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Tailored lay health worker intervention improves breast cancer screening outcomes in non-adherent Korean-American women.

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Title: Tailored lay health worker intervention improves breast cancer screening outcomes in non-adherent Korean-American women.
Authors: Hae-Ra Han1 hhan@son.jhmi.edu, Lee, H.2, Kim, M. T.1, Kim, K. B.3
Source: Health Education Research. Apr2009, Vol. 24 Issue 2, p318-329. 12p.
Subject Terms: *Health education of women, *Health promotion, *Health education aids & devices, Korean American women, Breast cancer diagnosis, Medical screening, Medical care use, Patient-professional relations, Diseases, Services for immigrants, Mammograms, Health behavior, Non-English speaking people
Abstract: Despite rapidly increasing incidence rates of breast cancer, recent immigrants such as Korean-American (KA) women report disproportionately lower utilization of screening tests compared with other ethnic groups. Early screening of breast cancer for this population may be greatly facilitated by indigenous lay health workers (LHWs). We conducted an intervention trial with a 6-month follow-up. Trained LHWs recruited 100 KA women 40 years of age or older who had not had a mammogram during the past 2 years. Ninety-three completed follow-up questionnaires. A 120-min, in-class education combined with LHW follow-up counseling and navigation assistance through the health care system was provided. Rates of breast cancer screening behaviors significantly increased at 6 months (P < 0.001); changes between pre- and post-intervention were 31.9% for mammography, 23% for clinical breast examination and 36.2% for breast self-examination. Modesty toward screening significantly decreased over time, but we did not find any significant differences in breast cancer knowledge and beliefs before and after the intervention. Results support the efficacy of this neighborhood-based, culturally sensitive intervention. Further research should seek to replicate these findings and to incorporate more self-care skills such as health literacy when designing an intervention program for linguistically and culturally isolated immigrant women. [ABSTRACT FROM AUTHOR]
Copyright of Health Education Research is the property of Oxford University Press / USA and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Education Research Complete
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  Data: Tailored lay health worker intervention improves breast cancer screening outcomes in non-adherent Korean-American women.
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  Data: &lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Hae-Ra+Han%22&quot;&gt;Hae-Ra Han&lt;/searchLink&gt;&lt;relatesTo&gt;1&lt;/relatesTo&gt;&lt;i&gt; hhan@son.jhmi.edu&lt;/i&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Lee%2C+H%2E%22&quot;&gt;Lee, H.&lt;/searchLink&gt;&lt;relatesTo&gt;2&lt;/relatesTo&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Kim%2C+M%2E+T%2E%22&quot;&gt;Kim, M. T.&lt;/searchLink&gt;&lt;relatesTo&gt;1&lt;/relatesTo&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Kim%2C+K%2E+B%2E%22&quot;&gt;Kim, K. B.&lt;/searchLink&gt;&lt;relatesTo&gt;3&lt;/relatesTo&gt;
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  Data: &lt;searchLink fieldCode=&quot;JN&quot; term=&quot;%22Health+Education+Research%22&quot;&gt;Health Education Research&lt;/searchLink&gt;. Apr2009, Vol. 24 Issue 2, p318-329. 12p.
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– Name: Abstract
  Label: Abstract
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  Data: Despite rapidly increasing incidence rates of breast cancer, recent immigrants such as Korean-American (KA) women report disproportionately lower utilization of screening tests compared with other ethnic groups. Early screening of breast cancer for this population may be greatly facilitated by indigenous lay health workers (LHWs). We conducted an intervention trial with a 6-month follow-up. Trained LHWs recruited 100 KA women 40 years of age or older who had not had a mammogram during the past 2 years. Ninety-three completed follow-up questionnaires. A 120-min, in-class education combined with LHW follow-up counseling and navigation assistance through the health care system was provided. Rates of breast cancer screening behaviors significantly increased at 6 months (P &lt; 0.001); changes between pre- and post-intervention were 31.9% for mammography, 23% for clinical breast examination and 36.2% for breast self-examination. Modesty toward screening significantly decreased over time, but we did not find any significant differences in breast cancer knowledge and beliefs before and after the intervention. Results support the efficacy of this neighborhood-based, culturally sensitive intervention. Further research should seek to replicate these findings and to incorporate more self-care skills such as health literacy when designing an intervention program for linguistically and culturally isolated immigrant women. [ABSTRACT FROM AUTHOR]
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  Data: &lt;i&gt;Copyright of Health Education Research is the property of Oxford University Press / USA and its content may not be copied or emailed to multiple sites without the copyright holder&#39;s express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.&lt;/i&gt; (Copyright applies to all Abstracts.)
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RecordInfo BibRecord:
  BibEntity:
    Languages:
      – Code: eng
        Text: English
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      Pagination:
        PageCount: 12
        StartPage: 318
    Subjects:
      – SubjectFull: Health education of women
        Type: general
      – SubjectFull: Health promotion
        Type: general
      – SubjectFull: Health education aids & devices
        Type: general
      – SubjectFull: Korean American women
        Type: general
      – SubjectFull: Breast cancer diagnosis
        Type: general
      – SubjectFull: Medical screening
        Type: general
      – SubjectFull: Medical care use
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      – SubjectFull: Patient-professional relations
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      – SubjectFull: Diseases
        Type: general
      – SubjectFull: Services for immigrants
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      – SubjectFull: Mammograms
        Type: general
      – SubjectFull: Health behavior
        Type: general
      – SubjectFull: Non-English speaking people
        Type: general
    Titles:
      – TitleFull: Tailored lay health worker intervention improves breast cancer screening outcomes in non-adherent Korean-American women.
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            NameFull: Hae-Ra Han
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            NameFull: Lee, H.
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            NameFull: Kim, M. T.
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              Text: Apr2009
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              Y: 2009
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