Asian Americans and Pacific Islanders account for over half of the 1.3 million chronic Hepatitis B cases and deaths from Hepatitis B virus (HBV) infection in the U.S. This excess risk can be attributed to high rates of HBV infection (particularly among first generation immigrants), in combination with low rates of HBV screening and vaccination due to cultural, linguistic, and financial barriers. Because of these combined risk factors, Asian Americans are often diagnosed with late stage cancer, resulting in low survival rates and high mortality rates. ? ? In response to this cancer-related health disparity, this project seeks to develop and implement educational programs to promote HBV screening and increase awareness of liver cancer prevention of Asian Americans in Maryland.
The specific aims are to: 1) Develop educational strategies tailored to the needs of target communities to increase public awareness of liver cancer prevention; 2) Implement theory-driven and culturally integrated community-based cancer intervention programs; and 3) Evaluate the effectiveness of the educational intervention on hepatitis B and liver cancer awareness and HBV screening behavior. ? ? Using a randomized control design, a total 900 Asian Americans (300 Vietnamese, Koreans, and Chinese each) age 18 and older will be recruited from 12 community-based organizations (CBO). Each CBO will be randomly assigned to either an intervention (n=6) or control group (n=6). Eligible participants will complete a survey and those in the intervention groups will participate in an educational program. An immediate post survey will be issued to examine the effects of the intervention on intention to obtain HBV screening. Participants will be telephone interviewed 6 months after the intervention to assess actual screening practice. Those in the control group will receive a delayed intervention after the posttest. The insights gained from this proposed liver cancer education program will be valuable in implementing cancer intervention programs for other high risk non-English speaking populations, including economically disadvantaged minorities and will address health disparities in immigrant populations. ? ? ? ?

Agency
National Institute of Health (NIH)
Institute
National Cancer Institute (NCI)
Type
Education Projects (R25)
Project #
1R25CA129042-01A1
Application #
7432919
Study Section
Subcommittee G - Education (NCI)
Program Officer
Gorelic, Lester S
Project Start
2008-08-18
Project End
2012-07-31
Budget Start
2008-08-18
Budget End
2009-07-31
Support Year
1
Fiscal Year
2008
Total Cost
$276,609
Indirect Cost
Name
Johns Hopkins University
Department
Public Health & Prev Medicine
Type
Schools of Public Health
DUNS #
001910777
City
Baltimore
State
MD
Country
United States
Zip Code
21218
Juon, Hee-Soon; Rimal, Rajiv N; Klassen, Ann et al. (2017) Social Norm, Family Communication, and HBV Screening among Asian Americans. J Health Commun 22:981-989
Lee, Sunmin; Chae, David H; Jung, Mary Y et al. (2016) Health Examination Is Not a Priority for Less Acculturated Asian Americans. J Racial Ethn Health Disparities :
Strong, Carol; Hur, Kevin; Kim, Frederic et al. (2015) Sociodemographic characteristics, knowledge and prevalence of viral hepatitis infection among Vietnamese Americans at community screenings. J Immigr Minor Health 17:298-301
Juon, Hee-Soon; Lee, Sunmin; Strong, Carol et al. (2014) Effect of a liver cancer education program on hepatitis B screening among Asian Americans in the Baltimore-Washington metropolitan area, 2009-2010. Prev Chronic Dis 11:130258
Lee, Sunmin; Chen, Lu; Jung, Mary Y et al. (2014) Acculturation and cancer screening among Asian Americans: role of health insurance and having a regular physician. J Community Health 39:201-12
Tanaka, Miho; Strong, Carol; Lee, Sunmin et al. (2013) Influence of information sources on hepatitis B screening behavior and relevant psychosocial factors among Asian immigrants. J Immigr Minor Health 15:779-87
Lee, Sunmin; Chen, Lu; He, Xin et al. (2013) A cluster analytic examination of acculturation and health status among Asian Americans in the Washington DC metropolitan area, United States. Soc Sci Med 96:17-23
Juon, Hee-Soon; Park, Byung Joon (2013) Effectiveness of a culturally integrated liver cancer education in improving HBV knowledge among Asian Americans. Prev Med 56:53-8
Lee, Sunmin; Yoon, Hyeyeon; Chen, Lu et al. (2013) Culturally appropriate photonovel development and process evaluation for hepatitis B prevention in Chinese, Korean, and Vietnamese American communities. Health Educ Behav 40:694-703
Philbin, Morgan M; Erby, Lori A H; Lee, Sunmin et al. (2012) Hepatitis B and liver cancer among three Asian American sub-groups: a focus group inquiry. J Immigr Minor Health 14:858-68

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