Enhancing Access to Breast Cancer Screening among Korean American Women: Community Health Workers Hold a Key

2.50
Hdl Handle:
http://hdl.handle.net/10755/147668
Type:
Presentation
Title:
Enhancing Access to Breast Cancer Screening among Korean American Women: Community Health Workers Hold a Key
Abstract:
Enhancing Access to Breast Cancer Screening among Korean American Women: Community Health Workers Hold a Key
Conference Sponsor:Sigma Theta Tau International
Conference Year:2007
Author:Han, Hae-Ra, RN, PhD
P.I. Institution Name:The Johns Hopkins University
Title:Assistant Professor
Co-Authors:Hanju Lee, PhD, RN; Kim B. Kim, PhD; Miyong T. Kim, RN, PhD; Victoria Mock, DNSc, FAAN
[Clinical session research presentation] Despite considerable progress in U.S. cancer control over the past 20 years, recent immigrants, including Korean Americans (KA), face an unequal cancer burden related to the significant language and cultural barriers they face in attempting to navigate the U.S. healthcare system. This study was designed to test the efficacy of a culturally tailored community health worker (CHW) intervention to promote breast cancer screening, following evidence-based screening guidelines, in KA women over age 40. Trained CHWs from the KA community provided one 2-hr education session and 6 months of follow-up counseling and assistance in navigating the healthcare system to a total of 100 eligible women. Sixty-one KA women of 91 who completed the 6-month follow-up survey reported receiving a mammogram. Navigation assistance provided by CHWs included making an appointment for a mammogram (30%), offering updated information about state cancer screening programs available for low-income women (28%), providing information about a mammogram facility near the participant's home (27%, and providing transportation and translation (15%). Analysis from focus group interviews with a subset of women (n = 10) revealed that the women had a very positive view of their experience with the CHW intervention. Those who decided not to get a mammogram cited mistrust of the healthcare system, fear of finding cancer, or overconfidence in their health and belief in God. Focus group interview with CHWs indicated that a tailored approach to mammography promotion among CHWs is readily accepted. Our results demonstrate that the CHW model is both feasible and effective in reaching traditionally underscreened KA women and providing an intervention that increases the number of KA women who adhere to breast cancer screening guidelines.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleEnhancing Access to Breast Cancer Screening among Korean American Women: Community Health Workers Hold a Keyen_GB
dc.identifier.urihttp://hdl.handle.net/10755/147668-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Enhancing Access to Breast Cancer Screening among Korean American Women: Community Health Workers Hold a Key</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Sigma Theta Tau International</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2007</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Han, Hae-Ra, RN, PhD</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">The Johns Hopkins University</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Assistant Professor</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">hhan@son.jhmi.edu</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Hanju Lee, PhD, RN; Kim B. Kim, PhD; Miyong T. Kim, RN, PhD; Victoria Mock, DNSc, FAAN</td></tr><tr><td colspan="2" class="item-abstract">[Clinical session research presentation] Despite considerable progress in U.S. cancer control over the past 20 years, recent immigrants, including Korean Americans (KA), face an unequal cancer burden related to the significant language and cultural barriers they face in attempting to navigate the U.S. healthcare system. This study was designed to test the efficacy of a culturally tailored community health worker (CHW) intervention to promote breast cancer screening, following evidence-based screening guidelines, in KA women over age 40. Trained CHWs from the KA community provided one 2-hr education session and 6 months of follow-up counseling and assistance in navigating the healthcare system to a total of 100 eligible women. Sixty-one KA women of 91 who completed the 6-month follow-up survey reported receiving a mammogram. Navigation assistance provided by CHWs included making an appointment for a mammogram (30%), offering updated information about state cancer screening programs available for low-income women (28%), providing information about a mammogram facility near the participant's home (27%, and providing transportation and translation (15%). Analysis from focus group interviews with a subset of women (n = 10) revealed that the women had a very positive view of their experience with the CHW intervention. Those who decided not to get a mammogram cited mistrust of the healthcare system, fear of finding cancer, or overconfidence in their health and belief in God. Focus group interview with CHWs indicated that a tailored approach to mammography promotion among CHWs is readily accepted. Our results demonstrate that the CHW model is both feasible and effective in reaching traditionally underscreened KA women and providing an intervention that increases the number of KA women who adhere to breast cancer screening guidelines.</td></tr></table>en_GB
dc.date.available2011-10-26T09:34:55Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T09:34:55Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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