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Community-Clinical Linkage Intervention to Improve Colorectal Cancer Screening Among Underserved Korean Americans
Lee, Minsun Beeber, Maayan Das, Rina Feng, Zideng Wang, Min Qi Tan, Yin Navder, Khursheed Shireman, Theresa I.
Lee, Minsun
Beeber, Maayan
Das, Rina
Feng, Zideng
Wang, Min Qi
Tan, Yin
Navder, Khursheed
Shireman, Theresa I.
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Journal article
Date
2019-08-19
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Medicine
Clinical Sciences
Clinical Sciences
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https://doi.org/10.9777/chd.2019.1001
Abstract
Background: Korean Americans report thae lowest and declined rates of colorectal cancer (CRC) screening, compared to general population in the United States. The present study aimed to evaluate the efficacy of a community-based multifaceted intervention designed to improve CRC screening among Korean Americans. Methods: A cluster-randomized trial involving 30 Korean church-based community organizations (n = 925) was conducted. Fifteen churches were assigned to intervention (n=470) and the other 15 to control (n = 455) groups. Main components of the intervention included interactive group education, patient navigation, physician engagement, and provision of fecal immunochemical test (FIT) kit. CRC screening rates were assessed at a 12-month follow-up. Results: Participants in the intervention group were significantly more likely to receive CRC screening (69.3%) as compared with those in the control group (16%). The intervention was particularly effective in promoting FIT among the more disadvantaged individuals in the Korean American community. Regression analysis revealed that controlling for the intervention effect, male gender, high school education, annual income of $20,000–40,000 were significantly associated with increased screening by FIT, whereas English inefficiency was significantly and lack of health insurance was marginally significantly associated with decreased screening by colonoscopy/sigmoidoscopy. Conclusion: Culturally and linguistically appropriate multifaceted intervention combining FIT provision with community-clinical linkage has a potential to be a cost-effective and practical approach to effectively targeting hard-to-reach disadvantaged minority populations and enhance CRC screening to reduce cancer disparities.
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Ma GXet al(2019). Community-Clinical Linkage Intervention to Improve Colorectal Cancer Screening Among Underserved Korean Americans. Cancer Health Disparities3:e1-e15. doi:10.9777/chd.2019.1001.
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Company of Scientists and Physicians
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Cancer Health Disparities, Vol. 3
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