Top

Published in:

01-06-2019 | Cervical Cancer | Original Paper

Community-Based Cervical Cancer Education: Changes in Knowledge and Beliefs Among Vietnamese American Women

Authors: Carolyn Y. Fang, Minsun Lee, Ziding Feng, Yin Tan, Fayola Levine, Cuc Nguyen, Grace X. Ma

Published in: Journal of Community Health | Issue 3/2019

Abstract

Low cervical cancer screening rates among Vietnamese American women have been attributed, in part, to inadequate knowledge about cervical cancer and health beliefs that hinder screening. A community-based educational program was developed to improve knowledge and attitudes toward cervical cancer screening in this underserved population. It was hypothesized that the program would result in increases in knowledge, as well as enhanced health beliefs and self-efficacy toward obtaining cervical cancer screening. Using a group-randomized design, 1488 women from 30 Vietnamese community-based organizations were assigned to either the intervention (n = 816) or control (n = 672) conditions. The intervention group received cervical cancer education delivered by bilingual community health educators. Intervention content addressed individual beliefs and expectancies regarding cervical cancer screening (e.g., perceived risk of developing cervical cancer; perceived benefits and barriers to screening; social and cultural norms regarding screening). The control group received general health education, including information about cancer screening. Knowledge and health beliefs were assessed at baseline and post-intervention. Among women in the intervention group, overall knowledge about cervical cancer and screening guidelines increased from pre- to post-program (30% vs. 88%, p < 0.001), perceived benefits of screening increased (3.50 vs. 4.49, p < 0.001), and perceived barriers to screening decreased (3.13 vs. 2.25, p < 0.001). Changes in knowledge and health beliefs were not observed among women in the control group. A community-based educational program can help increase knowledge about cervical cancer and screening, promote positive changes in women’s beliefs about the benefits of cervical cancer screening, and reduce perceived barriers to screening. Such programs may play an important role in addressing health disparities and informing underserved populations about recommended screening tests.

Wang, S. S., Carreon, J. D., Gomez, S. L., & Devesa, S. S. (2010). Cervical cancer incidence among 6 Asian ethnic groups in the United States, 1996 through 2004. Cancer, 116(4), 949–956. https://doi.org/10.1002/cncr.24843.CrossRefPubMedPubMedCentral

Singh, G. K., & Jemal, A. (2017). Socioeconomic and racial/ethnic disparities in cancer mortality, incidence, and survival in the United States, 1950–2014: Over six decades of changing patterns and widening inequalities. Journal of Environmental and Public Health, 2017, 2819372. https://doi.org/10.1155/2017/2819372.CrossRefPubMedPubMedCentral

Thompson, C. A., Gomez, S. L., Chan, A., Chan, J. K., McClellan, S. R., Chung, S., Olson, C., Nimbal, V., & Palaniappan, L. P. (2014). Patient and provider characteristics associated with colorectal, breast, and cervical cancer screening among Asian Americans. Cancer Epidemiology, Biomarkers & Prevention, 23(11), 2208–2217. https://doi.org/10.1158/1055-9965.Epi-14-0487.CrossRef

Do, H. H., Taylor, V. M., Burke, N., Yasui, Y., Schwartz, S. M., & Jackson, J. C. (2007). Knowledge about cervical cancer risk factors, traditional health beliefs, and Pap testing among Vietnamese American women. Journal of Immigrant and Minority Health/Center for Minority Public Health, 9(2), 109–114. https://doi.org/10.1007/s10903-006-9025-7.CrossRef

Schulmeister, L., & Lifsey, D. S. (1999). Cervical cancer screening knowledge, behaviors, and beliefs of Vietnamese women. Oncology Nursing Forum, 26(5), 879–887.PubMed

Saei Ghare Naz, M., Kariman, N., Ebadi, A., Ozgoli, G., Ghasemi, V., & Rashidi Fakari, F. (2018). Educational interventions for cervical cancer screening behavior of women: A systematic review. Asian Pacific Journal of Cancer Prevention, 19(4), 875–884. https://doi.org/10.22034/apjcp.2018.19.4.875.CrossRefPubMed

Ma, G. X., Fang, C. Y., Feng, Z., Tan, Y., Gao, W., Ge, S., & Nguyen, C. (2012). Correlates of cervical cancer screening among Vietnamese American women. Infectious Diseases in Obstetrics and Gynecology, 2012, 617234. https://doi.org/10.1155/2012/617234.CrossRefPubMedPubMedCentral

Ma, G. X., Gao, W., Fang, C. Y., Tan, Y., Feng, Z., Ge, S., & Nguyen, J. A. (2013). Health beliefs associated with cervical cancer screening among Vietnamese Americans. Journal of Womens Health (Larchmt), 22(3), 276–288. https://doi.org/10.1089/jwh.2012.3587.CrossRef

Ma, G. X., Fang, C., Tan, Y., Feng, Z., Ge, S., & Nguyen, C. (2015). Increasing cervical cancer screening among Vietnamese Americans: A community-based intervention trial. Journal of Health Care for the Poor and Underserved, 26(2 Suppl), 36–52. https://doi.org/10.1353/hpu.2015.0064.CrossRefPubMedPubMedCentral

10.

Strecher, V. J., & Rosenstock, I. M. (2002). The health belief model. In K. Glanz, F. M. Lewis & B. K. Rimer (Eds.), Health Behavior and Health Education (2 ed., pp. 41–56). San Francisco: Jossey-Bass.

11.

Bandura, A. (2001). Social cognitive theory: An agentic perspective. Annual Review of Psychology, 52, 1–26. https://doi.org/10.1146/annurev.psych.52.1.1.CrossRefPubMed

12.

Strecher, V. J., & Rosenstock, I. M. (2002). The health belief model. In K. Glanz, F. M. Lewis & B. K. Rimer (Eds.), Health behavior and health education:Theory, research, and practice (2 ed., pp. 41–56). San Francisco: Jossey-Bass.

13.

Bandura, A. (2001). Social cognitive theory: An agentic perspective. Annual Review of Psychology, 52, 1–26.CrossRefPubMed

14.

Bandura, A. (2004). Health promotion by social cognitive means. Health Education & Behavior, 31(2), 143–164. https://doi.org/10.1177/1090198104263660.CrossRef

15.

Baranowski, T., Perry, C. L., & Parcel, G. S. (2002). How individuals, environments, and health behavior interact: Social cognitive theory. In K. Glanz, F. M. Lewis & B. K. Rimer (Eds.), Health behavior and health education: Theory, research, and practice (2nd ed., pp. 153–178). San Francisco: Jossey-Bass.

16.

Fang, C. Y., Ma, G. X., Tan, Y., & Chi, N. (2007). A multifaceted intervention to increase cervical cancer screening among underserved Korean women. Cancer Epidemiology, Biomarkers & Prevention, 16(6), 1298–1302. https://doi.org/10.1158/1055-9965.epi-07-0091.CrossRef

17.

Ma, G. X., Shive, S. E., Wang, M. Q., & Tan, Y. (2009). Cancer screening behaviors and barriers in Asian Americans. American Journal of Health Behavior, 33(6), 650–660.CrossRefPubMedPubMedCentral

18.

Ma, G. X., Toubbeh, J. I., Wang, M. Q., Shive, S. E., Cooper, L., & Pham, A. (2009). Factors associated with cervical cancer screening compliance and noncompliance among Chinese, Korean, Vietnamese, and Cambodian women. Journal of the National Medical Association, 101(6), 541–551.CrossRefPubMed

19.

Champion, V. L. (1999). Revised susceptibility, benefits, and barriers scale for mammography screening. Research in Nursing & Health, 22(4), 341–348.CrossRef

20.

Kim, S. E., Perez-Stable, E. J., Wong, S., Gregorich, S., Sawaya, G. F., Walsh, J. M., & Kaplan, C. P. (2008). Association between cancer risk perception and screening behavior among diverse women. Archives of Internal Medicine, 168(7), 728–734. https://doi.org/10.1001/archinte.168.7.728.CrossRefPubMedPubMedCentral

21.

Lee, Y.-S., Hofstetter, C. R., Irvin, V. L., Kang, S., Chhay, D., Reyes, W. D., & Hovell, M. F. (2012). Korean American women’s preventive health care practices: Stratified samples in California, USA. Health Care for Women International, 33(5), 422–439. https://doi.org/10.1080/07399332.2011.603869.CrossRefPubMedPubMedCentral

22.

Chilton, J. A., Gor, B. J., Hajek, R. A., & Jones, L. A. (2005). Cervical cancer among Vietnamese women: Efforts to define the problem among Houston’s population. Gynecologic Oncology, 99(3 Suppl 1), S203–S206. https://doi.org/10.1016/j.ygyno.2005.07.084.CrossRefPubMed

23.

Lee, S.-Y. (2015). Cultural factors associated with breast and cervical cancer screening in Korean American women in the US: An integrative literature review. Asian Nursing Research, 9(2), 81–90. https://doi.org/10.1016/j.anr.2015.05.003.CrossRefPubMed

24.

Tung, W. C., Lu, M., Granner, M., & Sohn, J. (2017). Assessing perceived benefits/barriers and self-efficacy for cervical cancer screening among Korean American women. Health Care for Women International, 38(9), 945–955. https://doi.org/10.1080/07399332.2017.1326495.CrossRefPubMed

25.

Lee, J., & Carvallo, M. (2014). Socioecological perspectives on cervical cancer and cervical cancer screening among Asian American women. Journal of Community Health. https://doi.org/10.1007/s10900-014-9887-x.CrossRefPubMedPubMedCentral

Title: Community-Based Cervical Cancer Education: Changes in Knowledge and Beliefs Among Vietnamese American Women
Authors: Carolyn Y. Fang
Minsun Lee
Ziding Feng
Yin Tan
Fayola Levine
Cuc Nguyen
Grace X. Ma
Publication date: 01-06-2019
Publisher: Springer US
Keywords: Cervical Cancer
Cervical Cancer
Published in: Journal of Community Health / Issue 3/2019
Print ISSN: 0094-5145
Electronic ISSN: 1573-3610
DOI: https://doi.org/10.1007/s10900-019-00645-6

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Community-Based Cervical Cancer Education: Changes in Knowledge and Beliefs Among Vietnamese American Women

Abstract

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Please log in to get access to this content

Other articles of this Issue 3/2019

Smoking and Smoking Cessation Among Persons with Tobacco- and Non-tobacco-Associated Cancers

Aspirin Use for Cardiovascular Disease Prevention in an African American Population: Prevalence and Associations with Health Behavior Beliefs

Human Papillomavirus Vaccination Trends, Barriers, and Promotion Methods Among American Indian/Alaska Native and Non-Hispanic White Adolescents in Michigan 2006–2015

Prevalence, Severity, and Risk of Future Falls in Community-Dwelling Older Adults Living in a Rural Community: The Atahualpa Project

Human Papillomavirus Vaccination in Georgia: Evaluating the Georgia HPV Work Group

Prevalence and Correlates of Cultural Smokeless Tobacco Products among South Asian Americans in New York City