lessons learned related to the need for time to nurture partnerships and the need to attend to community demand for sustained improvements in cancer services. Implications Findings demonstrate the value of government-supported, community–academic, CBPR partnerships in cancer prevention and control research.

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“…For Pacific islanders, their concept of time is much more flexible and subjective [13]. The same is true for the study participants.…”

Section: Fluidity Of Timementioning

confidence: 96%

Cultural Considerations in the Conduct of Clinical Research: The Guam Experience

Mendez¹,

Arat-Cabading²

2016

Int J Nurs Clin Pract

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Cultural sensitivity provides one of the foundations for a successful clinical research within tribal communities. Researchers involved in the efforts that cross paths with cultural practices of human subjects must be aware of the potential impact as well as the challenges these will pose to the clinical research process. These were some of the insights gained from the research experience of the biomedical research team from University of Guam (UOGCRC) and the University of Hawai'i (UHCC) after conducting a study in Guam which aimed to describe the betel nut chewing practices of its indigents and identify specific biomarkers that occur in the saliva of humans after betel nut (BN) mastication.An island in the western Pacific Ocean, Guam is home to a diverse society that reflects the blend of the culture of its original Chamorro inhabitants, and the political, economic and socio-cultural influences from the European, American, Asian, and other Micronesian peoples who have either occupied, visited and immigrated to the island since the 16th century. Betel chewing is an integral part of socializing in Guam and approximately 11% of the population chew betel nut on a regular basis. It is a social activity that imbues the spirit of familial goodwill even to strangers. The indigent people in Guam often offer the hard, mature nut at community celebrations and fellowships such as fiestas. However, the International Agency for Research on Cancer has deemed betel nut chewing (with or without tobacco) carcinogenic to humans. Epidemiological and animal data have suggested strong associations between betel nut consumption and oral mucosal diseases such as leukoplakia, oral and nasopharyngeal cancer, and oral sub-mucous fibrosis. This paper looked into the cultural realities in Guam, its impact to the conduct of clinical research and the insights gained by the researchers from the process. Knowing the core elements of the culture in Guam was integral in the conduct of the clinical research that revolves around a very culturallyrelated practice which is the betel nut chewing. Seven cultural values were considered dominant and interrelated with the betel nut chewing practices in Guam: the importance of communal relationships; respect for familial and kinship influence especially authority; reciprocity; cultural practices and beliefs such as binge drinking and fluidity of time, language barriers; and the often paralyzing fear of social stigmatization. Researchers were reminded from the experience to be constantly mindful in approaching their work in order to guard against cross-cultural misunderstandings and/or misinterpretations.

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Design and Results of a Culturally Tailored Cancer Outreach Project by and for Micronesian Women

Abstract: BackgroundIn 2005, approximately 26% of Micronesian women aged 40 or older in Hawai'i used mammography for breast cancer screening. We describe an 18-month project to increase screening participation in this population by tailoring educational materials and using a lay educator approach.

Cited by 32 publications

References 13 publications

Health Literacy, Health Communication Challenges, and Cancer Screening Among Rural Native Hawaiian and Filipino Women

Health Literacy, Health Communication Challenges, and Cancer Screening Among Rural Native Hawaiian and Filipino Women

The National Cancer Institute’s Community Networks Program Initiative to Reduce Cancer Health Disparities: Outcomes and Lessons Learned

Cultural Considerations in the Conduct of Clinical Research: The Guam Experience

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