How Do Older Chinese Women View Health and Cancer Screening? Results from Focus Groups and Implications for Interventions

Liang, Wenchi; Yuan, Elaine H.; Mandelblatt, Jeanne S.; Pasick, Rena J.

doi:10.1080/1355785042000250111

Cited by 106 publications

(146 citation statements)

References 5 publications

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“…The men who used crisis intervention were less likely to seek cancer screening than those who used preventive approach; those who preferred to use Eastern medicine for health care were more likely to seek for prostate cancer screening. The use of Eastern medicine may indicate that these immigrants misunderstand and/or mistrust Westernized health care and medicine, reducing their engagement and participation in treatment [33]. This is evidence that cultural beliefs play a part in health screening decisions.…”

Section: Challenges To Immigrants: the Importance Of Health Literacy mentioning

confidence: 99%

Health literacy in selected populations: Individuals, families, and communities from the international and cultural perspective

Levin-Zamir

Leung

Dodson³

et al. 2017

ISU

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Abstract. International and cultural perspectives of health literacy help deepen the understanding of the global context within which health literacy plays an important role. Throughout this article, we explore the significance of health literacy initiatives, interventions, practices, and research for addressing health challenges on a variety of levels in the international and global context. More specifically, the notion of health literacy as a dynamic construct is introduced, after which we examine health literacy throughout the life course, emphasizing the impact of health literacy among children and the elderly in their families and in the community. Cultural norms and family interpersonal relations, and values influence health literacy and need to be considered when closing the health literacy disparities. Global trends of migration and immigration bring to the forefront the need for unravelling the complexity of health systems, for which health literacy plays a central role; health literacy initiatives address cultural differences between providers and patients to help narrow the communication gap. The importance of cultural competency among health care providers exemplifies how capacity building in health literacy is critical for maximizing the benefits to the public of the health care system. Health literacy provides a conceptual foundation for community participatory research, involving members of the public to take part in the planning, execution and evaluation of health education interventions. Selected case studies and picture boxes from around the globe, exemplify aforementioned topics of interest. Practical recommendations for policy makers, practitioners and research are offered based on the studies conducted in the international context.

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Section: Challenges To Immigrants: the Importance Of Health Literacy mentioning

confidence: 99%

Health literacy in selected populations: Individuals, families, and communities from the international and cultural perspective

Levin-Zamir

Leung

Dodson³

et al. 2017

ISU

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“…22 Responses to each item were assessed on a 5-point Likert scale, ranging from strongly agree, agree, neutral, disagree, to strongly disagree. Rotated principal component factor analyses showed that these items measured cultural domains, such as fatalism, self-care, hot-cold balance, use of herbs, Western medicine, medical checkups, and lifestyle, with an internal consistency score (Cronbach's alpha) between 0.82 and 0.39.…”

Section: Methodsmentioning

confidence: 99%

“…Chinese physicians may also choose not to discuss screening, assuming that Chinese women are reluctant to discuss cancer or discuss body parts, such as breasts and the cervix. 22 On the other hand, some women visiting English-speaking physicians may have been accompanied by an interpreter, a variable not included in the survey, which adds to the complexity of the communication process. Future research is needed to determine which of these possible factors explain our results.…”

Section: Factors Associated With Physicians' Cancer Screening Recommementioning

confidence: 99%

“…Because of their unfamiliarity with English or English medical terms, older Chinese women prefer to seek care from Chinese-speaking physicians, most of whom are first-generation immigrants. 22 Little is known about Chinese American physicians' cancer screening recommendations for older Chinese American women. One study documented that Chinese American physicians reported low rates of recommending cancer screening to their Chinese American patients.…”

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confidence: 99%

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Language Use and the Receipt of Cancer Screening Recommendations by Immigrant Chinese American Women

Liang

Wang

Chen

et al. 2009

Journal of Women's Health

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Background: Cancer screening rates are low among Chinese American women, a mostly immigrant minority population. This is possibly because they do not receive cancer screening recommendations from their physicians. The objective of this study was to determine if the rate at which physicians recommend cancer screening to older Chinese American women differs according to the language used during visits. Methods: Data for the cross-sectional study were collected from a telephone survey of older Chinese American women residing in the Washington, DC, area. A total of 507 asymptomatic Chinese American women aged Ն50 who had a regular physician participated in this study. The main outcome was women's self-reported perception of having received a recommendation from their physician for mammography, Pap tests, or colorectal cancer screening in the past 2 years. The main independent variable was the language used during visits (English vs. Chinese). Patient age, educational level, employment status, cultural views, physician specialty, physician gender, and length of relationship with the physician were included in the multiple logistic regression analyses. Results: Chinese women who communicated with their physicians in English were 1.71 (95% CI 1.00-2.96) and 1.73 (95% CI 1.00-3.00) times more likely to report having received mammography and colorectal cancer screening recommendations, respectively (p Ͻ 0.05). Physicians in family medicine or general practice were 2.11 (95% CI 1.31-3.40) and 1.70 (95% CI 1.06-2.48) times more likely to recommend cancer screening than those in other specialties. Conclusions: Chinese American women who conversed with their physicians in Chinese were less likely to perceive receiving cancer screening recommendations. Future research is needed to identify physician-specific knowledge, attitude, and cultural barriers to recommending cancer screening.

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“…[9][10][11][12] Cultural research suggests that these values may keep Chinese individuals from seeking Western medicine for help, and they influence conceptions of illness and cancer. [12][13][14][15][16][17][18] To improve Chinese American participation in biospecimen research, the current study builds on a needs assessment of Philadelphia Chinese Americans using Community-Based Participatory Research (CBPR) approaches.The purpose of this article is to determine how demographics, health care access, knowledge, and cultural beliefs are associated with willingness to participate in biospecimen research among Chinese Americans.…”

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confidence: 99%

Factors Associated with Willingness to Participate in Biospecimen Research Among Chinese Americans

Gao

Grace

Tan

et al. 2014

Biopreservation and Biobanking

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A paucity of information exists on the recruitment of Asian Americans for biospecimen research. Although studies show that Chinese Americans are at high risk for hepatitis B virus (HBV) infection, little is known about their willingness to participate in HBV-related biospecimen research and how knowledge, attitudes, and cultural factors impact their willingness to participate. The study was guided by Community-Based Participatory Research principles. Data were derived from an assessment study on HBV-related biospecimen research participation among Chinese Americans in the Philadelphia region. The assessment was conducted with 415 Chinese Americans recruited from eight Chinese community-based organizations. Cultural beliefs, knowledge, and attitudes toward biospecimen research were examined for associations with their willingness to participate in biospecimen banking research. Overall, 192 (46.3%) of 415 participants who completed the assessment indicated they were willing to participate if they were invited to donate blood to be frozen and stored for future HBV biospecimen studies. Cultural variables significant in bivariate analysis included collectivism, knowledge about biospecimen research, and Yin-Yang beliefs. Fatalism and individualism were not associated with participation willingness. In multivariate analysis, age, health care attitudes, and trust were significantly associated with willingness to participate in biospecimen banking research. Asian American communities have little knowledge of biospecimen banking and will benefit from educational campaigns that emphasize collective benefits and attitudes towards and trust in the health care system. Understanding cultural factors is important for improving Chinese Americans' knowledge, awareness, and intentions of participation in biospecimen research. Similar efforts need to be undertaken to develop culturally appropriate educational intervention programs to increase participation in biospecimen research among other Asian American groups.

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How Do Older Chinese Women View Health and Cancer Screening? Results from Focus Groups and Implications for Interventions

Cited by 106 publications

References 5 publications

Health literacy in selected populations: Individuals, families, and communities from the international and cultural perspective

Health literacy in selected populations: Individuals, families, and communities from the international and cultural perspective

Language Use and the Receipt of Cancer Screening Recommendations by Immigrant Chinese American Women

Factors Associated with Willingness to Participate in Biospecimen Research Among Chinese Americans

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