Temporal and Subjective Work Demands in Office-Based Patient Care

Jacobson, Camilla; Bolon, Shannon; Elder, Nancy C.; Schroer, Brian; Matthews, Gerald; Szaflarski, Jerzy P.; Raphaelson, Marc; Horner, Ronnie D.

doi:10.1097/mlr.0b013e3181f53542

Cited by 67 publications

(35 citation statements)

References 18 publications

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“…As ethnic minorities undergo acculturative processes, this leads to the adoption of normative health practices found within the host culture that can be compromising (An, Cochran, Mays, & McCarthy, 2008; Kaplan et al, 2003; Reid, Higgs, Beyer, & Crofts, 2002; Yi, 1998b). However, acculturation may also lead to healthy behaviors such as cancer screening (Pourat, Kagawa–Singer, Breen, & Sripipatana, 2010; Tang, Solomon, & McCracken, 2000; Yi & Reyes–Gibby, 2002). In general, Vietnamese Americans tend to be less acculturated than other Asian subgroups (Pourat, Kagawa–Singer, Breen, & Sripipatana, 2010; Matsuoka, 1990; Stein, 1979), and this may partly explain why Vietnamese women engage in lower rates of Papanicolaou (Pap) testing and clinical breast examinations than other women.…”

Section: Acculturationmentioning

confidence: 99%

“…However, acculturation may also lead to healthy behaviors such as cancer screening (Pourat, Kagawa–Singer, Breen, & Sripipatana, 2010; Tang, Solomon, & McCracken, 2000; Yi & Reyes–Gibby, 2002). In general, Vietnamese Americans tend to be less acculturated than other Asian subgroups (Pourat, Kagawa–Singer, Breen, & Sripipatana, 2010; Matsuoka, 1990; Stein, 1979), and this may partly explain why Vietnamese women engage in lower rates of Papanicolaou (Pap) testing and clinical breast examinations than other women. Less acculturated Asian Americans are more likely to endorse traditional Confucian values, stronger collectivistic values, and gender role differentiation (Tung, 2010).…”

Section: Acculturationmentioning

confidence: 99%

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Gender roles and acculturation: Relationships with cancer screening among Vietnamese American women.

Nguyen¹,

Clark²,

Belgrave³

2014

Cultural Diversity & Ethnic Minority Psychology

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The aim of this study was to examine the influence of demographic variables and the interplay between gender roles and acculturation on breast and cervical cancer screening outcomes among Vietnamese American women. Convenience sampling was used to recruit 100 Vietnamese women from the Richmond, VA, metropolitan area. Women were recruited to participate in a larger cancer screening intervention. All participants completed measures on demographic variables, gender roles, acculturation, and cancer screening variables. Findings indicated that traditional masculine gender roles were associated with increased self-efficacy for breast and cervical cancer screening. Higher levels of acculturation were associated with higher probability of having had a Papanicolaou test. In addition, acculturation moderated the relationship between traditional female gender roles and cancer screening variables. For highly acculturated women, higher levels of feminine gender roles predicted higher probability of having had a previous clinical breast exam and higher levels of self-efficacy for cervical cancer screening, while the opposite was true for lower acculturated women. The findings of this study indicate the important roles that sociodemographic variables, gender roles, and acculturation play in affecting health attitudes and behaviors among Vietnamese women. These findings also help to identify a potentially high-risk subgroup and existing gaps that need to be targeted by preventive interventions.

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Section: Acculturationmentioning

confidence: 99%

Section: Acculturationmentioning

confidence: 99%

Gender roles and acculturation: Relationships with cancer screening among Vietnamese American women.

Nguyen¹,

Clark²,

Belgrave³

2014

Cultural Diversity & Ethnic Minority Psychology

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“…Similar low rates of cancer screening among Vietnamese women have been reported in several other studies (Do et al, 2007; Lam et al, 2003; Nguyen et al, 2006; Taylor et al, 2004). Although cancer disparities may stem from structural barriers such as lack of insurance and access to care (Pourat, Kagawa-Singer, Breen, & Sripipatan, 2010), sociocultural factors also likely shape health beliefs and behaviors for Vietnamese American women (Ma et al, 2012). …”

mentioning

confidence: 99%

The Role of Acculturation and Collectivism in Cancer Screening for Vietnamese American Women

Nguyen

Clark

2014

Health Care for Women International

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The aim of this study was to examine the influence of demographic variables and the interplay between collectivism and acculturation on breast and cervical cancer screening outcomes among Vietnamese American women. Convenience sampling was used to recruit 111 Vietnamese women from the Richmond, VA, metropolitan area, who participated in a larger cancer screening intervention. All participants completed measures on demographic variables, collectivism, acculturation, and cancer-screening-related variables (i.e., attitudes, self-efficacy, and screening behavior). Findings indicated that collectivism predicted both positive attitudes and higher levels of self-efficacy with regard to breast and cervical cancer screening. Collectivism also moderated the relationship between acculturation and attitudes toward breast cancer screening such that for women with low levels of collectivistic orientation, increasing acculturation predicted less positive attitudes towards breast cancer screening. This relationship was not found for women with high levels of collectivistic orientation. The current findings highlight the important roles that sociodemographic and cultural variables play in affecting health attitudes, self-efficacy, and behavior among Vietnamese women. The findings potentially inform screening programs that rely on culturally relevant values in helping increase Vietnamese women’s motivation to screen.

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“…According to data from the 2010 National Health Interview Survey (NHIS), only 46.9% Asian Americans received regular colorectal cancer screening, 75.4% received a Pap smear within the past three years, and 64.1% received a mammogram within the past two years, as compared to non-Hispanic Whites where 59.8%, 83.4%, and 72.8% received regular screening for each of these cancers respectively [3]. Low acculturation and limited access to health care, including having a usual source of care and health insurance, have been found to contribute to these low cancer screening rates in Asian Americans [4]. However, depending on the measure of acculturation and the specific cancer screening test being investigated, there have been varying results regarding whether there is a significant association with increased acculturation and cancer screening behavior among Asians [5-9].…”

mentioning

confidence: 99%

Acculturation and Cancer Screening Among Asian Americans: Role of Health Insurance and Having a Regular Physician

et al. 2013

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Cancer is the leading cause of death among Asian Americans, but screening rates are significantly lower in Asians than in non-Hispanic Whites. This study examined associations between acculturation and three types of cancer screening (colorectal, cervical, and breast), focusing on the role of health insurance and having a regular physician. A cross-sectional study of 851 Chinese, Korean, and Vietnamese Americans was conducted in Maryland. Acculturation was measured using an abridged version of the Suinn-Lew Asian Self-Identity Acculturation Scale (SL-ASIA), acculturation clusters, language preference, length of residency in the U.S., and age at arrival. Age, health insurance, regular physician, gender, ethnicity, income, marital status, and health status were adjusted in the multivariate analysis. Logistic regression analysis showed that various measures of acculturation were positively associated with the odds of having all cancer screenings. Those lived for more than 20 years in the U.S. were about 2-4 times [odds ratio (OR) and 95% confidence interval (CI): colorectal: 2.41 (1.52-3.82); cervical: 1.79 (1.07-3.01); and breast: 2.11 (1.25-3.57)] more likely than those who lived for less than 10 years to have had cancer screening. When health insurance and having a regular physician were adjusted, the associations between length of residency and colorectal cancer (OR: 1.72 (1.05-2.81)) was reduced and the association between length of residency and cervical and breast cancer became no longer significant. Findings from this study provide a robust and comprehensive picture of AA cancer screening behavior. They will provide helpful information on future target groups for promoting cancer screening.

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Temporal and Subjective Work Demands in Office-Based Patient Care

Abstract: Access indicators represent the ability to navigate the US health care system but have a differential impact on AA groups. These differences should be integrated into interventions designed to improve cancer screening rates.

Cited by 67 publications

References 18 publications

Gender roles and acculturation: Relationships with cancer screening among Vietnamese American women.

Gender roles and acculturation: Relationships with cancer screening among Vietnamese American women.

The Role of Acculturation and Collectivism in Cancer Screening for Vietnamese American Women

Acculturation and Cancer Screening Among Asian Americans: Role of Health Insurance and Having a Regular Physician

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