Prostate Cancer Screening Among Chinese American Men: A Structural Model

Grace, X.; Shive, Steven E.; Gao, Wanzhen; Tan, Yin; Wang, Min Qi

doi:10.5993/ajhb.36.4.6

Cited by 14 publications

(17 citation statements)

References 35 publications

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“…Figure 1 shows the sociocultural health behavior model30 when used to explain health behavior. In addition to common theoretical components, this model includes cultural factors as a primary component.…”

Section: Introductionmentioning

confidence: 99%

Pathways of cervical cancer screening among Chinese women

Grace¹,

Wang²,

Ma³

et al. 2013

IJWH

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BackgroundThe purpose of this community-based study was to develop a structural equation model for factors contributing to cervical cancer screening among Chinese American women.MethodsA cross-sectional design included a sample of 573 Chinese American women aged 18 years and older. The initial step involved use of confirmatory factor analysis, that included the following variables: access to and satisfaction with health care, and enabling and predisposing cultural and health beliefs. Structural equation model analyses were conducted on factors related to cervical cancer screening.ResultsAge, marital status, employment, household income, and having health insurance, but not educational level, were significantly related to cervical screening status. Predisposing and enabling factors were positively associated with cervical cancer screening. The cultural factor was significantly related to the enabling factor or the satisfaction with health care factor.ConclusionThis model highlights the significance of sociocultural factors in relation to cervical cancer screening. These factors were significant, with cultural, predisposing, enabling, and health belief factors and access to and satisfaction with health care reinforcing the need to assist Chinese American women with poor English fluency in translation and awareness of the importance of cervical cancer screening. Community organizations may play a role in assisting Chinese American women, which could enhance cervical cancer screening rates.

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Section: Introductionmentioning

confidence: 99%

Pathways of cervical cancer screening among Chinese women

Grace¹,

Wang²,

Ma³

et al. 2013

IJWH

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“…The purpose of this study was to validate the Sociocultural Health Behavior Model (SCHBM) [22] using Structural Equation Modeling Analysis to determine the direction and magnitude of the interdependence of the SCHBM components in relation to screening and health services utilization for colorectal cancer among Chinese Americans. Figure 1 represents a Sociocultural Health Behavior Model (SCHBM) [22] that identifies and describes the relationships between and interactions among various factors that guide health behavior.…”

Section: Introductionmentioning

confidence: 99%

“…Figure 1 represents a Sociocultural Health Behavior Model (SCHBM) [22] that identifies and describes the relationships between and interactions among various factors that guide health behavior. The research-based model identifies six major factors that impact decision-making in health-seeking behaviors that lead to health care utilization.…”

Section: Introductionmentioning

confidence: 99%

The sociocultural health behavioral model and disparities in colorectal cancer screening among Chinese Americans

Grace

Wang²,

Ma³

et al. 2013

JNEP

Self Cite

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Objective The purpose of this study was to validate a Sociocultural Health Behavior Model using a structural equation analysis to determine the direction and magnitude of the interdependence of model components in relation to health behavior associated with colorectal cancer (CRC) screening among Chinese Americans. Methods A cross-sectional design included a sample of 311 Chinese American men and women age 50 and older. The initial step involved use of confirmatory factor analysis which included the following variables: access/satisfaction with health care, enabling, predisposing, cultural, and health belief factors. Structural equation modeling analyses were conducted on factors for CRC screening. Results Education and health insurance status were significantly related to CRC screening. Those with less than a high school education and without health insurance were more likely to be “never screened” for CRC than those having more education and health insurance. The path analysis findings also lend support for components of the Sociocultural Health Belief Model and indicated that there was a positive and significant relationship between CRC screening and the enabling factors, between cultural factors and predisposing, enabling, and access/satisfaction with health care factors and between enabling factors and access/satisfaction with health care. Conclusions The model highlights the significance that sociocultural factors play in relation to CRC screening and reinforced the need to assist Chinese with poor English proficiency in translation and awareness of the importance of CRC screening. The use of community organizations may play a role in assisting Chinese to enhance colorectal cancer screening rates.

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“…Sociocultural Health Behavior Model is used to explain health behavior [28]. In addition to common theoretical components, this model includes cultural factors as a primary component.…”

Section: Introductionmentioning

confidence: 99%

“…The analysis of this community-based study was guided by the Sociocultural Health Behavior Model [28], using a structural equation analysis to determine the direction and magnitude of the interdependence of the proposed components of the model in relation to the health behavior of breast cancer screening among Chinese American women.…”

Section: Introductionmentioning

confidence: 99%

Pathways of Breast Cancer Screening Among Chinese American Women

Grace

Fang²,

Wang³

et al. 2013

J Community Med Health Edu

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Objective The purpose of this community-based study was to develop a structural equation model for factors contributing to breast cancer screening among Chinese American women. Methods A cross-sectional design included a sample of 440 Chinese American women aged 40 years and older. The initial step involved use of confirmatory factor analysis, which included the following variables: access/satisfaction with health care, enabling, predisposing, and cultural and health belief factors. Structural equation model analyses were conducted to evaluate factors related to breast cancer screening in Chinese American women. Results Initial univariate analyses indicated that women without health insurance were significantly more likely to report being never-screened compared to women with health insurance. Structural equation modeling techniques were used to evaluate the utility of the Sociocultural Health Behavior model in understanding breast cancer screening among Chinese American women. Results indicated that enabling and predisposing factors were significantly and positively related to breast cancer screening. Cultural factors were significantly associated with enabling factors and satisfaction with healthcare. Overall, the proposed model explained 34% of the variance in breast cancer screening among Chinese American women. Conclusions The model highlights the significance of enabling and predisposing factors in understanding breast cancer screening behaviors among Chinese American women. In addition, cultural factors were associated with enabling factors, reinforcing the importance of providing translation assistance to Chinese women with poor English fluency and increasing awareness of the critical role of breast cancer screening. Partnering with community organizations may help to facilitate and enhance the screening rates.

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Prostate Cancer Screening Among Chinese American Men: A Structural Model

Cited by 14 publications

References 35 publications

Pathways of cervical cancer screening among Chinese women

Pathways of cervical cancer screening among Chinese women

The sociocultural health behavioral model and disparities in colorectal cancer screening among Chinese Americans

Pathways of Breast Cancer Screening Among Chinese American Women

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