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Research & Studies - Colorectal Cancer

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Colorectal Cancer

Colorectal Cancer (CRC) is the second leading cause of cancer death in the United States. The CRC screening rates among Asian Americans in the U.S. are lower than that of the Caucasian American population’s. Reasons for low rates of CRC screenings could include cultural and language barriers. Chinese, Korean, Vietnamese, Cambodian, and Laotian screening rates and each group’s beliefs and behaviors related to CRC screenings were explored in this educational intervention study. In this study, AHSC worked with Chair of Multi-Society Task Force on Colon Cancer Screening and Head of Gastroenterology at OHSU, Dr. David A. Lieberman, and other researchers/investigators with a wide array of expertise: Dr. Patricia Carney, Professor of Family Medicine and Associate Director of Population Studies at OHSU’s cancer institute; Dr. Motomi Mori, Endowed Professor of Cancer Biostatistics in OHSU Cancer Institute and Associate Professor and Head of the Division of Biostatistics in the Department of Public Health & Preventive Medicine; and Dr. Frances Lee-Lin, Assistant Professor in the School of Nursing at OHSU, with extensive experience in cancer nursing since 1986. Together the committee created test subject groups, administered questionnaires to participants, conducted workshops for intervention groups to deliver health messages, and collected valuable research data.



The study found important differences in knowledge, attitudes, and beliefs regarding CRC and its associated screening tests among Chinese, Korean, and Vietnamese subgroups. In turn, this study expanded on the emerging literature that highlights the heterogeneity among Asian subgroups with regard to CRC screening, and aimed to investigate more nuanced differences in each subgroup’s socio-cultural values, health beliefs, knowledge, and intentions. Understanding these differences will enable clinicians to deliver more tailored and effective messages to improve CRC screening. This study also demonstrates a complex interplay between conventional Eastern and Western concepts of medicine and illness.



Download the research paper:
View article at www.springer.com