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

Liang, Wenchi; Wang, Judy H.; Chen, Mei-Yuh; Mandelblatt, Jeanne S.

doi:10.1089/jwh.2007.0709

Cited by 17 publications

(15 citation statements)

References 29 publications

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“…Provider-related barriers include physician recommendations and communication with physicians about HBV. Physician recommendations are associated with several cancer screening behaviors for Asian Americans, such as mammography, pap testing and colorectal cancer screening [11, 12], and for HBV screening behaviors [13–15]. …”

Section: Introductionmentioning

confidence: 99%

Ethnic Differences in Prevalence and Barriers of HBV Screening and Vaccination Among Asian Americans

et al. 2012

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Our study identifies the prevalence of HBV virus (HBV) screening and vaccination among Asian Americans, and ethnic differences for factors associated with screening and vaccination behaviors. In 2009–2010 we recruited 877 Korean, Chinese, and Vietnamese Americans 18 years of age and above through several community organizations, churches and local ethnic businesses in Maryland for a health education intervention and a self-administered survey. Prevalence of HBV screening, screening result and vaccinations were compared by each ethnic group. We used logistic regression analysis to understand how sociodemographics, familial factors, patient-, provider-, and resource-related barriers are associated with screening and vaccination behaviors, using the total sample and separate analysis for each ethnic group. Forty-seven percent of participants reported that they had received HBV screening and 38% had received vaccinations. Among the three groups, the Chinese participants had the highest screening prevalence, but lowest self-reported infection rate; Vietnamese has the lowest screening and vaccination prevalence. In multivariate analysis, having better knowledge of HBV, and family and physician recommendations was significantly associated with screening and vaccination behaviors. Immigrants who had lived in the US for more than a quarter of their lifetime were less likely to report ever having been screened (OR = 0.39, 95% CI: 0.28–0.55) or vaccinated (OR = 0.62, 95% CI: 0.44–0.88). In ethnic-specific analysis, having a regular physician (OR = 4.46, 95% CI: 1.62–12.25) and doctor's recommendation (OR = 2.11, 95% CI: 1.05–4.22) are significantly associated with Korean's vaccination behaviors. Health insurance was associated with vaccination behaviors only among Vietnamese (OR = 2.66, 95% CI: 1.21–5.83), but not among others.

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Section: Introductionmentioning

confidence: 99%

Ethnic Differences in Prevalence and Barriers of HBV Screening and Vaccination Among Asian Americans

et al. 2012

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“…Having same-language providers has not correlated with increased likelihood of receiving cancer screening recommendations. 26–29 In our analysis, Chinese and Vietnamese subjects were more likely to identify the need for a translator at health visits, but a higher proportion of Chinese subjects recalled having a discussion about CRC screening with their provider when compared to Vietnamese and Korean subjects. The lower proportion of Korean subjects reporting utilization of translation services may reflect that a majority sought care from a same-language provider.…”

Section: Discussionmentioning

confidence: 78%

Differences in Knowledge, Attitudes, Beliefs, and Perceived Risks Regarding Colorectal Cancer Screening Among Chinese, Korean, and Vietnamese Sub-Groups

Carney

Lee-Lin

et al. 2013

J Community Health

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Background Asian ethnic subgroups are often treated as a single demographic group in studies looking at cancer screening and health disparities. Purpose To evaluate knowledge and health beliefs associated with colorectal cancer (CRC) and CRC screening among Chinese, Korean, and Vietnamese subgroups. Methods A survey assessed participants’ demographic characteristics, healthcare utilization, knowledge, beliefs, attitudes associated with CRC and CRC screening. Exploratory factor analysis identified six factors accounting >60% of the total variance in beliefs and attitudes. Cronbach’s alpha coefficients assessed internal consistency. Differences among Asian subgroups were assessed using a chi-square, Fisher’s exact, or Kruskal-Wallis test. Pearson’s correlation coefficient assessed an association among factors. Results 654 participants enrolled: 238 Chinese, 217 Korean, and 199 Vietnamese. Statistically significant differences existed in demographic and health care provider characteristics, knowledge, and attitude/belief variables regarding CRC. These included knowledge of CRC screening modalities, reluctance to discuss cancer, belief that cancer is preventable by diet and lifestyle, and intention to undergo CRC screening. Chinese subjects were more likely to use Eastern medicine (52% Chinese, 25% Korean, 27% Vietnamese; p < 0.001); Korean subjects were less likely to see herbs as a form of cancer prevention (34% Chinese, 20% Korean, 35% Vietnamese; p < 0.001). Vietnamese subjects were less likely to consider CRC screening (95% Chinese, 95% Korean, 80% Vietnamese; p < 0.0001). Conclusion Important differences exist in knowledge, attitudes, and health beliefs among Asian subgroups. Understanding these differences will enable clinicians to deliver tailored, effective health messages to improve CRC screening and other health behaviors.

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“…Limited English proficient (LEP) patients are less likely to have a regular source of care [10], less likely to receive standard care for chronic medical illnesses [11], more likely to report medical comprehension issues [12], report longer length of hospital stay [13,14] and report a greater dissatisfaction in acute medical care [15]. In cancer care, studies examining the role of English proficiency are largely restricted to cancer screening where speaking a language other than English is negatively associated with receipt of cancer screening services [16,17]. …”

Section: Introductionmentioning

confidence: 99%

The influence of limited English proficiency on outcome in patients treated with radiotherapy for head and neck cancer

Qureshi¹,

Romesser²,

Jalisi³

et al. 2014

Patient Education and Counseling

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Objective To evaluate how limited English proficiency affects treatment outcome in head and neck cancer (HNC) patients treated with curative intent radiation therapy (RT). Methods From 2004 to 2010, 131 patients with HNC underwent RT. Patient's self-reported primary language and race/ethnicity were obtained at hospital registration. English proficiency was categorized as being English proficient (EP) or limited English proficient (LEP). Race/ethnicity was categorized as white, black and other (Hispanics and Asians). Patients were evaluated for locoregional (LRC), distant control (DC), overall (OS) and disease-free (DFS) survival. Results Fewer LEP patients (60.0%) underwent chemoradiation compared to EP (83.8%), P = 0.028. The three-year actuarial LRC for EP and LEP patients was 82.2% and 58.3%, respectively, P = 0.038. LEP patients had an increased risk of locoregional failure on univariate Cox regression analysis (hazard ratio, HR 2.4, 95% CI, 1.0–5.8). No differences by English proficiency were seen for DC, OS and DFS. Race/ethnicity was not associated LRC, DC, OS and DFS. Conclusion Inferior locoregional control was observed in LEP patients receiving RT for HNC. Potential health disparities as a result of limited English proficiency require further investigation. Practice implications Patient education, use of culturally sensitive interpreter and patient navigation services, and improved patient compliance should be considered in head and neck cancer patients receiving complex multidisciplinary care.

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

Cited by 17 publications

References 29 publications

Ethnic Differences in Prevalence and Barriers of HBV Screening and Vaccination Among Asian Americans

Ethnic Differences in Prevalence and Barriers of HBV Screening and Vaccination Among Asian Americans

Differences in Knowledge, Attitudes, Beliefs, and Perceived Risks Regarding Colorectal Cancer Screening Among Chinese, Korean, and Vietnamese Sub-Groups

The influence of limited English proficiency on outcome in patients treated with radiotherapy for head and neck cancer

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