Impact of breast cancer screening intervention on Korean-American women in Maryland

Juon, Hee‐Soon; Choi, Sun Young; Klassen, Ann C.; Roter, Debra

doi:10.1016/j.cdp.2006.03.008

Cited by 49 publications

(44 citation statements)

References 20 publications

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“…24 This term is defined as systems' ability to provide patients of diverse backgrounds with health care, tailoring it to each patient's social, cultural, and linguistic needs. 24,25 Existing educational programs for women from diverse ethnic groups 26,27 provide general information on cancer and screening, as well as material aiming to lower barriers, in the women's original language and in a culturally sensitive way. But these programs do not directly address specific ethnic cultural and social barriers.…”

Section: Culture-sensitive Interventionsmentioning

confidence: 99%

Increasing Breast Examinations Among Arab Women Using a Tailored Culture-Based Intervention

Cohen

Azaiza

2010

Behavioral Medicine

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This study aimed to assess outcomes of a culture-specific intervention devised to reduce barriers to breast cancer screening among Arab women in Israel. Women in intervention (n = 42) and control (n = 24) groups answered breast examination performance and Arab culture-specific barriers and health beliefs questionnaires at pre- and postintervention. Women in the study group received tailored telephone intervention between the 2 interviews. Although the study and control groups did not differ in rate of attending clinical examinations and mammography at pre-intervention, at post-intervention, almost 48% of the intervention group and 12.5% of the control group scheduled or attended a clinical examination, and 38.5% of women in the intervention group and 21.4% of the control group attended or scheduled a mammography. Of the cultural barriers, a significant group x time effect was found for the cultural barriers of exposure, social barriers, and self-uneasiness with body, with a higher decrease in the intervention group. Of the health beliefs, a group x time effect was found for perceived vulnerability and perceived barriers to clinical examination and mammography, which significantly decreased in the intervention group, but not in the control group. The preliminary results showed that the culture-based intervention was effective in reducing barriers and increasing the rate of breast cancer examinations.

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Section: Culture-sensitive Interventionsmentioning

confidence: 99%

Increasing Breast Examinations Among Arab Women Using a Tailored Culture-Based Intervention

Cohen

Azaiza

2010

Behavioral Medicine

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“…However, once a need is recognized, successful interventions to improve cancer screening and diabetes care among Asian American populations may be designed and implemented. 22 Collaboration between federal data stewards and local policymakers could be an effective model for addressing disparities in health care. Federal data could be enriched to provide information about disparities at the local level.…”

Section: Discussion and Policy Implicationsmentioning

confidence: 99%

Community Variation: Disparities In Health Care Quality Between Asian And White Medicare Beneficiaries

Moy¹,

Greenberg²,

Borsky

2008

Health Affairs

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Few studies have focused on Asian-white disparities. This study examines the use of selected cancer screening and diabetes services under the traditional Medicare program of whites and Asians by socioeconomic status and among U.S. metropolitan statistical areas in which elderly Asians reside. It demonstrates that existing data, with enrichment, can be used to examine Asian-white disparities. It finds that Asians often receive poorer quality of care than whites, but disparities differ among metropolitan areas. This research enables policymakers to better understand and target resources to address Asianwhite disparities at the national and local community levels. [Health Affairs 27, no. 2 (2008): 538-549; 10.1377/hlthaff.27.2.538] I n 2 0 0 0 , 1 1 . 9 m i ll i o n a s i an s l i v e d i n t h e United States, representing 4.2 percent of the total population. Over the next fifty years, the Asian American population is expected to triple in size. The number of Asian Medicare beneficiaries, who may have different health care needs than other beneficiaries, is expected to grow at an even faster rate. 1 Most studies of disparities have focused on blacks or Hispanics. Despite the large Asian population living in the United States, few studies have focused on the health care experiences of Asian Americans.This study examines whether the use of selected cancer screening and diabetes services available under traditional Medicare to whites and Asian Americans differ by socioeconomic status (SES) and within the largest metropolitan statistical areas (MSAs) in which elderly Asians reside. Study BackgroundRace and ethnicity are strong predictors of the quality of care patients receive. The Institute of Medicine report Unequal Treatment includes an extensive literature review on disparities between minority and nonminority Americans. 3 Many recent studies demonstrate that minorities continue to experience disparities in health care quality. 4 Despite growing numbers of all minorities in the United States, little is known about minority groups other than blacks and Hispanics. Our understanding of disparities faced by Asian Americans is particularly rudimentary. In 2006 the National Healthcare Disparities Report (NHDR), an annual report to the Congress on health care disparities, found that Asians receive lower quality of care compared with whites for one-third of the core measures tracked in the report, and such differences were not improving over time for three-quarters of the measures. 5 Asian American elders may be particularly vulnerable to disparities in health care quality. Among people age sixty-five and older, Asians have the highest rate of uninsurance (6 percent) compared with whites (0.2 percent), blacks (1 percent), and Hispanics (5 percent), perhaps reflecting different work patterns. 6 Elderly Asian Medicare beneficiaries more often report long waits to see doctors compared with whites. 7 Among Medicare managed care enrollees, Asians rate their doctors and overall health care the lowest of any grou...

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“…There have been a number of successful interventions to increase knowledge about breast cancer and screening rates among Asian American women in the United States and Canada (40)(41)(42)(43)(44). Several educational intervention programs have been tested in Taiwan and Hong Kong communities as well, using nurses as educators or counselors, and multimedia approaches to increase awareness knowledge about breast cancer and BSE among Chinese women.…”

Section: Barriers To Breast Cancer Screening and Early Detection In Cmentioning

confidence: 99%

Workplace-Based Breast Cancer Screening Intervention in China

Grace

Gao

et al. 2012

Cancer Epidemiology, Biomarkers &Amp; Prevention

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Background: Breast cancer continues to be the primary cause of death among East and Southeast Asian women. Although China, the most populous country in the world, is experiencing unprecedented economic growth, its health care system has yet to benefit from the current economic prosperity. Indeed, studies have shown a consistent increase in breast cancer rates among Chinese women over the past two decades in the absence of breast cancer screening guidelines.Methods: The primary objective of this study was to examine the impact of a workplace intervention on increasing breast cancer screening rates. The study was implemented at eight worksites in Nanjing, four of which were assigned to the intervention group (n ¼ 232) and four to the control group (n ¼ 221). The intervention group received breast cancer education and screening navigation. The control group was provided with general cancer education and received a delayed intervention after completion of the study. Study measures were completed at pre-and postprogram and at 6-month follow-up to assess uptake of mammography.Results: Baseline mammography use was low among both intervention and control groups. However, exposure to the workplace intervention dramatically increased the uptake of mammography from 10.3% at baseline to 72.6% at 6-month follow-up in the intervention group (P < 0.001).Conclusions: Findings provide preliminary evidence that the implementation of a comprehensive workplace breast cancer screening intervention program in China can lead to increased uptake of mammography. These data may help facilitate the development of theory-based workplace cancer prevention programs and screening guidelines in China.Impact: A workplace-based multifaceted intervention could have a strong impact in breast cancer prevention and early detection among women in China. Cancer Epidemiol Biomarkers Prev; 21(2); 358-67. Ó2011 AACR.

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Impact of breast cancer screening intervention on Korean-American women in Maryland

Cited by 49 publications

References 20 publications

Increasing Breast Examinations Among Arab Women Using a Tailored Culture-Based Intervention

Increasing Breast Examinations Among Arab Women Using a Tailored Culture-Based Intervention

Community Variation: Disparities In Health Care Quality Between Asian And White Medicare Beneficiaries

Workplace-Based Breast Cancer Screening Intervention in China

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