Exploring Barriers to and Facilitators of Physical Activity among Korean American Women

Physical inactivity is prevalent among ethnic minority women including Korean American (KA) women. We explored the barriers to and facilitators of physical activity (PA) and strategies to promote continued engagement in a PA program with a component of an online community. We conducted a qualitative descriptive study of 37 KA middle-aged women who used to be physically inactive and participated in an exit interview following postintervention visit. Using a thematic analysis approach to analyze the data, we found the individual, interpersonal, and neighborhood/community-level barriers to and facilitators of PA; social influence and social support-related themes were evident. Participants expressed benefit and interest in lifestyle modification using social media. Such program that reduces the barriers and reinforces the facilitators may be able to help motivate KA women to increase their PA.

Korean American Women and the Church: Identity, Spirituality, and Gender Roles

Korean American women are the foundation of the Korean American church. We are devoted, contributing members in the church, but we are seldom given positions of leadership or power. From our subordinate role in the church and wider society, Korean American women have been perpetually subject to racial and gender injustice. To work toward equal empowerment, it is imperative to reimagine historical Christian teaching about God so that it liberates rather than oppresses. As we engage in theological reform, we can begin to experience the wholeness that comes from a Spirit God who embraces all people regardless of race, gender, sexuality, or social status. As a result, Korean American women can finally feel included and contributive to a society which has historically treated them as “perpetual foreigners.” They can also push for multicultural excellence rather than sustaining the dominant white criterion of value. As hybrid spaces proliferate in diversifying America, Korean American women can be an integral source of reimagining the places we inhabit, something that proves to be increasingly necessary to keep the church accessible and contemporary.

MOBILE APP INTERVENTION TO PROMOTE BREAST CANCER SCREENING IN OLDER KOREAN AMERICAN WOMEN

To promote breast cancer screening behavior in older Korean American women, a mobile phone multimedia messaging intervention (mMammogram) was developed. The current study explored how the mMammogram intervention can be applied and improved for wide dissemination and implementation in other older racial/ethnic immigrant populations. Three focus groups were conducted with 14 older Korean American women who completed the mMammogram. Three themes emerged: (1) emphasis on knowledge improvement (understanding of breast cancer screening); (2) assistance of bilingual health navigators to promote mammography (e.g., setting up appointment and transportation); and (3) consideration of technology literacy (e.g., training for use of smartphone and connectivity issues). Mobile app intervention combined with bilingual health navigation services can be an acceptable and effective intervention medium to promote mammogram, which will bring about a positive change in women’s health screening behavior, especially for newly arrived immigrant populations.

Barriers to Breast Cancer Screening and Coping Strategies in Korean American Women

Introduction: To develop more culturally appropriate and effective intervention strategies, this qualitative study explored Korean American women’s barriers to mammography and their coping strategies within their sociocultural context. Methodology: Semistructured individual interviews were conducted with 30 Korean American women in 2016. Thematic analysis was used to analyze the data and identify themes. Results: Four themes and their associated subthemes emerged from the data: (1) barriers to accessing mammography (cost, time consuming and complicated procedure, and language barriers), (2) psychosocial concerns related to mammography (pain, discomfort and embarrassment, and exposure to radiation), (3) strategies to access mammography (identifying ways to get a cost-free mammogram and having procedure done in home country), and (4) ways to deal with psychosocial concerns (being positive and avoiding or postponing the procedures). Discussion: Health professionals should account for cultural differences including, but not limited to, patients’ concerns, access to care, and beliefs surrounding screening processes.