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Effective Colorectal Cancer Education for Asian Americans: A Michigan Program

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Abstract

Asian Americans are among the fastest growing population groups in the USA. Despite the fact that colorectal cancer (CRC) is the second most common cancer for this group, Asian Americans have low CRC screening rates. An established health promotion program, Healthy Asian Americans Project (HAAP), expanded to include community-based CRC education during 2005–2006. Using Asian-language media, HAAP promoted awareness throughout local Asian Indian, Chinese, Filipino, Hmong, Japanese, Korean, and Vietnamese American communities and recruited men and women over 50 years to attend health fairs at local community/cultural centers. Evaluation data from 304 participants in an evidence-based educational intervention showed significantly increased knowledge and attitudes about the importance of screening. Follow-up conducted between 6 and 12 months showed that 78% of those receiving the educational intervention had been screened in the last 12 months, compared with the 37% who had ever been screened with any of the tests prior to the study. This community-based health promotion program reached underserved populations and the educational intervention improved CRC screening rates. This and similar programs may help lower CRC mortality among Asian Americans.

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References

  1. Jackson-Thompson J, Ahmed F, German RR, Lai SM, Friedman C (2006) Descriptive epidemiology of colorectal cancer in the United States, 1998–2001. Cancer 107(5 Suppl):1103–1111

    Article  PubMed  Google Scholar 

  2. American Cancer Society (Ed) (2005) Colorectal cancer facts & figures special edition 2005. American Cancer Society, Atlanta

  3. Wong ST, Gildengorin G, Nguyen T, Mock J (2006) Disparities in colorectal cancer screening rates among Asian Americans and Non-Latino whites. Cancer 104(Suppl 12):2940–2947

    Google Scholar 

  4. Asian databook: detailed statistics and rankings on the Asian population, 1st edition, Michigan (2006) Grey House, Millerton

  5. Yu MY, Hong OS, Seetoo AD (2003) Uncovering factors contributing to underutilization of breast cancer screening in Chinese and Korean American women. Ethn Dis 23:213–219

    Google Scholar 

  6. Yu MY, Wu TY (2005) Factors influencing mammography screening of Chinese American women. J Obstet Gynecol Neonatal Nurs 34:386–394

    Article  PubMed  Google Scholar 

  7. Wang JHY, Liang W, Chen MY et al (2006) The influence of culture and cancer worry on colon cancer screening among older Chinese-American women. Ethn Dis 16:404–411

    PubMed  Google Scholar 

  8. Kandula NR, Wen M, Jacobs EA, Lauderdale DS (2006) Low rates of colorectal, cervical, and breast cancer screening in Asian Americans compared with non-hispanic whites. Cancer 107:84–192

    Article  Google Scholar 

  9. Honda K, Kagawa-Singer M (2006) Cognitive mediators linking social support networks to colorectal cancer screening adherence. J Behav Med 29:449–460

    Article  PubMed  Google Scholar 

  10. Choe JH, Tu SP, Lim JM et al (2006) “Heat in their intestine”: colorectal cancer prevention beliefs among older Chinese Americans. Ethn Dis 16:248–254

    PubMed  Google Scholar 

  11. Maxwell AE, Bastani R, Warda US (2000) Demographic predictors of cancer screening among Filipino and Korean immigrants in the United States. Am J Prev Med 18:62–68

    Article  CAS  PubMed  Google Scholar 

  12. Tang TS, Solomon LJ, McCracken LM (2001) Barriers to fecal occult blood testing and sigmoidoscopy among older Chinese-American women. Cancer Practice 9:277–282

    Article  CAS  PubMed  Google Scholar 

  13. Weitzman ER, Zapka J, Estabrook B, Goins KV (2001) Risk and reluctance: understanding impediments to colorectal cancer screening. Prev Med 32:502–513

    Article  CAS  PubMed  Google Scholar 

  14. Juon HS, Han W, Shin HS, Kim KB, Kim MT (2003) Predictors of older Korean Americans’ participation in colorectal cancer screening. J Cancer Educ 18:37–41

    Article  PubMed  Google Scholar 

  15. Honda K (2004) Factors associated with colorectal cancer screening among the US urban Japanese population. Am J Public Health 94:815–822

    Article  PubMed  Google Scholar 

  16. Ngo-Metzger Q, Legedza ATR, Phillips RS (2004) Asian Americans’ reports of their health care experiences: results of a national survey. J Gen Intern Med 19:111–119

    Article  PubMed  Google Scholar 

  17. Walsh JME, Kaplan CP, Hguyen B, Gildengorin G, McPhee SJ, Pérez-Stable E (2004) Barriers to colorectal cancer screening in Latino and Vietnamese Americans. J Gen Intern Med 19:156–166

    Article  PubMed  Google Scholar 

  18. Sun WY, Basch CE, Wolf RL, Li XJ (2004) Factors associated with colorectal cancer screening among Chinese-Americans. Preventive Med 39:323–329

    Article  Google Scholar 

  19. Vlahov D, Ahern J, Vazquez T et al (2005) Racial/ethnic differences in screening for colon cancer: report from the New York cancer project. Ethn Dis 15:76–83

    PubMed  Google Scholar 

  20. Wu TY, Bancroft J, Guthrie B (2005) An integrative review on breast cancer screening practice and correlates among Chinese, Korean, Filipino, and Asian Indian American women. Health Care Women Internatl 26:225–246

    Article  CAS  Google Scholar 

  21. Lawsin C, DuHamel K, Weiss A, Rakowski W, Jandorf L (2007) Colorectal cancer screening among low-income African Americans in East Harlem: a theoretical approach to understanding barriers and promoters to screening. J Urban Health 84:32–44

    Article  PubMed  Google Scholar 

  22. Nguyen BH, Vo PH, Doan HT, McPhee SJ (2006) Using focus groups to develop interventions to promote colorectal cancer screening among Vietnamese Americans. J Cancer Educ 21:80–83

    Article  PubMed  Google Scholar 

  23. Su XF, Ma GX, Seals B, Tan Y, Hausman A (2006) Breast cancer early detection among Chinese women in the Philadelphia Area. J Women’s Health 15:507–519

    Article  Google Scholar 

  24. Yip MP, Tu SP, Chun A, Yasui Y, Taylor VM (2006) Participation in colorectal cancer screening among Chinese Americans. Asian Pacific J Cancer Prev 7:645–660

    Google Scholar 

  25. Sarfaty M, Feng S (2006) Choice of screening modality in a colorectal cancer education and screening program for the uninsured. J Cancer Educ 21:43–49

    Article  PubMed  Google Scholar 

  26. Tu SP, Taylor V, Yasui Y et al (2006) Promoting culturally appropriate colorectal cancer screening through a health educator. Cancer 107:959–966

    Article  PubMed  Google Scholar 

  27. Powe BD (2002) Promoting fecal occult blood testing in rural African American women. Cancer Pract 10:139–146

    Article  PubMed  Google Scholar 

  28. Wardle J, Williamson S, McCaffery K et al (2003) Increasing attendance at colorectal cancer screening: testing the efficacy of a mailed, psychoeducational intervention in a community sample of older adults. Health Psychol 22:99–105

    Article  PubMed  Google Scholar 

  29. Coughlin SS, Costanza ME, Fernandez ME et al (2006) CDC-funded intervention research aimed at promoting colorectal cancer screening in communities. Cancer 107(5 Suppl):1196–1204

    Article  PubMed  Google Scholar 

  30. American Cancer Society (2006) Cancer facts & figures 2006. American Cancer Society, Atlanta

    Google Scholar 

  31. Cairns CP, Viswanath K (2006) Communication and colorectal cancer screening among the uninsured: data from the Health Information National Trends Survey (United States). Cancer Causes Control 17:1115–1125

    Article  PubMed  Google Scholar 

  32. Healthy Asian Americans Project (2005) Final report to Michigan Department of Community Health for Colorectal Cancer Project 2005. University of Michigan, Ann Arbor

    Google Scholar 

  33. Yu MY, Song LX, Seetoo A, Cai CJ, Smith G, Oakley D (2007) Culturally competent training program -a key to training lay health advisors for promoting breast cancer screening. Health Behav Health Educ 32:928–941

    Google Scholar 

  34. Michigan Cancer Consortium (2005) Michigan Cancer Consortium guidelines for the early detection of colorectal cancer. Michigan Cancer Consortium, Lansing Recommendations for Colorectal Cancer Screening Based on Guidelines of the American Cancer Society (2004), the U.S. Multisociety Task Force (2003), and the U.S. Preventive Services Task Force (2002)

    Google Scholar 

  35. Winawer SJ, Fletcher R, Rex D et al (2003) Colorectal cancer screening and surveillance: clinical guidelines and rationale—Update based on new evidence. Gastroenterology 124:544–560

    Article  PubMed  Google Scholar 

  36. Nguyen BH, McPhee SJ, Stewart SL, Doan HT (2008) Colorectal cancer screening in Vietnamese Americans. J Cancer Educ 23:37–45

    Article  PubMed  Google Scholar 

  37. Teng EJ, Friedman LC, Green CE (2006) Determinants of colorectal cancer screening behavior among Chinese Americans. Psycho-Oncology 15:374–381

    Article  PubMed  Google Scholar 

  38. Ponce NA, Huh S, Bastani R (2005) Do HMO market level factors lead to racial/ethnic disparities in colorectal cancer screening? A comparison between high-risk Asian and Pacific Islander Americans and high-risk whites. Med Care 43:1101–1108

    Article  PubMed  Google Scholar 

  39. Wu X, Chen VW, Martin J et al (2004) Subsite-specific colorectal cancer incidence rates and stage distributions among Asians and Pacific Islanders in the United States, 1995 to 1999. Cancer Epidemiol Biomarkers Prev 13:1215–1222

    Article  PubMed  Google Scholar 

  40. Chien C, Morimoto LM, Tom J, Li CI (2005) Differences in colorectal carcinoma stage and survival by race and ethnicity. Cancer 104:629–639

    Article  PubMed  Google Scholar 

  41. 3McCracken M, Olsen M, Chen MS Jr et al (2007) Cancer incidence, mortality, and associated risk factors among Asian Americans of Chinese, Filipino, Vietnamese, Korean, and Japanese ethnicities. CA Cancer J Clin 57:190–205

    Article  PubMed  Google Scholar 

  42. Yang RC, Mills PK, Dodge JL (2006) Cancer screening, reproductive history, socioeconomic status, and anticipated cancer-related behavior among Hmong adults. Asian Pacific J Cancer Prev 7:79–85

    Google Scholar 

  43. Shih YCT, Elting LS, Levin B (2008) Disparities in colorectal screening between US-born and foreign-born populations: evidence from the 2000 national health interview survey. J Cancer Educ 23:18–25

    Article  PubMed  Google Scholar 

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Correspondence to Tsu-Yin Wu.

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Supported by Michigan Department of Community Health, Contract No. 20060049.

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Wu, TY., Kao, J.Y., Hsieh, HF. et al. Effective Colorectal Cancer Education for Asian Americans: A Michigan Program. J Canc Educ 25, 146–152 (2010). https://doi.org/10.1007/s13187-009-0009-x

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  • DOI: https://doi.org/10.1007/s13187-009-0009-x

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