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    Community-Clinical Linkage Intervention to Improve Colorectal Cancer Screening Among Underserved Korean Americans

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    Name:
    ZhuLeeEtAl-JournalArticle-2019 ...
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    Genre
    Journal article
    Date
    2019-08-19
    Author
    Ma, Grace cc
    Lee, Minsun
    Beeber, Maayan
    Das, Rina
    Feng, Zideng
    Wang, Min Qi
    Tan, Yin
    Zhu, Lin cc
    Navder, Khursheed
    Shireman, Theresa I.
    Siu, Philip
    Rhee, Joanne
    Nguyen, Minhhuyen T.
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    Group
    Center for Asian Health (Temple University)
    Department
    Medicine
    Clinical Sciences
    Subject
    Colorectal cancer (CRC) screening
    Korean American
    Intervention
    FIT
    Community-based participatory research
    Permanent link to this record
    http://hdl.handle.net/20.500.12613/7126
    
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    DOI
    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.
    Citation
    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.
    Citation to related work
    Company of Scientists and Physicians
    Has part
    Cancer Health Disparities, Vol. 3
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    ae974a485f413a2113503eed53cd6c53
    http://dx.doi.org/10.34944/dspace/7106
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