Asian American Health Needs Assessment
28
Asian American Health Needs Assessment Study Dispels Low Cancer Risk Among Asian Americans Beverly J. Gor, EdD, RD, LD, CDE, TruongSon Hoang, BS, Mike Hernandez, MS, Lovell A. Jones, PhD Center for Research on Minority Health Department of Health Disparities Research
Transcript of Asian American Health Needs Assessment
Asian American Health Needs Assessment
Study Dispels Low Cancer Risk Among Asian Americans
Beverly J. Gor, EdD, RD, LD, CDE, TruongSon Hoang, BS,Mike Hernandez, MS, Lovell A. Jones, PhD
Center for Research on Minority HealthDepartment of Health Disparities Research
Source: U.S. Census, 2000
Asian population in Houston
Asian Americans and Cancer
Literature indicates lower cancer ratesHigher rates of stomach, liver and cervical cancerGroupings for “whites” or “others” include
Asians and other ethnic groupsAggregated data masks true health problems within Asian subgroupsLack of data is a challenge for research or evaluation of trends
Cancer Risk Factors
Lack of physical activityLack of fruits and vegetablesObesityTobacco UseLack of cancer screenings
Asian American Health Needs Assessment
To collect scientifically sound data on the health practices and health beliefs of Asian Americans in Houston and the surrounding areaTo establish baseline data that can set the stage for future studies and research projects with Asian populationsTo compare data with that of other minority groups and the general populationTo provide the data to the targeted communities so they can apply for community development funding
Objectives: To collect scientifically sound data on the health
practices and health beliefs of Asian Americans in Houston and the surrounding areaTo establish baseline data that can set the stage for future studies and research projects with Asian populationsTo compare data with that of other minority groups and the general populationTo provide the data to the targeted communities so they can apply for community development funding
Survey Development & Administration
Texas Community Health Survey (CHS)Translated to Vietnamese and ChineseReviewed by Asian Community Health Review PanelRandomly selected Chinese/Vietnamese households from Asian surname listParticipants 18+ years oldInformed consent
AsANA Survey Instrument
From the Texas CHS:
DemographicsMental health Health practices
Physical examsCancer screeningsImmunization
DiseasesHeart diseaseDiabetesCancer
BehaviorsSmokingAlcohol useNutrition Physical activity
100+ questions
Added questions:
Cancer knowledgeAcculturationEnvironmental exposureAlternative therapyPainOral HealthColorectal cancer screeningMen’s healthHepatitis B immunization
AsANA Posters
AsANA Data
Data collection
4097 numbers called in nine weeks 1085 respondents814 completed interviews:
405 Chinese (25.7% refusal rate)38% male, 62% female
409 Vietnamese (23.8% refusal rate)48.2% male, 51.8% female
Calls averaged 25-40 minutes
Age Distribution
4.26.2
10.1
22
26.3
21.5
9.7 10
22.3
18
5.2
2.3
28.6
13.6
0
5
10
15
20
25
30
35
18-24 25-34 35-44 45-54 55-64 65-74 75+ yrs
%
Chinese Vietnamese
Residency Status
1
94.2
4.9
0.1
94.4
5.2
0
10
20
30
40
50
60
70
80
90
100
US Born Foreign Born Unknown
%
Chinese Vietnamese
English Proficiency
88.1
95.5
72.373.9
95.691.8
60.5
48.9
0
20
40
60
80
100
120
Speak Englishwell
Read Englishwell
Speak CH/VNwell
Read CH/VNwell
%
Chinese Vietnamese
Do you have any form of health insurance?
20.2
13.9
51.5
26.830.6
26.9
0
10
20
30
40
50
60
No
ChineseVietnameseTX WhiteTX BlackTX HispanicTX BRFSS
In your leisure time, how many days did you do vigorous exercise or activities?
61.8
22.4
37.3
27.6
33.5 33.3
0
10
20
30
40
50
60
70
None
ChineseVietnameseTX WhiteTX BlackTX HispanicTX BRFSS
How many servings of fruits or vegetables did you eat yesterday?
58.1
77.179.6 77.5
92.9
74.3
0102030405060708090
100
Less than 5 servings
ChineseVietnameseTX WhiteTX BlackTX HispanicTX BRFSS
Body Mass Index
BMI (Mean and Standard Deviation)
N=212
21.0 (6.1)N=197
22.3 (6.1)Vietnamese
N=251
21.0 (5.1)N=154
23.9 (2.9)Chinese
FemalesMales
Obesity & Acculturation
1
5.24.2
17
12.213.8 14.3
1.31.50.8
2.8
4.8
02468
1012141618
VN Males VN Females CH Males CH Females
% O
verw
eigh
t/Obe
se
<5 yrs5-10 yrs>10 yrs
Have you smoked at least 100 cigarettes in your entire life?
10
21.6
18.720.4
14.3
19.3
0
5
10
15
20
25
Yes
ChineseVietnameseTX WhiteTX BlackTX HispanicTX BRFSS
Have you smoked at least 100 cigarettes in your entire life?
33.8
43.9
4.4
0.205
101520253035404550
Yes
CH MalesCH FemalesVN MalesVN Females
Have you ever had a mammogram? (Women 40 yrs and older)
20.4
28.6
37.8
31
25.2
30.5
0
5
10
15
20
25
30
35
40
No
ChineseVietnameseTX WhiteTX BlackTX HispanicTX BRFSS
Have you ever had a Pap smear?(All women)
20.2
14.5
18.9
16.3
28.5
10.2
0
5
10
15
20
25
30
No
ChineseVietnameseTX WhiteTX BlackTX HispanicTX BRFSS
Have you ever had prostate cancer screening? (Men over 40 years old)
46.9
15.5
44.7
23.5
54.9
31.5
0
10
20
30
40
50
60
No
ChineseVietnameseTX WhitesTX BlacksTX HispanicsTX BRFSS
Have you ever had colorectal cancer screening? (Adults over 50 years old)
48.8
59.4
47.1
74.0 73.6
59.6
0
10
20
30
40
50
60
70
80
No
ChineseVietnameseTX WhitesTX BlacksTX HispanicsTX BRFSS
Cancer risk for Asians in Houston
Inadequate physical activity Inadequate fruit and vegetable
consumptionObesity rates increasingHigh smoking rate among Asian
males Low cancer screening rates
What does this mean for cancer prevention efforts?
Further analysis and dissemination of AsANA dataProviding this information to community partners and their membersCulturally & linguistically appropriate cancer prevention education programsImproving access to carePeriodic re-surveying of the population
Acknowledgements
Funding for this project was provided by
The National Center onMinority Health and HealthDisparities (NCMHD)
Purdue Pharma
Asian American Network for Cancer, Awareness, Research and Training
