Heterogeneity within the Asian American community

International Journal for Equity in Health

Brenda Kustin¹  Grace Paik¹  Gia Oh¹  Tammy Nguyen¹  Lisa Ryujin¹  Georgia Robins Sadler² 

[1] Moores University of California San Diego Cancer Center, La Jolla, California 92093-0658, USA;Department of Surgery, University of California San Diego School of Medicine, La Jolla, California 92093-0658, USA

关键词: Mammography;    Early Detection;    Cancer Education;    Breast Cancer;    Asian American;   

Others  :  1147865
DOI  :  10.1186/1475-9276-2-12

 received in 2002-12-07, accepted in 2003-12-29,  发布年份 2003

【 摘 要 】

Background

Educational interventions are grounded on scientific data and assumptions about the community to be served. While the Pan Asian community is composed of multiple, ethnic subgroups, it is often treated as a single group for which one health promotion program will be applicable for all of its cultural subgroups. Compounding this stereotypical view of the Pan Asian community, there is sparse data about the cultural subgroups' similarities and dissimilarities. The Asian Grocery Store based cancer education program evaluation data provided an opportunity to compare data collected under identical circumstances from members of six Asian American cultural groups.

Methods

A convenience sample of 1,202 Asian American women evaluated the cultural alignment of a cancer education program, completing baseline and follow-up surveys that included questions about their breast cancer knowledge, attitudes, and screening behaviors. Participants took part in a brief education program that facilitated adherence to recommended screening guidelines.

Results

Unique recruitment methods were needed to attract participants from each ethnic group. Impressions gained from the aggregate data revealed different insights than the disaggregate data. Statistically significant variations existed among the subgroups' breast cancer knowledge, attitudes, and screening behaviors that could contribute to health disparities among the subgroups and within the aggregate Pan Asian community.

Conclusion

Health promotion efforts of providers, educators, and policy makers can be enhanced if cultural differences are identified and taken into account when developing strategies to reduce health disparities and promote health equity.

【 授权许可】

   
2003 Sadler et al; licensee BioMed Central Ltd. This is an Open Access article: verbatim copying and redistribution of this article are permitted in all media for any purpose, provided this notice is preserved along with the article's original URL.

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