Impact of Culture on Cancer Screening in Chinese Women

文化对中国女性癌症筛查的影响

• 批准号: 6437306
• 负责人: WENCHI LIANG
• 金额: $ 13.28万
• 依托单位: GEORGETOWN UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2002
• 资助国家: 美国
• 起止时间: 2002-07-01 至 2007-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6437306
• 关键词: Chinese; behavior modification; behavioral /social science research tag; breast neoplasm /cancer diagnosis; cervix neoplasms; clinical research; clinical trials; colorectal neoplasms; culture; education evaluation /planning; female; health behavior; health care service evaluation; health care service utilization; health education; health insurance; health services research tag; human middle age (35-64); human subject; interview; language translation; longitudinal human study; neoplasm /cancer diagnosis; neoplasm /cancer education; social psychology; women's health

DESCRIPTION (provided by applicant): Asian American and Pacific Islanders (AAH's) are the fastest growing U.S. minority group. The Chinese represent the single largest group of AAPI's. Despite the availability of early detection for breast, cervical, and colorectal cancers, Chinese women screened at significantly lower rates than Whites and other ethnic minorities. Cultural views (and acculturation) are likely to contribute to the under-utilization of screening in Chinese populations. The overall goals of this research project are to use the PRECEDE/PROCEED conceptual framework to (1) describe factors related to older Chinese women's screening behaviors; (2) refine culturally- and stage-tailored Chinese language educational materials designed to improve screening use this population; and (3) conduct a preliminary randomized trial to evaluate the feasibility, acceptability, and potential effectiveness of these culturally sensitive educational materials. A prospective longitudinal design will be used to recruit 250 Chinese American women ages 50 and older from community-based sites in the metro D.C. area for this two-phase project. In the first phase, participants will be interviewed at baseline and be followed-up for another telephone interview 18 months later. Cross-sectional analyses of baseline data will be used for refinement of educational materials tailored to stages of screening adoption. Baseline data will also be used to predict screening behaviors noted on the follow-up survey to confirm cross-sectional results and temporality of effects. In the second phase, participants will be randomized after completing the follow-up survey into two groups: receipt of standard vs. culturally- and stage- tailored Chinese language educational print materials. Women will be contacted by phone 1-2 weeks after mailing of materials to evaluate feasibility, acceptability, and effects of tailored materials on intentions to receive screening. This research program will broaden and deepen the Principle Investigator's knowledge and experiences in socio-cultural aspects of cancer control in an under-studied population, and set the stage for a larger randomized trial to assess long-term behavioral change. The training program will complement this research project by strengthening the P.I.'s background in cancer epidemiology and aging, behavioral and socio-cultural research, and health services research. With the full support of a nurturing research institution and intellectual interactions with cancer control researchers, this award will allow the P.I. to develop critical research skills to become an independent cancer control researcher.

描述（由申请人提供）：亚裔美国人和太平洋岛民 (AAH) 是美国增长最快的少数群体。 中国人代表 最大的 AAPI 群体。 尽管有早期可用 乳腺癌、宫颈癌和结直肠癌检测，中国女性接受筛查 的比率明显低于白人和其他少数族裔。文化 观点（和文化适应）可能会导致资源利用不足 在中国人群中进行筛查。 本研究项目的总体目标 使用 PRECEDE/PROCEED 概念框架来 (1) 描述因素 与中国老年女性的筛查行为有关； (2) 文化精炼—— 和阶段性定制的汉语教材，旨在提高 筛选使用该人群； (3) 进行初步随机试验 评估可行性、可接受性和潜在有效性 这些具有文化敏感性的教育材料。 将采用前瞻性纵向设计招募250名美籍华人 来自华盛顿特区都会区社区站点的 50 岁及以上女性 这个两阶段的项目。 在第一阶段，参与者将接受采访 基线并进行 18 个月的另一次电话访谈随访 之后。 基线数据的横截面分析将用于细化 针对筛选采用阶段量身定制的教育材料。 基线 数据还将用于预测后续记录中的筛查行为 调查以确认横截面结果和影响的暂时性。 在 第二阶段，参与者将在完成随访后被随机分配 调查分为两组：接受标准与文化和阶段 量身定制的中文教育印刷材料。 女性将会 邮寄材料后 1-2 周通过电话联系进行评估 可行性、可接受性以及定制材料对意图的影响 接受筛查。 该研究计划将扩大和深化主要研究者的研究范围 癌症控制社会文化方面的知识和经验 未充分研究的人群，并为更大规模的随机试验奠定基础 评估长期行为变化。 培训计划将对此进行补充 通过加强 P.I. 在癌症流行病学方面的背景来开展研究项目 和老龄化、行为和社会文化研究以及卫生服务 研究。 在培育研究机构的全力支持下 与癌症控制研究人员的智力互动，该奖项将 允许 P.I.发展关键的研究技能，成为独立的 癌症控制研究员。