Asian American Liver Cancer Education Program in Maryland

马里兰州亚裔美国人肝癌教育计划

• 批准号: 7432919
• 负责人: HEE-SOON JUON
• 金额: $ 27.66万
• 依托单位: JOHNS HOPKINS UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2008
• 资助国家: 美国
• 起止时间: 2008-08-18 至 2012-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7432919
• 关键词: Accounting; Address; Age; American; Asian Americans; Asians; Awareness; Behavior; Cancer Intervention; Cancer Prevention Intervention; Caucasians; Caucasoid Race; Cessation of life; Chinese American; Chinese People; Chronic; Chronic Hepatitis B; Collaborations; Communities; Control Groups; Country; Diagnosis; Diagnostic Neoplasm Staging; Disadvantaged; Early Diagnosis; Education and Outreach; Educational Intervention; Effectiveness; Effectiveness of Interventions; Generations; Goals; Hepatitis B; Hepatitis B Vaccination; Hepatitis B Virus; Immigrant; Improve Access; Individual; Intention; Intervention; Knowledge; Korean American; Koreans; Linguistics; Liver; Malignant Neoplasms; Malignant neoplasm of liver; Maryland; Minority; North America; Pacific Island Americans; Participant; Population; Prevention program; Primary carcinoma of the liver cells; Public Health Schools; Randomized; Rate; Recruitment Activity; Research; Research Infrastructure; Research Training; Risk; Risk Factors; Screening procedure; Simian B disease; Solid; Surveys; Survival Rate; Telephone Interviews; Time; Universities; Vaccination; Work; base; cancer education; cancer health disparity; community organizations; design; eligible participant; health disparity; improved; insight; intervention program; liver cancer prevention; mortality; outreach; programs; response; theories

DESCRIPTION (provided by applicant): Asian Americans and Pacific Islanders account for over half of the 1.3 million chronic Hepatitis B cases and deaths from Hepatitis B virus (HBV) infection in the U.S. This excess risk can be attributed to high rates of HBV infection (particularly among first generation immigrants), in combination with low rates of HBV screening and vaccination due to cultural, linguistic, and financial barriers. Because of these combined risk factors, Asian Americans are often diagnosed with late stage cancer, resulting in low survival rates and high mortality rates. In response to this cancer-related health disparity, this project seeks to develop and implement educational programs to promote HBV screening and increase awareness of liver cancer prevention of Asian Americans in Maryland. The specific aims are to: 1) Develop educational strategies tailored to the needs of target communities to increase public awareness of liver cancer prevention; 2) Implement theory-driven and culturally integrated community-based cancer intervention programs; and 3) Evaluate the effectiveness of the educational intervention on hepatitis B and liver cancer awareness and HBV screening behavior. Using a randomized control design, a total 900 Asian Americans (300 Vietnamese, Koreans, and Chinese each) age 18 and older will be recruited from 12 community-based organizations (CBO). Each CBO will be randomly assigned to either an intervention (n=6) or control group (n=6). Eligible participants will complete a survey and those in the intervention groups will participate in an educational program. An immediate post survey will be issued to examine the effects of the intervention on intention to obtain HBV screening. Participants will be telephone interviewed 6 months after the intervention to assess actual screening practice. Those in the control group will receive a delayed intervention after the posttest. The insights gained from this proposed liver cancer education program will be valuable in implementing cancer intervention programs for other high risk non-English speaking populations, including economically disadvantaged minorities and will address health disparities in immigrant populations.

描述（由申请人提供）：在美国，亚裔美国人和太平洋岛民占130万慢性乙型肝炎病例和乙型肝炎病毒（HBV）感染的死亡中的一半以上，这种过度风险可以归因于HBV感染的高率（尤其是在第一代移民中），尤其是在第一代移民中（在第一代移民中），与较低的HBV捕获率相结合，捕获了较低的HBV捕捉和捕获率。由于这些综合危险因素，亚裔美国人经常被诊断出患有晚期癌症，导致生存率较低和死亡率较高。 为了应对与癌症相关的健康差异，该项目旨在制定和实施教育计划，以促进HBV筛查并提高对马里兰州亚裔美国人的肝癌预防的认识。具体目的是：1）制定针对目标社区需求量身定制的教育策略，以提高公众对肝癌预防的认识； 2）实施理论驱动和以文化为基础的基于社区的癌症干预计划； 3）评估教育干预对乙型肝炎和肝癌意识和HBV筛查行为的有效性。 使用随机控制设计，将从12个基于社区的组织（CBO）招募总共900名亚裔美国人（300名越南，韩国人和中国人）。每个CBO将被随机分配给干预措施（n = 6）或对照组（n = 6）。符合条件的参与者将完成一项调查，干预小组中的参与者将参加一个教育计划。将发出立即的调查，以检查干预措施对获得HBV筛查意图的影响。干预后6个月的参与者将受到电话采访，以评估实际的筛查实践。对照组中的人将在测试后接受延迟干预措施。从该拟议的肝癌教育计划中获得的见解对于针对其他高风险非英语人群的癌症干预计划（包括经济上处于弱势群体的少数民族）来说将是有价值的，并将解决移民人口中的健康差异。