Vietnamese American Women’s Beliefs and Perceptions About Breast Cancer and Breast Cancer Screening: A Community-Based Participatory Study

2018 ◽  
Vol 29 (6) ◽  
pp. 555-562 ◽  
Author(s):  
Connie Kim Yen Nguyen-Truong ◽  
Kim Quy Vo Nguyen ◽  
Thai Hien Nguyen ◽  
Tuong Vy Le ◽  
Anthony My Truong ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Health Care ◽  
Body Image ◽  
Health Care Access ◽  
Screening Method ◽  
Good Health ◽  
Community Based ◽  
American Women ◽  
Vietnamese American ◽  
Hispanic American Women

Introduction: Although breast cancer (BC) rates are declining in White non-Hispanic American women, they are increasing among Vietnamese American women (VAW) at 1.2% (95% confidence interval [0.1, 2.2]) per year. BC screening rates (64%) are below the national rates (81.1%). This article explores VAW’s beliefs about BC and screening. Method: Using community-based participatory qualitative descriptive methods, 40 VAW were recruited from Oregon, and four focus groups were conducted. A directed content analysis was used. Results: Main themes were as follows: deferred to a health care provider or relying on self-detection and symptoms; fear of BC versus fear of procedural pain; limited knowledge; motivation by observing others’ journey in BC death or survivorship; body image concern; “living carefree,” “good fortune—having good health”; and coverage for a mammogram expense means health care access. Discussion: Tailored interventions should address mammogram knowledge, fear, erroneous information, body image, fate and luck, and promoting access.

Health Care Providers’ Perspectives on Barriers and Facilitators to Cervical Cancer Screening in Vietnamese American Women

2017 ◽  
Vol 29 (5) ◽  
pp. 441-448 ◽  
Author(s):  
Connie Kim Yen Nguyen-Truong ◽  
Dena Hassouneh ◽  
Frances Lee-Lin ◽  
Chiao-Yun Hsiao ◽  
Tuong Vy Le ◽  
...  
Keyword(s):  
Health Care ◽  
Cervical Cancer ◽  
Health Care Providers ◽  
Barriers And Facilitators ◽  
Cultural Barriers ◽  
Care Providers ◽  
American Women ◽  
Vietnamese American ◽  
Health Care Practices ◽  
Hispanic American Women

Introduction: Vietnamese American women (VAW) are diagnosed and die at twice the rate than White non-Hispanic American women (16.8/100,000 vs. 8.1/100,000 and 4.4/100,000 vs. 2.4/100,000, respectively). Despite efforts to increase cervical cancer (CC) screening among VAW, the participation rates are persistently low (69% to 81%). The purpose of this study was to explore health care providers’ (HCPs) perspectives on barriers and facilitators to CC screening in VAW. Method: This qualitative descriptive pilot study, used open-ended semistructured interviews with 10 HCPs. Results: The HCPs had two to 23 years treating VAW. Major barriers and facilitators identified by the HCPs were as follows: VAW’s decision making about CC screening; sexual health divide; language discordance, relying on interpreters; breaking suspicion; VAW’s exposure to health sources of CC screening; sustainable trust; and motivated health care practices. Discussion: HCPs perceived the reasons for VAW not being screened or delaying CC screening were due to their lack of knowledge, cultural barriers, language, and issues related to trust.

scholarly journals Health Care Access and Breast Cancer Screening Among Latinas Along the California–Mexican Border

2013 ◽  
Vol 16 (4) ◽  
pp. 670-681 ◽  
Author(s):  
Sheila F. Castañeda ◽  
Vanessa L. Malcarne ◽  
Pennie G. Foster-Fishman ◽  
William S. Davidson ◽  
Manpreet K. Mumman ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Health Care ◽  
Cancer Screening ◽  
Breast Cancer Screening ◽  
Health Care Access ◽  
Care Access

scholarly journals Breast cancer survival in Brazil: How much health care access impact on cancer outcomes?

The Breast ◽  
2020 ◽  
Vol 54 ◽  
pp. 155-159
Author(s):  
Maira Caleffi ◽  
Isabel Crivelatti ◽  
Norah A. Burchardt ◽  
Rodrigo A. Ribeiro ◽  
Yulieth Acevedo ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Health Care ◽  
Health Care Access ◽  
Cancer Survival ◽  
Breast Cancer Survival ◽  
Cancer Outcomes ◽  
Care Access

scholarly journals Breast cancer treatment delays by socioeconomic and health care access latent classes in Black and White women

Cancer ◽  
2020 ◽  
Vol 126 (22) ◽  
pp. 4957-4966
Author(s):  
Marc A. Emerson ◽  
Yvonne M. Golightly ◽  
Allison E. Aiello ◽  
Katherine E. Reeder‐Hayes ◽  
Xianming Tan ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Health Care ◽  
Cancer Treatment ◽  
Health Care Access ◽  
White Women ◽  
Breast Cancer Treatment ◽  
Latent Classes ◽  
Treatment Delays ◽  
Black And White ◽  
Care Access

scholarly journals Who Can Help Us on This Journey? African American Woman with Breast Cancer: Living in a City with Extreme Health Disparities

2020 ◽  
Vol 17 (4) ◽  
pp. 1126
Author(s):  
Shelley White-Means ◽  
Jill Dapremont ◽  
Barbara D Davis ◽  
Tronlyn Thompson
Keyword(s):  
Breast Cancer ◽  
African American ◽  
African American Women ◽  
Thematic Analysis ◽  
Critical Role ◽  
Breast Cancer Mortality ◽  
American Woman ◽  
Community Based ◽  
American Women ◽  
Cancer Support

This qualitative descriptive research study looks at the services that community-based breast cancer support agencies provide to underserved and African American women who are at risk for or diagnosed with breast cancer in Memphis, Tennessee. We seek their understanding of breast cancer mortality disparities in Memphis. Data were collected using semi-structured in-depth focus groups with five breast cancer support agencies. Categories and patterns were established using thematic analysis and a deductive a priori template of codes. Thematic analysis is a method for identifying, analyzing, and reporting themes within the data. The main themes identified within support agencies for African American women with breast cancer who live in Memphis were barriers to the use of services, education, health system support, and emotional support. Numerous sub themes included cost of medications, support group supplemental programming, eligibility for mobile services, patient/provider communication, optimism about the future, and family advice. Procrastinating, seeking second options, fearfulness, insurance, childcare, and transportation were barriers to care. Community-based breast cancer support agencies play a critical role as connectors for women with breast cancer who live in medically underserved areas and must find their way within a fragmented medical care system.

scholarly journals Measuring Staff Empowerment Regarding Health Care for Clients with Intellectual Disabilities

2014 ◽  
Vol 2014 ◽  
pp. 1-6
Author(s):  
Joanne Wilkinson ◽  
Nechama W. Greenwood ◽  
Claire Tienwey Wang ◽  
Laura F. White ◽  
Larry Culpepper
Keyword(s):  
Breast Cancer ◽  
Health Care ◽  
Intellectual Disabilities ◽  
Health Care Access ◽  
Breast Cancer Mortality ◽  
Care Access ◽  
Direct Support ◽  
Reliable Instrument ◽  
Tool Set ◽  
The Impact

Background. Women with intellectual disabilities (ID) contract breast cancer at the same rate as the general population but have higher breast cancer mortality and lower rates of breast cancer screening. Many women with ID live in group homes or supported residences where they are cared for by direct support workers. While direct support workers are thought to influence client health, this effect is underresearched, and we lack tools for measuring staff empowerment and perceptions regarding client health. Methods. We developed and validated an instrument, the staff empowerment tool (SET), to measure staff empowerment as related to supporting clients in preventive health. Results. The SET was found to be a reliable instrument for measuring staff activation and empowerment in helping clients access mammography screening. Discussion. Quantifying staff empowerment and perspectives is important in studying and reducing disparities among adults with ID, a vulnerable population. Further research to determine the impact of staff empowerment levels on their clients’ health and health care access is suggested. The SET is a valuable tool for measuring the construct of staff empowerment, evaluating interventions, and collecting data regarding variation in staff empowerment.

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