La adicción representa un importante problema de salud a nivel clínico y social en múltiples país... more La adicción representa un importante problema de salud a nivel clínico y social en múltiples países. Desde el punto de vista médico, la adicción es un complejo fenómeno neurobiológico que afecta diversos procesos funcionales y moleculares en diferentes áreas específicas ...
According to 2006 CDC data, only 24.4% of Latinos over age 50 had received a FOBT within the past... more According to 2006 CDC data, only 24.4% of Latinos over age 50 had received a FOBT within the past two years and 46.6% had ever had a sigmoidoscopy; the screening rates for low-income Latinos were even lower. These screening rates are significantly below the Healthy People 2010 benchmark for colorectal cancer screening and place Latinos at high risk for diagnoses at an advanced stage of the disease and thus lower chances of survival. Regular colorectal cancer screening remains the pivotal obstacle to improved Latino colorectal cancer survival. The need for interventions to improve screening and early detection is an urgent public health problem, yet the challenge is to effectively overcome cultural, linguistic and attitudinal barriers with an intervention that promotes adoption of recommended screening and risk reduction behaviors by low-income Latinos. This presentation describes an education intervention designed to deliver culturally and linguistically appropriate colorectal cance...
Healthy People 2010 sets a 50% colorectal cancer screening rate as the national goal for having h... more Healthy People 2010 sets a 50% colorectal cancer screening rate as the national goal for having had a FOBT within the past two years and for ever having had a sigmoidoscopy. Only 24.4% of Latinos over age 50 had received a FOBT within the past two years and 46.6% had ever had a sigmoidoscopy, according to 2006 CDC data. This health disparity is greater among low-income Latinos. These relatively low screening rates place Latinos at high risk for diagnoses at an advanced stage of the disease, which diminishes their chances of survival. Regular colorectal cancer screening remains the pivotal obstacle to improved Latino colorectal cancer survival. The need for interventions to improve screening and early detection is an urgent public health problem, yet the challenge is to effectively overcome cultural, linguistic and attitudinal barriers with an intervention that promotes adoption of recommended screening and risk reduction practices by low-income Latinos. This presentation describes a...
Latino colorectal cancer screening rates are significantly below the Healthy People 2010 benchmar... more Latino colorectal cancer screening rates are significantly below the Healthy People 2010 benchmark. CDC reports that only 24.4% of Latinos over age 50 had received a FIT/FOBT within the past two years and 46.6% had ever had a sigmoidoscopy; the screening rates for low-income Latinos were substantially lower. This screening disparity places Latinos at high risk for late-stage cancer diagnoses and lower chances of survival. Regular colorectal cancer screening is the key to improving Latino colorectal cancer survival, yet screening promotion interventions must effectively overcome significant and persistent barriers. This cancer education intervention was designed to deliver culturally and linguistically appropriate colorectal cancer information to low-income, low literacy Latinos through interactive, touchscreen kiosks to overcome knowledge, attitudinal, linguistic and cultural barriers. The intervention content was informed by formative research that identified barriers as well as pa...
Latino colorectal cancer screening rates are significantly below the Healthy People 2010 benchmar... more Latino colorectal cancer screening rates are significantly below the Healthy People 2010 benchmark. Recent CDC data indicate that only 24.4% of Latinos over age 50 had received a FIT/FOBT within the past two years and 46.6% had ever had a sigmoidoscopy; the screening rates for low-income Latinos were even lower. This screening disparity places Latinos at high risk for late-stage cancer diagnoses and lower chances of survival. Regular colorectal cancer screening can significantly improve Latino colorectal cancer survival, yet interventions to improve screening rates must effectively overcome several significant and persistent barriers. This presentation describes an education intervention designed to deliver culturally and linguistically appropriate colorectal cancer information to low-income, low literacy Latino men and women through interactive, multimedia touchscreen kiosks to overcome attention, knowledge, attitudinal, linguistic and cultural barriers. The intervention content wa...
Latino colorectal cancer screening rates are significantly below the Healthy People 2010 benchmar... more Latino colorectal cancer screening rates are significantly below the Healthy People 2010 benchmark. CDC reports that only 24.4% of Latinos over age 50 had received a FIT/FOBT within the past two years and 46.6% had ever had a sigmoidoscopy; the screening rates for low-income Latinos were substantially lower. This screening disparity places Latinos at high risk for late-stage cancer diagnoses and lower chances of survival. Regular colorectal cancer screening is the key to improving Latino colorectal cancer survival, yet screening promotion interventions must effectively overcome significant and persistent barriers. This cancer education intervention was designed to deliver culturally and linguistically appropriate colorectal cancer information to low-income, low literacy Latinos through interactive, multimedia touchscreen kiosks to overcome attention, knowledge, attitudinal, linguistic and cultural barriers. The intervention content was guided by formative research that identified ba...
Latino colorectal cancer screening rates are significantly below the Healthy People 2010 benchmar... more Latino colorectal cancer screening rates are significantly below the Healthy People 2010 benchmark. CDC reports that only 24.4% of Latinos over age 50 had received a FIT/FOBT within the past two years and 46.6% had ever had a sigmoidoscopy; the screening rates for low-income Latinos were substantially lower. This screening disparity places Latinos at high risk for late-stage cancer diagnoses and lower chances of survival. Regular colorectal cancer screening is the key to improving Latino colorectal cancer survival, yet screening promotion interventions must effectively overcome significant and persistent barriers. This cancer education intervention was designed to deliver culturally and linguistically appropriate colorectal cancer information to low-income, low literacy Latinos through interactive, multimedia touchscreen kiosks to overcome attention, knowledge, attitudinal, linguistic and cultural barriers. The intervention content was guided by formative research that identified ba...
Latinos have a colorectal cancer screening gap in excess of 20-points below the 70.5 benchmark fo... more Latinos have a colorectal cancer screening gap in excess of 20-points below the 70.5 benchmark for colorectal cancer screening in Healthy People 2020. CDC data for 2008 indicate that 46.5% of Latino men and 51.0% of Latinas reported recommended colorectal cancer screening. Notably, the screening rates were substantially lower for Latinos at the lower end of the socioeconomic scale, which puts them at higher risk for late-stage cancer diagnoses and lower chances of survival. Regular colorectal cancer screening is the key to improving Latino colorectal cancer survival, yet screening promotion interventions must overcome significant and persistent cultural and linguistic barriers. This cancer education intervention was designed to educate and motivate Latinos to get screened for colorectal cancer. The intervention content was explicitly designed to overcome knowledge, attitudinal, linguistic, cultural and attention barriers. The intervention was delivered though interactive, multimedia...
Latinos have a colorectal cancer screening gap in excess of 20 points below the 70.5 benchmark fo... more Latinos have a colorectal cancer screening gap in excess of 20 points below the 70.5 benchmark for colorectal cancer screening in Healthy People 2020. CDC data for 2008 indicate that 46.5% of Latino men and 51.0% of Latinas reported recommended colorectal cancer screening. Notably, the screening rates were substantially lower for Latinos at the lower end of the socioeconomic scale, which puts them at higher risk for late-stage cancer diagnoses and lower chances of survival. Regular colorectal cancer screening is the key to improving Latino colorectal cancer survival, yet screening promotion interventions must overcome significant and persistent cultural and linguistic barriers. This cancer education intervention was designed to educate and motivate Latinos to get screened for colorectal cancer. The intervention content was explicitly designed to overcome knowledge, attitudinal, linguistic, cultural and attention barriers. The intervention was delivered though interactive, multimedia...
Asian-Australasian Journal of Animal Sciences, 2015
Eight Holstein steers (216±48 kg BW) with ruminal and duodenal cannulas were used to evaluate whe... more Eight Holstein steers (216±48 kg BW) with ruminal and duodenal cannulas were used to evaluate wheat straw level (7 and 14%; DM basis) and processing (ground vs pellet) in feedlot diets with dry or steam flaked corn on characteristics of digestion. The experimental design was a split plot consisting of two simultaneous 4 × 4 Latin squares. The increase in straw level reduced ruminal (P<0.01) and total tract digestion of OM (P=0.03), DM (P=0.05), and tended to reduce ruminal feed N (P= 0.10) and total tract N digestion (P=0.08). The pelletized of straw reduced ruminal digestion of feed N (P=0.02), postruminal (P<0.01) and total tract digestion of starch (P=0.05). The pelletized tended to increase total tract digestion of DM (P=0.09) and to reduce total tract (0.07) digestion of OM. Forage processing did not influence total VFA or estimated methane production (P>0.10). Compared with DRC, the SFC diets had greater ruminal digestion of OM, starch, nitrogen efficiency (P<0.01), and lower (P=0.02) ruminal digestion of NDF. Total tract digestion of N, OM and starch were greater (P<0.01) for SFC than DRC. Compared with DRC diet, the SFC diet had greater propionate (P=0.02), and lower acetate (P=0.03), butyrate (P=0.08), acetate to propionate ratio (P=0.02) and estimated methane production (P=0.02). Compared with grinding alone, the effects of pelletizing wheat straw on characteristics of ruminal OM, NDF, and starch digestion are small. Futhermore, across forage level and grain processing, pelletizing wheat straw may depress ruminal pH, lending to increased potential for subacute acidosis.
Latinos have a colorectal cancer screening gap in excess of 20-points below the 70.5 benchmark fo... more Latinos have a colorectal cancer screening gap in excess of 20-points below the 70.5 benchmark for colorectal cancer screening in Healthy People 2020. CDC data for 2008 indicate that 46.5% of Latino men and 51.0% of Latinas reported recommended colorectal cancer screening. Notably, the screening rates were substantially lower for Latinos at the lower end of the socioeconomic scale, which puts them at higher risk for late-stage cancer diagnoses and lower chances of survival. Regular colorectal cancer screening is the key to improving Latino colorectal cancer survival, yet screening promotion interventions must overcome significant and persistent cultural and linguistic barriers. This cancer education intervention was designed to educate and motivate Latinos to get screened for colorectal cancer. The intervention content was explicitly designed to overcome knowledge, attitudinal, linguistic, cultural and attention barriers. The intervention was delivered though interactive, multimedia...
Background. Korean Americans are at high risk for cervical cancer, yet their perceived risk and s... more Background. Korean Americans are at high risk for cervical cancer, yet their perceived risk and susceptibility to an HPV infection and cervical cancer are inordinately low. They lack basic knowledge about HPV and cervical cancer. Most don’t know the HPV virus is sexually transmitted and have only a vague understanding about the HPV vaccine. This marginal understanding is compounded by the fact that providers often gave them incorrect information regarding the appropriate age and gender for the vaccine. Significance. Primary prevention of cervical cancer can be achieved through the HPV vaccine, yet Korean Americans have comparatively low HPV vaccination rates. A culturally-appropriate intervention to help Korean American parents make an informed HPV vaccination decision for their children can promote primary prevention of cervical cancer among this high-risk group. Objectives. The study aims were to (1) develop a culturally tailored, language appropriate intervention to inform HPV va...
ABSTRACT Background. Korean Americans and Latinos are at high risk for cervical cancer, Primary p... more ABSTRACT Background. Korean Americans and Latinos are at high risk for cervical cancer, Primary prevention of cervical cancer can be achieved through use of the HPV vaccine, yet both of these groups have comparatively low HPV vaccination rates. Significance. A multilingual, multicultural intervention to help Korean American and Latino parents make an informed HPV vaccination decision for their children can promote primary prevention of cervical cancer among these high-risk groups. Objectives. The study aims were to design a culturally tailored, language appropriate intervention to inform Korean-American and Latino parents’ HPV vaccination decisions, and to subsequently conduct an intervention efficacy evaluation. Methods. A randomized, controlled trial with 748 parents examined whether a DVD produced in English, Spanish and Korean to educate parents about the risks and benefits of the HPV vaccine helped them make an informed vaccination decision. Intervention group parents received the DVD while control group parents received a CDC flyer on the subject. Results. The majority of parents were non-English speakers: 96.4% for Korean Americans and 89.5% for Latinos. Knowledge gains regarding the HPV vaccine were significantly greater in both language groups compared to control group parents. Intervention group parents in both language groups reported significantly higher levels of informed decision-making regarding HPV vaccination compared to control group parents. Conclusions. Study findings suggest that a culturally and linguistically appropriate education intervention designed for parents in communities at high risk for HPV infection can empower non-English speaking parents to make an informed HPV vaccination decision and thus reduce racial/ethnic health disparities.
This paper discusses the results from the field test of a multimedia health education interventio... more This paper discusses the results from the field test of a multimedia health education intervention, designed to provide breast cancer education for low income Latinas. The purpose of the field test was to ascertain whether the intervention produced significant changes in breast cancer knowledge and attitude, and screening intentions. A total of 1,197 Latina women participated in the field study at six different sites. The majority of the participants were under 65 years of age, foreign-born with less than eight years of education and a weekly household income that fell in the lowest income quintile for 1998 (<$350.00). Participants were randomly assigned to a control or intervention condition. The control group was interviewed about their breast cancer knowledge, attitude and mammography intentions prior to exposure to the intervention, and served as the baseline group. Women in the intervention group exhibited higher knowledge scores than the pretest group (Chi sq., p < .0001...
Background. Korean-Americans have notably high HPV infection rates and one of the nation's hi... more Background. Korean-Americans have notably high HPV infection rates and one of the nation's highest cervical cancer mortality rates. The HPV vaccine offers an opportunity to reduce this health disparity, yet Korean Americans have a low HPV vaccination rate. Significance. The goal of this study was to develop and evaluate an intervention to educate and empower parents to make informed decisions regarding HPV vaccination of their children. This intervention can significantly improve cancer prevention and reduce health disparities among Korean Americans. Objectives. Specific study aims were to (1) identify barriers to HPV vaccination reported by Korean-American parents, (2) develop a culturally-tailored, language appropriate intervention to inform parents’ HPV vaccination decisions, and (3) conduct a randomized controlled trial to evaluate the intervention’s efficacy. This abstract addresses the first aim of the study. Methods. This study conducted six language-congruent (English/Ko...
La adicción representa un importante problema de salud a nivel clínico y social en múltiples país... more La adicción representa un importante problema de salud a nivel clínico y social en múltiples países. Desde el punto de vista médico, la adicción es un complejo fenómeno neurobiológico que afecta diversos procesos funcionales y moleculares en diferentes áreas específicas ...
According to 2006 CDC data, only 24.4% of Latinos over age 50 had received a FOBT within the past... more According to 2006 CDC data, only 24.4% of Latinos over age 50 had received a FOBT within the past two years and 46.6% had ever had a sigmoidoscopy; the screening rates for low-income Latinos were even lower. These screening rates are significantly below the Healthy People 2010 benchmark for colorectal cancer screening and place Latinos at high risk for diagnoses at an advanced stage of the disease and thus lower chances of survival. Regular colorectal cancer screening remains the pivotal obstacle to improved Latino colorectal cancer survival. The need for interventions to improve screening and early detection is an urgent public health problem, yet the challenge is to effectively overcome cultural, linguistic and attitudinal barriers with an intervention that promotes adoption of recommended screening and risk reduction behaviors by low-income Latinos. This presentation describes an education intervention designed to deliver culturally and linguistically appropriate colorectal cance...
Healthy People 2010 sets a 50% colorectal cancer screening rate as the national goal for having h... more Healthy People 2010 sets a 50% colorectal cancer screening rate as the national goal for having had a FOBT within the past two years and for ever having had a sigmoidoscopy. Only 24.4% of Latinos over age 50 had received a FOBT within the past two years and 46.6% had ever had a sigmoidoscopy, according to 2006 CDC data. This health disparity is greater among low-income Latinos. These relatively low screening rates place Latinos at high risk for diagnoses at an advanced stage of the disease, which diminishes their chances of survival. Regular colorectal cancer screening remains the pivotal obstacle to improved Latino colorectal cancer survival. The need for interventions to improve screening and early detection is an urgent public health problem, yet the challenge is to effectively overcome cultural, linguistic and attitudinal barriers with an intervention that promotes adoption of recommended screening and risk reduction practices by low-income Latinos. This presentation describes a...
Latino colorectal cancer screening rates are significantly below the Healthy People 2010 benchmar... more Latino colorectal cancer screening rates are significantly below the Healthy People 2010 benchmark. CDC reports that only 24.4% of Latinos over age 50 had received a FIT/FOBT within the past two years and 46.6% had ever had a sigmoidoscopy; the screening rates for low-income Latinos were substantially lower. This screening disparity places Latinos at high risk for late-stage cancer diagnoses and lower chances of survival. Regular colorectal cancer screening is the key to improving Latino colorectal cancer survival, yet screening promotion interventions must effectively overcome significant and persistent barriers. This cancer education intervention was designed to deliver culturally and linguistically appropriate colorectal cancer information to low-income, low literacy Latinos through interactive, touchscreen kiosks to overcome knowledge, attitudinal, linguistic and cultural barriers. The intervention content was informed by formative research that identified barriers as well as pa...
Latino colorectal cancer screening rates are significantly below the Healthy People 2010 benchmar... more Latino colorectal cancer screening rates are significantly below the Healthy People 2010 benchmark. Recent CDC data indicate that only 24.4% of Latinos over age 50 had received a FIT/FOBT within the past two years and 46.6% had ever had a sigmoidoscopy; the screening rates for low-income Latinos were even lower. This screening disparity places Latinos at high risk for late-stage cancer diagnoses and lower chances of survival. Regular colorectal cancer screening can significantly improve Latino colorectal cancer survival, yet interventions to improve screening rates must effectively overcome several significant and persistent barriers. This presentation describes an education intervention designed to deliver culturally and linguistically appropriate colorectal cancer information to low-income, low literacy Latino men and women through interactive, multimedia touchscreen kiosks to overcome attention, knowledge, attitudinal, linguistic and cultural barriers. The intervention content wa...
Latino colorectal cancer screening rates are significantly below the Healthy People 2010 benchmar... more Latino colorectal cancer screening rates are significantly below the Healthy People 2010 benchmark. CDC reports that only 24.4% of Latinos over age 50 had received a FIT/FOBT within the past two years and 46.6% had ever had a sigmoidoscopy; the screening rates for low-income Latinos were substantially lower. This screening disparity places Latinos at high risk for late-stage cancer diagnoses and lower chances of survival. Regular colorectal cancer screening is the key to improving Latino colorectal cancer survival, yet screening promotion interventions must effectively overcome significant and persistent barriers. This cancer education intervention was designed to deliver culturally and linguistically appropriate colorectal cancer information to low-income, low literacy Latinos through interactive, multimedia touchscreen kiosks to overcome attention, knowledge, attitudinal, linguistic and cultural barriers. The intervention content was guided by formative research that identified ba...
Latino colorectal cancer screening rates are significantly below the Healthy People 2010 benchmar... more Latino colorectal cancer screening rates are significantly below the Healthy People 2010 benchmark. CDC reports that only 24.4% of Latinos over age 50 had received a FIT/FOBT within the past two years and 46.6% had ever had a sigmoidoscopy; the screening rates for low-income Latinos were substantially lower. This screening disparity places Latinos at high risk for late-stage cancer diagnoses and lower chances of survival. Regular colorectal cancer screening is the key to improving Latino colorectal cancer survival, yet screening promotion interventions must effectively overcome significant and persistent barriers. This cancer education intervention was designed to deliver culturally and linguistically appropriate colorectal cancer information to low-income, low literacy Latinos through interactive, multimedia touchscreen kiosks to overcome attention, knowledge, attitudinal, linguistic and cultural barriers. The intervention content was guided by formative research that identified ba...
Latinos have a colorectal cancer screening gap in excess of 20-points below the 70.5 benchmark fo... more Latinos have a colorectal cancer screening gap in excess of 20-points below the 70.5 benchmark for colorectal cancer screening in Healthy People 2020. CDC data for 2008 indicate that 46.5% of Latino men and 51.0% of Latinas reported recommended colorectal cancer screening. Notably, the screening rates were substantially lower for Latinos at the lower end of the socioeconomic scale, which puts them at higher risk for late-stage cancer diagnoses and lower chances of survival. Regular colorectal cancer screening is the key to improving Latino colorectal cancer survival, yet screening promotion interventions must overcome significant and persistent cultural and linguistic barriers. This cancer education intervention was designed to educate and motivate Latinos to get screened for colorectal cancer. The intervention content was explicitly designed to overcome knowledge, attitudinal, linguistic, cultural and attention barriers. The intervention was delivered though interactive, multimedia...
Latinos have a colorectal cancer screening gap in excess of 20 points below the 70.5 benchmark fo... more Latinos have a colorectal cancer screening gap in excess of 20 points below the 70.5 benchmark for colorectal cancer screening in Healthy People 2020. CDC data for 2008 indicate that 46.5% of Latino men and 51.0% of Latinas reported recommended colorectal cancer screening. Notably, the screening rates were substantially lower for Latinos at the lower end of the socioeconomic scale, which puts them at higher risk for late-stage cancer diagnoses and lower chances of survival. Regular colorectal cancer screening is the key to improving Latino colorectal cancer survival, yet screening promotion interventions must overcome significant and persistent cultural and linguistic barriers. This cancer education intervention was designed to educate and motivate Latinos to get screened for colorectal cancer. The intervention content was explicitly designed to overcome knowledge, attitudinal, linguistic, cultural and attention barriers. The intervention was delivered though interactive, multimedia...
Asian-Australasian Journal of Animal Sciences, 2015
Eight Holstein steers (216±48 kg BW) with ruminal and duodenal cannulas were used to evaluate whe... more Eight Holstein steers (216±48 kg BW) with ruminal and duodenal cannulas were used to evaluate wheat straw level (7 and 14%; DM basis) and processing (ground vs pellet) in feedlot diets with dry or steam flaked corn on characteristics of digestion. The experimental design was a split plot consisting of two simultaneous 4 × 4 Latin squares. The increase in straw level reduced ruminal (P&amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;lt;0.01) and total tract digestion of OM (P=0.03), DM (P=0.05), and tended to reduce ruminal feed N (P= 0.10) and total tract N digestion (P=0.08). The pelletized of straw reduced ruminal digestion of feed N (P=0.02), postruminal (P&amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;lt;0.01) and total tract digestion of starch (P=0.05). The pelletized tended to increase total tract digestion of DM (P=0.09) and to reduce total tract (0.07) digestion of OM. Forage processing did not influence total VFA or estimated methane production (P&amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;gt;0.10). Compared with DRC, the SFC diets had greater ruminal digestion of OM, starch, nitrogen efficiency (P&amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;lt;0.01), and lower (P=0.02) ruminal digestion of NDF. Total tract digestion of N, OM and starch were greater (P&amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;lt;0.01) for SFC than DRC. Compared with DRC diet, the SFC diet had greater propionate (P=0.02), and lower acetate (P=0.03), butyrate (P=0.08), acetate to propionate ratio (P=0.02) and estimated methane production (P=0.02). Compared with grinding alone, the effects of pelletizing wheat straw on characteristics of ruminal OM, NDF, and starch digestion are small. Futhermore, across forage level and grain processing, pelletizing wheat straw may depress ruminal pH, lending to increased potential for subacute acidosis.
Latinos have a colorectal cancer screening gap in excess of 20-points below the 70.5 benchmark fo... more Latinos have a colorectal cancer screening gap in excess of 20-points below the 70.5 benchmark for colorectal cancer screening in Healthy People 2020. CDC data for 2008 indicate that 46.5% of Latino men and 51.0% of Latinas reported recommended colorectal cancer screening. Notably, the screening rates were substantially lower for Latinos at the lower end of the socioeconomic scale, which puts them at higher risk for late-stage cancer diagnoses and lower chances of survival. Regular colorectal cancer screening is the key to improving Latino colorectal cancer survival, yet screening promotion interventions must overcome significant and persistent cultural and linguistic barriers. This cancer education intervention was designed to educate and motivate Latinos to get screened for colorectal cancer. The intervention content was explicitly designed to overcome knowledge, attitudinal, linguistic, cultural and attention barriers. The intervention was delivered though interactive, multimedia...
Background. Korean Americans are at high risk for cervical cancer, yet their perceived risk and s... more Background. Korean Americans are at high risk for cervical cancer, yet their perceived risk and susceptibility to an HPV infection and cervical cancer are inordinately low. They lack basic knowledge about HPV and cervical cancer. Most don’t know the HPV virus is sexually transmitted and have only a vague understanding about the HPV vaccine. This marginal understanding is compounded by the fact that providers often gave them incorrect information regarding the appropriate age and gender for the vaccine. Significance. Primary prevention of cervical cancer can be achieved through the HPV vaccine, yet Korean Americans have comparatively low HPV vaccination rates. A culturally-appropriate intervention to help Korean American parents make an informed HPV vaccination decision for their children can promote primary prevention of cervical cancer among this high-risk group. Objectives. The study aims were to (1) develop a culturally tailored, language appropriate intervention to inform HPV va...
ABSTRACT Background. Korean Americans and Latinos are at high risk for cervical cancer, Primary p... more ABSTRACT Background. Korean Americans and Latinos are at high risk for cervical cancer, Primary prevention of cervical cancer can be achieved through use of the HPV vaccine, yet both of these groups have comparatively low HPV vaccination rates. Significance. A multilingual, multicultural intervention to help Korean American and Latino parents make an informed HPV vaccination decision for their children can promote primary prevention of cervical cancer among these high-risk groups. Objectives. The study aims were to design a culturally tailored, language appropriate intervention to inform Korean-American and Latino parents’ HPV vaccination decisions, and to subsequently conduct an intervention efficacy evaluation. Methods. A randomized, controlled trial with 748 parents examined whether a DVD produced in English, Spanish and Korean to educate parents about the risks and benefits of the HPV vaccine helped them make an informed vaccination decision. Intervention group parents received the DVD while control group parents received a CDC flyer on the subject. Results. The majority of parents were non-English speakers: 96.4% for Korean Americans and 89.5% for Latinos. Knowledge gains regarding the HPV vaccine were significantly greater in both language groups compared to control group parents. Intervention group parents in both language groups reported significantly higher levels of informed decision-making regarding HPV vaccination compared to control group parents. Conclusions. Study findings suggest that a culturally and linguistically appropriate education intervention designed for parents in communities at high risk for HPV infection can empower non-English speaking parents to make an informed HPV vaccination decision and thus reduce racial/ethnic health disparities.
This paper discusses the results from the field test of a multimedia health education interventio... more This paper discusses the results from the field test of a multimedia health education intervention, designed to provide breast cancer education for low income Latinas. The purpose of the field test was to ascertain whether the intervention produced significant changes in breast cancer knowledge and attitude, and screening intentions. A total of 1,197 Latina women participated in the field study at six different sites. The majority of the participants were under 65 years of age, foreign-born with less than eight years of education and a weekly household income that fell in the lowest income quintile for 1998 (<$350.00). Participants were randomly assigned to a control or intervention condition. The control group was interviewed about their breast cancer knowledge, attitude and mammography intentions prior to exposure to the intervention, and served as the baseline group. Women in the intervention group exhibited higher knowledge scores than the pretest group (Chi sq., p < .0001...
Background. Korean-Americans have notably high HPV infection rates and one of the nation's hi... more Background. Korean-Americans have notably high HPV infection rates and one of the nation's highest cervical cancer mortality rates. The HPV vaccine offers an opportunity to reduce this health disparity, yet Korean Americans have a low HPV vaccination rate. Significance. The goal of this study was to develop and evaluate an intervention to educate and empower parents to make informed decisions regarding HPV vaccination of their children. This intervention can significantly improve cancer prevention and reduce health disparities among Korean Americans. Objectives. Specific study aims were to (1) identify barriers to HPV vaccination reported by Korean-American parents, (2) develop a culturally-tailored, language appropriate intervention to inform parents’ HPV vaccination decisions, and (3) conduct a randomized controlled trial to evaluate the intervention’s efficacy. This abstract addresses the first aim of the study. Methods. This study conducted six language-congruent (English/Ko...
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