Predictors of Older Korean Americans' Participation in Colorectal Cancer Screening

Juon, Hee‐Soon; Han, Wolmi; Shin, Hosung; Kim, Kim B.; Kim, Miyong T.

doi:10.1207/s15430154jce1801_13

Cited by 41 publications

(39 citation statements)

References 21 publications

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“…[39][40][41][42] Among studies including Asians, similar barriers have been identified. 29,[43][44][45][46] Bastani et al 47 found that feeling ''violated,'' not knowing where to obtain screening, and difficulties in obtaining an appointment were additional barriers to CRC screening. Of note, several studies show that foreign birth and low acculturation (fewer years of residence in the US and limited English proficiency) are negatively associated with CRC screening.…”

Section: Discussionmentioning

confidence: 99%

Promoting culturally appropriate colorectal cancer screening through a health educator

Taylor

Yasui

et al. 2006

Cancer

123

127

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BACKGROUND.Colorectal cancer (CRC) is a leading cause of cancer mortality in the US. Surveys reveal low CRC screening levels among Asians in the US, including Chinese Americans.METHODS.A randomized controlled trial was conducted with Chinese patients to evaluate a clinic‐based, culturally and linguistically appropriate intervention promoting fecal occult blood test (FOBT) screening. The multifaceted intervention included a trilingual and bicultural health educator, bilingual materials (a video, a motivational pamphlet, an informational pamphlet, and FOBT instructions), and three FOBT cards. Patients in the control arm received usual care. Our primary outcome measure was FOBT screening within 6 months after randomization. The proportion of FOBT completion in the intervention and control arms was compared by using a chi‐square test, and logistic regression analysis was performed to adjust for the effects of sociodemographic variables and prior screening history. Potential effect modifications were also tested by using logistic regression models.RESULTS.Our intervention had a strong effect on FOBT completion (intervention group, 69.5%; control group, 27.6%), and the adjusted odds of FOBT slightly increased to over 6‐fold greater in the intervention arm compared with the control arm. No effect modification by age, gender, language, insurance, or prior FOBT was found.CONCLUSIONS.The authors' multifaceted, culturally appropriate intervention significantly increased FOBT screening in a group of low‐income and less‐acculturated minority patients. Given the large effect size, future research should determine the effective core component(s) that can increase CRC screening in both the general and minority populations. Cancer 2006. © 2006 American Cancer Society.

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Section: Discussionmentioning

confidence: 99%

Promoting culturally appropriate colorectal cancer screening through a health educator

Taylor

Yasui

et al. 2006

Cancer

123

127

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“…Those having a history of bloody stool were more likely to have had FOBT than their counterparts (Juon et al, 2003).…”

Section: Korean Americansmentioning

confidence: 94%

“…Korean Americans who reported having ever had FOBT was 18%, and 5-14% had FOBT in the past year, 11% having ever had sigmoidoscopy and 11% having within the past 5 years, and 8% having colonoscopy within the past 5 years (Maxwell et al, 2000;Juon et al, 2003;Jo et al, 2008). Those having a history of bloody stool were more likely to have had FOBT than their counterparts (Juon et al, 2003).…”

Section: Korean Americansmentioning

confidence: 98%

“…The most common positive predictors for FOBT were age (Honda, 2004;Walsh et al, 2004;Maxwell et al, 2008), length of stay in the US (Sun et al, 2004;Ponce et al, 2005;Wong et al, 2005), marital status (Juon et al, 2003;Honda, 2004;Wong et al, 2005), and routine checkup (Juon et al, 2003;Walsh et al, 2004;Wong et al, 2005). Age (Honda, 2004;Walsh et al, 2004;, length of stay in the US (Juon et al, 2003;Ponce et al, 2005;Wong et al, 2005), physician's recommendation (Tang et al, 2001;Honda, 2004;Teng et al, 2006), and having insurance (Wong et al, 2005;Kandula et al, 2006; were reported as facilitating factors for sigmoidoscopy/colonoscopy.…”

Section: Facilitators and Inhibitorsmentioning

confidence: 99%

“…It was followed by length of stay in the US (Juon et al, 2003;Sun et al, 2004;Ferrer et al, 2011), physician's recommendation (Honda and Gorin, 2005;Tang et al, 2001;Ferrer et al, 2011), and having insurance (Juon et al, 2003;Wong et al, 2005;.…”

Section: Facilitators and Inhibitorsmentioning

confidence: 99%

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Colorectal Cancer Screening among Asian Americans

Hwang

2013

Asian Pacific Journal of Cancer Prevention

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Objectives: Colorectal cancer (CRC) is the most commonly diagnosed cancer for all US populations including Asian Americans. CRC screening has considerable benefits to prevent CRC and reduce mortality. The purpose of this article was to review the published literature on rates of colorectal cancer screening and factors associated with colorectal cancer screening practice among Asian Americans. Methods: Through searching electronic reference databases from 2000 to 2013, 30 articles were found on Chinese, Filipino, Japanese, Korean, and Vietnamese Americans. Findings: Asian Americans had significantly low ratesfor CRC screening; Korean Americans reported the lowest rates, while higher screening rates were found among Japanese Americans. Older age, longer length of stay in the US, and having a physician's recommendation were the most common facilitators to receiving screening. The common inhibiting factors were financial issues, employment status, and worries/fears about the procedure. Conclusions: Despite a number of Asian Americans being vulnerable to CRC, individual Asian subgroups were underserved with CRC screening and intervention. Further studies should focus on each individual Asian subgroup and culturally proficient CRC screening intervention programs should be developed for each.

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Alternating Arrays of Different Conjugated Polymers Utilizing a Synthetic Cross‐Linker

Kaseyama

Wakabayashi

Shinkai

et al. 2011

Chemistry A European J

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Exploring an approach to control the nanostructures of pconjugated polymers has been an important research target in materials science, which has led to the creation of various functional materials with optimized p-electronic properties.[1] In particular, nanostructures of conjugated oligomer/ polymer blends have received growing interest in their applications, which include electronic devices such as fieldeffect transistors, light-emitting diodes, photovoltaic cells. [2] Several methods for controlling dimensionality, nanostructure, and morphology have been achieved through chemical and physical techniques that utilize microphase separation, layer-by-layer method, and so forth. [3, 4] Supramolecular approaches also have been applied for the alignment and organization of conjugated oligomers and polymers in a noncovalent manner, use of host matrix, liquid-crystalline phase, air-water interface, and so forth. [5, 6] From a supramolecular point of view, we recently proposed a new approach toward the alignment of conjugated polymers inspired by actin filament bundling proteins. A supramolecular cross-linking molecule ("aligner"), possessing conjugated polymer binding sites, bundles and aligns them in a noncovalent fashion. The concepts we have reported complement the existing techniques for supramolecular and macromolecular assembly. Introducing interactive sites for conjugated polymers at the spacial position of the aligner molecules allows control over the dimensions, morphologies, and interpolymer spacings. [7] This approach basically permits the construction of alternating arrays of different conjugated polymers, which depends upon the design of an aligner molecule displaying affinities toward such polymers.In this paper, we demonstrate that alternating arrays of amino-functionalized conjugated polymer (CP) and polyaniline emeraldine base (EB) were efficiently formed through the supramolecular bundling of a synthetic cross-linker 1 (Scheme 1). Very interestingly, the morphologies of the resultant conjugated polymer blends exhibited a well-regulated crystalline structure with periodicity of 2.0 nm. This approach can be regarded as a supramolecular two-dimensional polymerization of binary conjugated polymers. Compound 1 possesses two different binding sites which consist of cofacial porphyrinatozinc complexes and two palladium complexes. The former binding site was designed for recognizing CP and the latter for EB through coordination bonds. These binding sites are introduced around the terphenyl rotational axis so that one binding event would afford positive influence on the subsequent binding event. We wanted to integrate chromogenic groups so that we could confirm the binding events between 1 and the conjugated polymers in solution. When CP and EB are bundled and juxtaposed by 1, the distance between two polymers is calculated to be 2.0-2.3 nm in their energy-minimized states (see Supporting Information, Figure S2). Given the structures of the two different polymers, CP and EB, one can envision that an ideal ...

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Predictors of Older Korean Americans' Participation in Colorectal Cancer Screening

Abstract: The findings suggest a need for further research addressing barriers to cancer screening in Korean Americans.

Cited by 41 publications

References 21 publications

Promoting culturally appropriate colorectal cancer screening through a health educator

Promoting culturally appropriate colorectal cancer screening through a health educator

Colorectal Cancer Screening among Asian Americans

Alternating Arrays of Different Conjugated Polymers Utilizing a Synthetic Cross‐Linker

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