Top

Published in:

01-12-2021 | Public Health

Perceptions, Beliefs, and Experiences of Asians and Micronesian Islanders on Family Health History Genetic Cancer Screening Community Outreach

Authors: Connie Kim Yen Nguyen-Truong, Andra Davis, Vananh Minh Nguyen Vuong, Kim Quy Vo Nguyen, Anthony My Truong, Jacqueline Leung

Published in: Journal of Cancer Education | Issue 6/2021

Abstract

Cancer carries stigma, taboos, and shame including, for diverse communities, who can have difficulty understanding and communicating about family health history genetic cancer screening (GCS). The Oregon Health Authority ScreenWise Program reached out to our academic-community research team to explore Asians and Micronesian Islanders (MI) perceptions on public health education outreach on GCS due to having previously only worked with the Latinx community. The purpose of the qualitative description pilot study was to elicit perceptions, beliefs, experiences, and recommendations from Asian and MI community leaders and community members regarding family health history GCS outreach in communities. Twenty Asians (Chinese and Vietnamese) and Micronesian Islanders (Chuukese and Marshallese) were recruited from the US Pacific Northwest. Nineteen participants are immigrants with an average 21.4 and 18.5 years having lived in the USA, respectively. Individual in-depth interviews were conducted using a semi-structured, open-ended interview guide and analyzed using conventional content analysis. Three main transcultural themes were identified: (1) degree of knowing and understanding cancer screening versus family health history GCS, (2) needing culturally relevant outreach messaging on family health history GCS, and (3) communication and decision-making regarding discussing with family and health care providers about cancer screening and GCS. Culturally relevant messaging rather than generic messaging is needed for inclusive outreach. Healthcare providers are encouraged to assess a client’s family health history routinely because Asian and MI clients may not understand the information requested, may be hesitant to offer, or unable to provide information about their personal or family history of cancer.

Available only for authorised users

Manriquez E, Chapman JS, Mak J, Blanco AM, Chen L-M (2018) Disparities in genetics assessment for women with ovarian cancer: Can we do better? Gynecol Oncol. https://doi.org/10.1016/j.ygyno.2017.10.034CrossRef

Hann KEJ, Freeman M, Fraser L, Waller J, Sanderson SC, Rahman B, Side L, Gessier S, Lanceley A, for the Promise study team (2017) Awareness, knowledge, perceptions, and attitudes towards genetic testing for cancer risk among ethnic minority groups: A systematic review BMC Public Healthhttps://doi.org/10.1186/s12889-017-4375-8

Lee HY, Rhee TG, Kim NK, Ahluwalia JS (2015) Health literacy as a social determinant of health in Asian American immigrants Findings from a population-based survey in California. J Gen Intern Med. https://doi.org/10.1007/s11606-015-3217-6CrossRefPubMedPubMedCentral

Joseph G, Pasick RJ, Schillinger D, Luce J, Guerra C, Cheng JKY (2017) Information mismatch: Cancer risk counseling with diverse underserved patients. J Genet Couns. https://doi.org/10.1007/s10897-017-0089-4CrossRefPubMedPubMedCentral

Blocker K, Hallford HG, McElfish P, Danylchuk NR, Dean LW (2020) Eliciting culturally and medically informative family health histories from Marshallese patients living in the United States. J Genet Couns 29(3):440–450CrossRef

Nguyen-Truong, CKY, Pedhiwala, N, Nguyen, V, Le, C, Le, TV, Lau, C, Lee, J, Lee-Lin, F (2017) Feasibility of a multi-component breast health education intervention for Vietnamese American immigrant women. Oncol Nurs Forum. https://doi.org/10.1188/17.ONF.615-625

Pokharel M, Elrick A, Canary HE, Clayton MF, Sukovic M, Champine M, Hong SJ, Kaphingst KA (2020) Health communication roles in Latino, Pacific Islander, and Caucasian Families: A qualitative investigation. J Genet Couns. https://doi.org/10.1002/jgc4.1177CrossRefPubMed

McElfish PA, Yeary K, Sinclair IA, Steelman S, Esquivel MK, Aitaoto N, Kaholokula K, Purvis RS, Ayers BL (2019) Best practices for community-engaged research with Pacific Islander communities in the US and USAPI: A scoping review. J Health Care Poor Underserved. https://doi.org/10.1353/hpu.2019.0101CrossRefPubMedPubMedCentral

Barker HM (2012) Bravo for the Marshallese: Regaining control in a post-nuclear, post-colonial world. Wadsworth Cengage Learning, California

10.

Nguyen-Truong, CKY, Leung, J, Micky, K (2020) Development of a culturally specific leadership curriculum through communitybased participatory research and popular education. Asian Pac Isl Nurs J. https://doi.org/10.31372/20200502.1086

11.

Simon SL, Bouvile A, Land CE, Beck HL (2010) Radiation doses and cancer risks in the Marshall Islands associated with exposure to radioactive fallout from Bikini and Enewetak nuclear weapons tests: Summary. Health Phys. https://doi.org/10.1097/HP.0b013e3181dc523cCrossRefPubMedPubMedCentral

12.

Van Dyne EA, Saraiya M, White A, Novinson D, Senkomago V, Buenconsejo-Lum L (2020) Cancer mortality in the US-Affiliated Pacific Islands, 2008–2013. Hawai’i J Health Soc Welf. 79(6 Suppl 2):99–107

13.

Aitaoto N, Braun KL, Estrella J, Epeluk A, Tsark JoAnn (2012) Design and results of a culturally tailored cancer outreach project by and for Micronesian women. Prev Chronic Dis. https://doi.org/10.5888/pcd9.100262CrossRefPubMedPubMedCentral

14.

Alexander J, Kwon HT, Strecher R, Bartholomew J (2013) Multicultural media outreach: Increasing cancer information coverage in minority communities. J Cancer Educ 28:744–747CrossRef

15.

Giarelli E, Bruner DW, Nguyen E, Basham S, Marathe P, Dao D, Huynh TN, Cappella J, Nguyen G (2011) Research participation among Asian American women at risk for cervical cancer: Exploratory pilot of barriers and enhancers. J Immigr Minor Health. https://doi.org/10.1007/s10903-011-9461-xCrossRefPubMedPubMedCentral

16.

Chao SZ, Lai NB, Tse MM, Ho RJ, Kong JP, Matthews BR, Miller BL, Rosen HJ (2011) Recruitment of Chinese American elders into dementia research: The UCSF ADRC experience. Gerontologist. https://doi.org/10.1093/geront/gnr033CrossRefPubMedPubMedCentral

17.

George S, Duran N, Norris K (2014) A systematic review of barriers and facilitators to minority research participation among African Americans, Latinos, Asian Americans, and Pacific Islanders. Am J Public Health. https://doi.org/10.2105/AJPH.2013.301706CrossRefPubMedPubMedCentral

18.

Scharff DP, Mathews KJ, Jackson P, Hoffsuemmer J, Martin E, Edwards D (2010) More than Tuskegee: Understanding mistrust about research participation. J Health Care Poor Underserved. https://doi.org/10.1353/hpu.0.0323CrossRefPubMedPubMedCentral

19.

Champion VL, Skinner CS (2008) The health belief model. In: Glanz K, Rimer BK, Viswanath K (eds) Health behavior and health education: Theory, research, and practice. Jossey-Bass, California, pp 45–65

20.

Hennink MM, Kaiser BN, Marconi VC (2017) Code saturation versus meaning saturation: How many interviews are enough? Qual Health Res. https://doi.org/10.1177/1049732316665344CrossRefPubMed

21.

Hseih H-F, Shannon SE (2005) Three approaches to qualitative content analysis. Qual Res. https://doi.org/10.1177/1049732305276687CrossRef

22.

Lincoln YS, Guba EG (1985) Establishing trustworthiness. In: Lincoln YS, Guba EG (eds) Naturalistic Inquiry. Sage, CA, pp. 289–331

23.

Rae J, Green B (2016) Portraying reflexivity in health services research. Qual Health Res. https://doi.org/10.1177/1049732316634046CrossRefPubMed

24.

HealthyPeople.gov (2020) Social determinants of health. https://www.healthypeople.gov/2020/topics-objectives/topic/social-determinants-of-health. Accessed 5 December 2020

25.

Miguel-Majors S, Sandra L, Whitaker DE, Davis BC, Bailey LO, Springfield SA (2020) Education on cancer risk assessment and genetic counseling to address cancer health disparities among racial/ethnic groups and rural populations: Implementing culturally tailored outreach through community health educators. J Genet Couns. https://doi.org/10.1002/jgc4.1272CrossRef

26.

Kim MM (2020) Nesor annim, niteikapar (good morning, cardinal honeyeater): Indigenous reflections on Micronesian women and the environment. Contemp Pac. https://doi.org/10.1353/cp.2020.0007CrossRef

27.

Cassel K, Willingham M, Lee H-R, Somera LP, Badowski G, Pagano I (2020) Acculturation and cancer risk behaviors among Pacific Islanders in Hawaii. Ethn Dis. https://doi.org/10.18865/ed.30.4.593CrossRefPubMedPubMedCentral

28.

Nguyen-Truong, CKY, Hassouneh, D, Lee-Lin, F, Hsiao, C, Le, TV, Tang, J, Vu, M, Truong, AM (2018) Health care providers’ perspectives on barriers and facilitators to cervical cancer screening in Vietnamese American women. J Transcult Nurs. https://doi.org/10.1177/1043659617745135

29.

Nguyen-Truong, CKY, Leung, J, Micky, K, Nevers, JI (2020) Building safe didactic dialogues for action model: Mobilizing community with Micronesian Islanders. Asian Pac Isl Nurs J. https://doi.org/10.31372/20200501.1066

30.

Saw A, Stewart SL, Cummins SE, Kohatsu ND, Tong EK (2018) Outreach to California Medicaid smokers for Asian language quit line services. Am J Prev Med. https://doi.org/10.1016/j.amepre.2018.08.008CrossRefPubMed

31.

Billan J, Starblanket D, Anderson S, Legare M, Hagel MC, Oakes N, Jardine M, Boehme G, Dubois E, Spencer O, Hotomani M, McKenna B, Bourassa C (2020) Ethical research engagement with Indigenous communities. J Rehabil Assist Technol Eng. https://doi.org/10.1177/2055668320922706CrossRefPubMedPubMedCentral

32.

Dill LJ, Gousse Y, Huggins K, Fraser MA, Browne RC, Stewart M, Salifu M, Joseph MA, Wilson TE (2020) Adjournment in community HIV prevention: Exploring transitions in community-academic partnerships. Health Promot Pract. https://doi.org/10.1177/1524839919839361CrossRefPubMed

33.

Hoekstra F, Mrklas KJ, Khan M, McKay RC, Vis-Dunbar M, Sibley KM, Nguyen T, Graham D (2020) A review of reviews on principles, strategies, outcomes and impacts of research partnerships approaches: A first step in synthesising the research partnership literature. Health Res Policy Sys. https://doi.org/10.1186/s12961-020-0544-9

Title: Perceptions, Beliefs, and Experiences of Asians and Micronesian Islanders on Family Health History Genetic Cancer Screening Community Outreach
Authors: Connie Kim Yen Nguyen-Truong
Andra Davis
Vananh Minh Nguyen Vuong
Kim Quy Vo Nguyen
Anthony My Truong
Jacqueline Leung
Publication date: 01-12-2021
Publisher: Springer US
Keyword: Public Health
Published in: Journal of Cancer Education / Issue 6/2021
Print ISSN: 0885-8195
Electronic ISSN: 1543-0154
DOI: https://doi.org/10.1007/s13187-021-02085-0

Webinar | 19-02-2024 | 17:30 (CET)

Keynote webinar | Spotlight on antibody–drug conjugates in cancer

Watch now

Antibody–drug conjugates (ADCs) are novel agents that have shown promise across multiple tumor types. Explore the current landscape of ADCs in breast and lung cancer with our experts, and gain insights into the mechanism of action, key clinical trials data, existing challenges, and future directions.

Dr. Véronique Diéras

Prof. Fabrice Barlesi

Developed by: Springer Medicine

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Please log in to get access to this content

Other articles of this Issue 6/2021

Exploring Chinese College Students’ HPV Awareness, Knowledge, Attitudes, and Intent of HPV Vaccination: a Qualitative Study

Using Key Informants to Evaluate Barriers to Education and Acceptability of the HPV Vaccine in Tanzania: Implications for Cancer Education

A Teachable Moment: Colorectal Cancer Screening Among Companions Waiting for Outpatients Undergoing a Colonoscopy

Correlates of Information Seeking Behaviors and Experiences Among Adult Cancer Survivors in the USA

A Critical Appraisal and Targeted Intervention of the Oncology Experience in an Internal Medicine Residency

Melanoma Diagnostic Practices of French-Speaking Belgian General Practitioners and the Prospective Study of Their Pigmented Skin Lesion Diagnostic Accuracy and Management

Keynote webinar | Spotlight on antibody–drug conjugates in cancer