Year
Author, Title Journal
Michael H. Le Colorectal
Cancer Screening for
Vietnamese American
Population in Iowa
Bang H. Nguyen, DrPH, Susan
L. Stewart, PhD, Tung T.
Nguyen, MD, Ngoc Bui-Tong,
MHSA, and Stephen J.
McPhee, MD Effectiveness of
Lay Health Worker Outreach in
Reducing Disparities in
Colorectal Cancer Screening
in Vietnamese Americans
Connie K.Y. Nguyen-Truong,
PhD, RN, PCCN, Frances Lee-
Lin, PhD, RN, OCN®, CNS,
and Vivian Gedaly-Duff, DNSc,
RN Contributing Factors to
Colorectal Cancer
and Hepatitis B Screening
Among Vietnamese Americans
Shin-Ping Tu,Chun, Alan,
Yutaka Yasui,Kuniyuki, Alan,
Mei-Po Yip,Taylor, Vicky,
Bastani, Roshan. Adaptation of
an evidence-based intervention
to promote colorectal cancer
screening: a quasi-experimental
study
Published Purpose Methodology Outcome Sample Size Subject Characteristics Data Sources Comments
Identify the factors and
barriers
that might increase Descriptive qualitative
awareness and methodology - three
ultimately result in research questions Health Age group of 50 to 75 years
increased CRC Belief Model interviews, low SES, lack of to obtain data about their
screening in this observations, and education, poor health awareness, lack of health Sample size of CRC screening
2017 population. focus group discussions insurance, and limited access to care. 11 experiences.
1.self-identifying as
Vietnamese or Vietnamese
Intervention LHWs led 2 American, 2.
educational sessions being aged 50 to 74 years,
A controlled study of a on CRC screening. Control A greater proportion of intervention participants 3. understanding
lay LHWs led 2 sessions on (56%) than control Vietnamese,
health worker (LHW) healthy eating and physical participants (19%) reported receiving CRC 4. living in and intending to
intervention to increase activity. The main outcome screening (P < .001). When controlling stay in the study
colorectal cancer (CRC) was self-reported receipt of for demographic characteristics, the intervention area for the next 6 months,
screening any CRC screening at 6 odds ratio was 5.45 (95% and
rates among months after the intervention. confidence interval = 3.02, 9.82). There was no 5. never having had CRC
Vietnamese Americans, We conducted the study difference in intervention effect by participant sample size of screening (fecal
who typically have lower from 2008 to 2013 in gender. LHW outreach was effective in 64 occult blood test,
rates than do Santa Clara County, increasing CRC screening LHWs and 640 sigmoidoscopy, or
2015 non-Hispanic Whites. California. in Vietnamese Americans participants colonoscopy).
Twenty (87%) focused on
Vietnamese
Americans (both men and
women), two on
Vietnamese
American women (9%), and
one on Vietnamese men
who self-identified as
Vietnamese immigrant (4%). For types
CRC and hepatitis B screening are consistently Americans of
low among Vietnamese Americans. Contributing was diverse and screening, 11 (48%)
factors included sociodemographics, knowledge, ranged from focused on CRC screening,
To identify factors cultural 29–1,016. The 6 (26%)
associated with beliefs, and external factors. External factors sample on hepatitis B screening, MEDLINE®,
screening for colorectal such as having size across and 6 (26%) on other type CINAHL®, and
cancer (CRC) and a regular place of care and a healthcare provider intervention (s) PsycINFO
hepatitis B, were studies also of cancer screening in databases
because hepatitis B can The searches identified 90 crucial because they influenced adherence to was diverse and addition to CRC and/or from January
increase the risk of liver articles, and 23 met the screening ranged from hepatitis 1998 to April
May 2013 cancer. criteria for review. recommendations 108–793. B screening 2012
Prepost
small media (a DVD and change in CRC screening over time, expressed
pamphlet) as an odds ratio (OR) of CRC screening
translated into Vietnamese adherence by time, showed a marginally-
from Chinese; medical significant greater increase in CRC screening
assistants distributing the adherence at the intervention clinic compared to
investigated the small media the control clinic (the ratio of the two ORs = 1,016
adaptation of an instead of a health educator; 1.42; 95% CI 0.95, 2.15). In the sample of Vietnamese
evidence-based and presentations on CRC patients who were non-adherent to CRC patients and at
intervention (EBI), screening to the medical screening post-
designed to increase assistants. A at baseline, compared to the control clinic, the intervention
colorectal cancer (CRC) quasi-experimental study intervention clinic had marginally-significant 1,260 met the
screening in one limited examined CRC screening greater increase in FOBT (adjusted OR = 1.77; inclusion
English-proficient (LEP) adherence among eligible 95% CI 0.98, 3.18) and a statisticallysignificantly criteria for age
population Vietnamese greater increase in CRC screening adherence and for having Vietnamese patients who
(Chinese), for another patients at the intervention (adjusted OR = 1.70; 95% CI 1.05, at least one were
LEP group (Vietnamese) and control clinics, before 2.75). Adaptation has the potential to mitigate medical visit in 50 to 75 years old 12
with overlapping cultural and after the 24-month health disparities for hard-to-reach the previous 24 months before the date of
2014 and health beliefs. intervention. populations in a timely manner. months. our data extraction

Sunmin Lee • Lu Chen • Mary
Y. Jung •
Lourdes Baezconde-Garbanati •
Hee-Soon Juon Acculturation
and Cancer Screening Among
Asian Americans:
Role of Health Insurance and
Having a Regular Physician
T. Domi Le • Patricia A. Carney
• Frances Lee-Lin •
Motomi Mori • Zunqiu Chen •
Holden Leung •
Christine Lau • David A.
Lieberman. Differences in
Knowledge, Attitudes, Beliefs,
and Perceived Risks
Regarding Colorectal Cancer
Screening Among Chinese,
Korean,
and Vietnamese Sub-Groups
Wunderlich T1, Cooper G,
Divine G, Flocke S, Oja-Tebbe
N, Stange K, Lafata JE.,
Inconsistencies in patient
perceptions and observer
ratings of shared decision
making: the case of colorectal
cancer screening.
877 participants
through
community-
based or faith-
based
57 % of participants organizations
received colorectal, cervical, and breast cancer (including
screening in churches,
the past two years. American cluster, speaking temples, and
English and Asian language language Subjects were
Findings from this study equally well, living longer length of residency in schools) and eligible to participate if they:
provide a robust and At the study sites, the US, through other (1) self-identified as
comprehensive participants filled out and having a younger age at arrival, were channels such Chinese/
picture of AA cancer questionnaires containing significantly as Asian Korean/Vietnamese
screening behavior. questions more likely to have received colorectal cancer grocery Americans; (2) were 18
They will on demographics, health screening in markets/restaur years of age or
provide helpful status, acculturation, health the past two years after adjusting for age. Having ants, nail over; and (3) had never
information on future care health insurance was strongly associated salons, participated in another
target groups for accessibility and utilization with colorectal cancer screening. Having a universities, and hepatitis B
promoting cancer including cancer screenings, regular physician was strongly related to having individual or liver cancer education
2013 screening and health behaviors. had colorectal cancer screening networks. program
Chinese and Vietnamese subjects more
commonly required translators. more likely to
believe that Western medicine was effective in
treating
disease (93 % Chinese, 76 % Korean, 79 %
Vietnamese; Between 34 and 58 % of
To evaluate knowledge participants reported no memory
and health beliefs of discussion about CRC screening with
associated with providers 34 % Vietnamese; Vietnamese
colorectal cancer participants were significantly less Eligible subjects included
(CRC) and CRC aware of available CRC screening modalities men and women, aged 50-
screening among compared to the 75 years
Chinese, Korean, and other two subgroups and fewer Vietnamese and of Chinese,
Vietnamese subgroups, subjects Vietnamese, or Korean
a survey assessed believed that screening could prevent. The ethnicity. All enrolled
participants’ survey instrument which majority of each ethnic subgroup subjects provided informed
demographic queried demographic denied fear of CRC screening tests. Vietnamese consent, had no history of
characteristics, characteristics, subjects were more likely to believe Sample size of colon
healthcare utilization, healthcare utilization, beliefs that certain foods could prevent cancer and more 654; out of that cancer, no history of
knowledge, beliefs, and attitudes about cancer likely to 199 were receiving CRC screening,
attitudes associated with and express fatalistic views on cancer and the belief Vietnamese and no significant
CRC and cancer screening, and past that death is (75 men, 124 medical illnesses that would
2013 CRC screening experience with cancer inevitable with a cancer diagnosis women). preclude CRC screening
To compare patient- Seventy-seven
reported and observer- physicians
rated shared decision agreed to study
making (SDM) use for participation
colorectal cancer (CRC) 70% of patients preferred SDM for preventive (47% physician Patient participants did not
screening and evaluate Audio-recordings from 363 health decisions, 47% of patients reported use of participation differ from patient non-
patient, physician and primary care visits were a SDM process, and only one of the screening rate) and 500 participants in terms of
patient-reported observer-coded for elements discussions included all four elements of SDM patients agreed race, or marital status,
relational communication of SDM. A post-visit patient per observer ratings. Patient report of SDM use to study however they were
factors associated with survey assessed patient- was not associated with observer-rated elements participation significantly younger (58
patient-reported use of reported decision-making of SDM, but was significantly associated with (44% patient years of age vs. 60 years of
shared CRC screening processes and relational female physician gender and patient-reported participation age) and tended more likely
2010 decisions. communication during visit. relational communication. rate). to be female (66% vs. 60%)