YEARS

2003-2008

AUTHORS

Victoria M Taylor

TITLE

Liver Cancer Control Among North American Chinese

ABSTRACT

DESCRIPTION (provided by applicant): Little is known about the disease prevention behavior of Chinese in North America, and few studies have addressed cancer control in this group. However, Chinese American men and women are four times more likely to be diagnosed with liver cancer than their non-Latino White counterparts. This excess risk is attributable to high rates of hepatitis B virus (HBV) infection combined with low levels of hepatitis B vaccination coverage. The goal of this research is to increase the proportion of less acculturated Chinese adults who have been tested for HBV (and, therefore, either have been vaccinated, are screened for liver cancer, or know they are immune to the disease). Objectives are to: obtain qualitative and quantitative information about the liver cancer prevention behavior of Chinese Americans and Canadians; develop a culturally and linguistically appropriate outreach intervention targeting hepatitis B and liver cancer among Chinese; and conduct a randomized controlled trial to evaluate the effectiveness, feasibility, and acceptability of the intervention program. To increase the generalizability of our findings, the research will be conducted in two cities: Seattle, Washington and Vancouver, British Columbia. The project will emphasize community involvement. PRECEDE and qualitative methods (i.e., forty in-depth interviews and eight focus groups) will be used to develop a quantitative survey instrument as well as intervention components. Six hundred Chinese men and women aged 18-64 who have not been serologically tested for HBV will be identified from a community-based survey of 1,200 individuals, and randomized to intervention or control status. Individuals in the experimental group will receive an outreach worker intervention (which will include a home visit and follow-up telephone call, tailored counseling and logistic assistance, and the use of audiovisual and print materials). Outcome evaluation will be based on data from a follow-up survey as well as medical record verification. If effective, our outreach intervention could be used by health care facilities and community organizations serving less acculturated Chinese in North America.

FUNDED PUBLICATIONS

  • Evaluation of a Hepatitis B Lay Health Worker Intervention for Chinese Americans and Canadians
  • Correlates of Hepatitis B Testing Among Chinese Americans
  • Heart disease prevention among Chinese immigrants.
  • Evaluation of a hepatitis B lay health worker intervention for Chinese Americans and Canadians.
  • Lay beliefs about hepatitis among North American Chinese: implications for hepatitis prevention.
  • Correlates of hepatitis B testing among Chinese Americans.
  • Heart Disease Prevention Among Chinese Immigrants
  • Development of an ESL Curriculum to Educate Chinese Immigrants About Hepatitis B
  • Development of an ESL curriculum to educate Chinese immigrants about hepatitis B.
  • LAY BELIEFS ABOUT HEPATITIS AMONG NORTH AMERICAN CHINESE: IMPLICATIONS FOR HEPATITIS PREVENTION
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    27 TRIPLES      17 PREDICATES      28 URIs      9 LITERALS

    Subject Predicate Object
    1 grants:df961034735bf70255198e216ca7180c sg:abstract DESCRIPTION (provided by applicant): Little is known about the disease prevention behavior of Chinese in North America, and few studies have addressed cancer control in this group. However, Chinese American men and women are four times more likely to be diagnosed with liver cancer than their non-Latino White counterparts. This excess risk is attributable to high rates of hepatitis B virus (HBV) infection combined with low levels of hepatitis B vaccination coverage. The goal of this research is to increase the proportion of less acculturated Chinese adults who have been tested for HBV (and, therefore, either have been vaccinated, are screened for liver cancer, or know they are immune to the disease). Objectives are to: obtain qualitative and quantitative information about the liver cancer prevention behavior of Chinese Americans and Canadians; develop a culturally and linguistically appropriate outreach intervention targeting hepatitis B and liver cancer among Chinese; and conduct a randomized controlled trial to evaluate the effectiveness, feasibility, and acceptability of the intervention program. To increase the generalizability of our findings, the research will be conducted in two cities: Seattle, Washington and Vancouver, British Columbia. The project will emphasize community involvement. PRECEDE and qualitative methods (i.e., forty in-depth interviews and eight focus groups) will be used to develop a quantitative survey instrument as well as intervention components. Six hundred Chinese men and women aged 18-64 who have not been serologically tested for HBV will be identified from a community-based survey of 1,200 individuals, and randomized to intervention or control status. Individuals in the experimental group will receive an outreach worker intervention (which will include a home visit and follow-up telephone call, tailored counseling and logistic assistance, and the use of audiovisual and print materials). Outcome evaluation will be based on data from a follow-up survey as well as medical record verification. If effective, our outreach intervention could be used by health care facilities and community organizations serving less acculturated Chinese in North America.
    2 sg:endYear 2008
    3 sg:fundingAmount 2220457.0
    4 sg:fundingCurrency USD
    5 sg:hasContribution contributions:3448a1dfa2579299c31434a364160e25
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    16 articles:f6f8cc0e71d4a7a176efed9fb7d2af8c
    17 articles:ff7239689b3f0ac9a3945f4ea4b00b69
    18 sg:hasFundingOrganization grid-institutes:grid.48336.3a
    19 sg:hasRecipientOrganization grid-institutes:grid.270240.3
    20 sg:language English
    21 sg:license http://scigraph.springernature.com/explorer/license/
    22 sg:scigraphId df961034735bf70255198e216ca7180c
    23 sg:startYear 2003
    24 sg:title Liver Cancer Control Among North American Chinese
    25 sg:webpage http://projectreporter.nih.gov/project_info_description.cfm?aid=7096694
    26 rdf:type sg:Grant
    27 rdfs:label Grant: Liver Cancer Control Among North American Chinese
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