Colorectal Cancer Knowledge, Attitudes, Screening, and Intergenerational Communication Among Japanese American Families: An Exploratory, Community-Based Participatory Study

Lau, Denys T.; Machizawa, Sayaka; Demonte, William; Cameron, Kenzie A.; Muramatsu, Naoko; Henker, Raymond D.; Chikahisa, Frances; Tanimura, Michael

doi:10.1007/s10823-012-9184-z

Cited by 11 publications

(11 citation statements)

References 19 publications

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“…Our findings are consistent with findings from previous quantitative studies on CRC screening in Vietnamese Americans [50, 32, 26]. Lack of symptoms [50, 32, 35, 42], difficult preparation for colonoscopy [50, 32, 24, 14, 13], knowledge about CRC and CRC screening [50, 32, 26], and physician recommendation [50, 32, 26, 22, 27] have been well-documented throughout the literature among Vietnamese Americans and other minority groups.…”

Section: Discussionsupporting

confidence: 92%

Barriers and Facilitators to Colorectal Cancer Screening in Vietnamese Americans: A Qualitative Analysis

et al. 2014

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Background Vietnamese Americans are the fourth largest Asian ethnic group in the United States. Colorectal cancer (CRC) ranks as one of the most common cancers in Vietnamese Americans. However, CRC screening rates remain low among Vietnamese Americans, with 40% of women and 60% of men reporting never having a sigmoidoscopy, colonoscopy, or Fecal Occult Blood Test. Methods We partnered with a Federally Qualified Health Center (FQHC) in Seattle, Washington, to conduct focus groups as part of a process evaluation. Using interpreters, we recruited and conducted three focus groups comprised of 6 women screened for CRC, 6 women not screened for CRC, and 7 men screened for CRC, which made up a total of 19 FQHC patients of Vietnamese descent between 50 and 79 years old. Three team members analyzed transcripts using open coding and axial coding. Major themes were categorized into barriers and facilitators to CRC screening. Results Barriers include lack of health problems, having comorbidities, challenges with medical terminology, and concerns with the colonoscopy. Participants singled out the risk of perforation as a fear they have towards colonoscopy procedures. Facilitators include knowledge about CRC and CRC screening, access to sources of information and social networks, and physician recommendation. Conclusion Our focus groups elicited information that adds to the literature and has not been previously captured through published surveys. Findings from this study can be used to develop more culturally appropriate CRC screening interventions and improve upon existing CRC screening programs for the Vietnamese American population.

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Section: Discussionsupporting

confidence: 92%

Barriers and Facilitators to Colorectal Cancer Screening in Vietnamese Americans: A Qualitative Analysis

et al. 2014

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“…CRC knowledge and health insurance status were two important predictors of CRC screening behavior in this study. Consistent with previous findings [16,17], knowledge of CRC is the strongest predictor of CRC screening behaviors among Asian Americans. These findings also verify previous studies that lack of health insurance is a consistent barrier to screening [12,13,15].…”

Section: Discussionsupporting

confidence: 91%

“…In addition, lower CRC knowledge was associated with less education, lack of employment/health insurance, and lower income among African Americans and Whites living in the Kentucky; these factors lead to low CRC screening rates [15]. CRC knowledge, attitude, and behavior questionnaires administered to Japanese Americans and Asian American populations in Michigan yielded similar results [16,17]. These studies showed that mailing educational pamphlets and using Asian-language media could increase CRC knowledge, educate the public, and help decrease barriers to screening [16, 17].…”

Section: Introductionmentioning

confidence: 99%

Predictors of Colorectal Cancer Knowledge and Screening Among Asian Americans Aged 50–75 years old

Juon

Guo

Kim

et al. 2017

J. Racial and Ethnic Health Disparities

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Colorectal cancer, the second leading cause of mortality in the USA, can be prevented with colorectal cancer screening. However, many people who should receive the screening do not get screened. To learn more, this study estimated the prevalence of up-to-date colorectal cancer (CRC) screening and examined the relationship between CRC knowledge and screening compliance among Asian Americans living in the Baltimore-Washington Metropolitan area. The study included a cross-sectional sample of 274 Chinese, Korean, and Vietnamese Americans aged 50-75 years old. Participants completed a questionnaire regarding CRC knowledge in either their preferred native language or in English, and data were collected in person. The percentage of total participants with up-to-date overall CRC screening was 52.9%. Up-to-date fecal occult blood test (FOBT) screening was 15.0% and colonoscopy was 50.7%. The average CRC knowledge score was 6.10 out of 9 (SD = 2.91). Those with high education, high English proficiency, married, health insurance, and good physical health ratings had higher CRC knowledge. In multivariate analysis, CRC knowledge was significantly correlated with increasing up-to-date colonoscopy (aOR = 2.74, 1.13-6.64). Having health insurance (aOR = 4.40, 2.33-8.32) was another predictor of up-to-date colonoscopy. These findings suggest that CRC knowledge is a strong predictor of CRC screening behavior in Asian American populations. Lack of CRC screening knowledge still remains an important barrier to screening, and increased public awareness is necessary to achieve greater screening compliance.

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“…Linguistic strategies (n = 42, 95.5%) were used by all interventions reviewed in this study. One study only recruited English speaking participants based on high English speaking proficiency among that ethnic group in the city the study was conducted in (Lau et al, 2013), while another study did not provide information about the language the education sessions were conducted in (Sadler et al, 2002). Evidential strategies (n = 43, 97.7%) and constituent-involving strategies (n = 39, 88.6%) were also frequently used.…”

Section: Research Questionmentioning

confidence: 99%

Cultural Appropriateness in Health Communication: A Review and A Revised Framework

Tan

Cho

2019

Journal of Health Communication

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A revised framework for cultural appropriateness is offered on the basis of a systematic review of operationalizations in 44 cancer screening interventions for Asian Americans. Studies commonly conveyed the epidemiological bases of the intervention (97.7%) and used the language of the population (95.5%). Less commonly reported were strategies central to health communication: cultural features of the intervention messages (77.3%) and the cultural beliefs and values that the intervention focused on (43.2%). Few used cultural tailoring (4.5%) and none aimed to address acculturation or cultural identity. The theoretical framework most frequently used was the health belief model (27.3%) which does not explain the role of culture. More studies focused on cultural barriers (20.5%) than cultural strengths (9.1%). Our revised framework comprises six cultural appropriateness strategies of cultural identity, linguistic, perceptual features, content, constituentinvolving, and socioeconomic context-adaptive. It prioritizes cultural identity to recognize the dynamics within racial ethnic groups and to inform adaptive efforts for cultural appropriateness. It emphasizes examining cultural strengths that can facilitate change, as well as reducing cultural barriers. Future research and action should address the disparities in extant health disparities research in which theory and methods are underdeveloped and underutilized for Asian Americans.

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Colorectal Cancer Knowledge, Attitudes, Screening, and Intergenerational Communication Among Japanese American Families: An Exploratory, Community-Based Participatory Study

Cited by 11 publications

References 19 publications

Barriers and Facilitators to Colorectal Cancer Screening in Vietnamese Americans: A Qualitative Analysis

Barriers and Facilitators to Colorectal Cancer Screening in Vietnamese Americans: A Qualitative Analysis

Predictors of Colorectal Cancer Knowledge and Screening Among Asian Americans Aged 50–75 years old

Cultural Appropriateness in Health Communication: A Review and A Revised Framework

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