Doctor-Patient Cancer Screening Communications among Church-based Chinese Adults – The Role of Caregiver Experience and Family History

Hou, Su‐I

doi:10.31557/apjcp.2021.22.1.241

Cited by 4 publications

(5 citation statements)

References 26 publications

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“…Designing culturally-sensitive interventions that target these barriers may improve cervical test rates among Asians. Potential strategies to enhance screening rates in non-Hispanic Asians could include community-based or workplace-based group educational programs, enhancing cultural awareness among healthcare professionals, and partnering with outreach workers to overcome language and cultural barriers [ 114 , 115 ]. One cluster-randomized controlled trial demonstrated that community health worker-led health-literacy intervention, involving personalized health-literacy training, cancer-screening brochures, and monthly telephone counseling, significantly increased cervical (OR: 13.3, 95% CI: 7.5–22.3) screening uptake and positive perceptions about cancer screening among Korean-American women [ 116 ].…”

Section: Discussionmentioning

confidence: 99%

Examining cancer screening disparities by race/ethnicity and insurance groups: A comparison of 2008 and 2018 National Health Interview Survey (NHIS) data in the United States

Sun,

Frick,

Liang

et al. 2024

PLoS ONE

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Background Pervasive differences in cancer screening among race/ethnicity and insurance groups presents a challenge to achieving equitable healthcare access and health outcomes. However, the change in the magnitude of cancer screening disparities over time has not been thoroughly examined using recent public health survey data. Methods A retrospective cross-sectional analysis of the 2008 and 2018 National Health Interview Survey (NHIS) database focused on breast, cervical, and colorectal cancer screening rates among race/ethnicity and insurance groups. Multivariable logistic regression models were used to assess the relationship between cancer screening rates, race/ethnicity, and insurance coverage, and to quantify the changes in disparities in 2008 and 2018, adjusting for potential confounders. Results Colorectal cancer screening rates increased for all groups, but cervical and mammogram rates remained stagnant for specific groups. Non-Hispanic Asians continued to report consistently lower odds of receiving cervical tests (OR: 0.42, 95% CI: 0.32–0.55, p<0.001) and colorectal cancer screening (OR: 0.55, 95% CI: 0.42–0.72, p<0.001) compared to non-Hispanic Whites in 2018, despite significant improvements since 2008. Non-Hispanic Blacks continued to report higher odds of recent cervical cancer screening (OR: 1.98, 95% CI: 1.47–2.68, p<0.001) and mammograms (OR: 1.32, 95% CI: 1.02–1.71, p<0.05) than non-Hispanic Whites in 2018, consistent with higher odds observed in 2008. Hispanic individuals reported improved colorectal cancer screening over time, with no significant difference compared to non-Hispanics Whites in 2018, despite reporting lower odds in 2008. The uninsured status was associated with significantly lower odds of cancer screening than private insurance for all three cancers in 2008 and 2018. Conclusion Despite an overall increase in breast and colorectal cancer screening rates between 2008 and 2018, persistent racial/ethnic and insurance disparities exist among race/ethnicity and insurance groups. These findings highlight the importance of addressing underlying factors contributing to disparities among underserved populations and developing corresponding interventions.

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Section: Discussionmentioning

confidence: 99%

Examining cancer screening disparities by race/ethnicity and insurance groups: A comparison of 2008 and 2018 National Health Interview Survey (NHIS) data in the United States

Sun,

Frick,

Liang

et al. 2024

PLoS ONE

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“…40 LHWs have been defined as members of the community who have received some training to promote health or to perform some health care services but who are not health care professionals. 16,36,[41][42][43] LHWs potentially could assist in symptom screening, transportation coordination, distress screening, and leading health discussions. 16,41,42 Lay Health Educators are members of the community and are qualified as community connectors because they live in the communities in which they work, understand what is meaningful to those communities, communicate in the language of the people in their community, and recognize and incorporate social buffers.…”

Section: Existing Occupational Identitiesmentioning

confidence: 99%

“…They are described as CHWs who are well versed in cultural norms or who recognize and address community‐specific barriers 14,15,39 and are selected based on their involvement in their community as well as their existing knowledge of certain cancers and diseases 40 . LHWs have been defined as members of the community who have received some training to promote health or to perform some health care services but who are not health care professionals 16,36,41‐43 . LHWs potentially could assist in symptom screening, transportation coordination, distress screening, and leading health discussions 16,41,42 .…”

Section: Existing Occupational Identitiesmentioning

confidence: 99%

Change agents in the oncology workforce: Let's be clear about community health workers and patient navigators

Battaglia

Zhang

Dwyer

et al. 2022

Cancer

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Despite efforts of professional organizations and government agencies to solidify the professional identities of community health workers and patient navigators in the oncology workforce, the scientific literature perpetuates wide variation in the nomenclature used to define these natural change agents, who have proven efficacy in improving access to quality cancer care for historically marginalized populations. To disseminate, sustain, and scale-up these life-saving roles in cancer care, the oncology field must come together now to adopt clear and consistent job titles and occupational identities.

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“…Consequently, implications of low-quality patient-provider communication potentially may lead to decreased use of preventive services, lack of medical follow-up, higher rates of hospitalization, and drug complications 13. In the cancer screening literature, there has been substantial evidence showing that provider recommendation significantly improves cancer screening rates14; however, some studies have found alarmingly low provider-patient cancer screening communication 15. For Asians, a provider recommendation is the leading predictor of adherence to cancer screening 16,17.…”

Section: Why Do Asian Patients Continuously Have the Lowest Quality O...mentioning

confidence: 99%

“…13 In the cancer screening literature, there has been substantial evidence showing that provider recommendation significantly improves cancer screening rates 14 ; however, some studies have found alarmingly low provider-patient cancer screening communication. 15 For Asians, a provider recommendation is the leading predictor of adherence to cancer screening. 16,17 Therefore, culturally and linguistically appropriate, patientcentered strategies must be implemented to optimize highquality patient-provider communication 16 that will result in eliminating health disparities and improving health outcomes.…”

mentioning

confidence: 99%

Commentary on Patient-Provider Communication Quality, 2002–2016

Kim

Kue

2022

Medical Care

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I t has been over 2 decades since the US Department of Health and Human Service implemented the National Standards for culturally and Linguistically Appropriate Services (CLAS) standards 1 to emphasize on engaging culturally and linguistically appropriate patientprovider communication as a strategy to improve access to health care and reduce health disparities was introduced. 2,3 Culturally and linguistically appropriate services are vital to improving the quality of health services provided to all individuals, specifically those who have limited English proficiency (LEP). Quality health care and patient outcomes rely upon being able to communicate with providers, especially in a patient's preferred language. 4 This requires having access to health care and quality languages services for patients with LEP in the health care setting as directed in Title VI of the Civil Rights Act of 1964. 5 Yet, studies consistently show that Asian Americans continuously report worse health care experiences than any other racial and ethnic groups in the United States. 6 Cho and Chang's 7 study recognized the importance of including understudied Asian patients as a separate subgroup in the data compared with other races and ethnicities. Their study findings are consistent with racial/ethnic disparities in patient experiences, specifically Asian Americans' low-quality patient-provider communication in health care settings. Researchers have suggested that this experience could be attributed to language barriers, cultural nuances, and/or Asians' tendency to select options at the extreme ends of a response scale. 8,9 In this commentary, the authors attempt to address the following questions: "Why do Asian patients continuously have the lowest quality of patient-provider communication over time?" and "What needs to be considered when examining the rating of patientprovider communication in Asian patients?" WHY DO ASIAN PATIENTS CONTINUOUSLY HAVE THE LOWEST QUALITY OF PATIENT-PROVIDER COMMUNICATION OVER TIME?Asian Americans' sociodemographic characteristics alone, such as education, income, and health care access, do not sufficiently explain the health disparities they experience compared with other racial/ethnic groups. 10,11 Existing studies of Asian Americans have either lumped them into a single group labeled "Asian Americans and Pacific Islanders," collapsed into the category of "Other," or excluded Asians as a racial group altogether. Thus, little or no accurate population-based data on Asian and Pacific Islander subgroups exist to identify their unique health problems. 10,11 It is important to recognize that Asian American and Pacific Islanders encompass > 50 ethnic subgroups that speak > 100 dialects with a wide range of cultures, traditions, identities, and experiences; thus, aggregating health data of Asian Americans mask meaningful differences in Asian American subgroups. 10,11 Although there are existing studies that compare the differences among American and Pacific Islanders, there are marked differences in sociodemographic...

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Doctor-Patient Cancer Screening Communications among Church-based Chinese Adults – The Role of Caregiver Experience and Family History

Cited by 4 publications

References 26 publications

Examining cancer screening disparities by race/ethnicity and insurance groups: A comparison of 2008 and 2018 National Health Interview Survey (NHIS) data in the United States

Examining cancer screening disparities by race/ethnicity and insurance groups: A comparison of 2008 and 2018 National Health Interview Survey (NHIS) data in the United States

Change agents in the oncology workforce: Let's be clear about community health workers and patient navigators

Commentary on Patient-Provider Communication Quality, 2002–2016

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