The Role of Cultural Health Beliefs on Health Behaviors among ...

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The Role of Cultural Health Beliefs on Health Behaviors among Chinese, Korean, & Mexican American Breast Cancer Survivors PI's: Drs. Patricia Gonzalez, Jung-Wong Lim & Ming Wang Students: Suirong Li & Mee Yon Yum Advisor: Dr. Kimlin Ashing-Giwa December 11, 2008

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Background Breast growth (BC) is the most much of the time analyzed disease in Asian-and Latina-American ladies. Good survivorship results for ladies with BC might be ascribed to ways of life and behavioral elements. Given the developing ethnic minority populaces in the U.S., and rising wellbeing dissimilarity issues in growth results, social variables of ethnic minorities should be considered

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Overall Goal Examine the connections among social wellbeing convictions, wellbeing practices, and elements affecting them among Chinese, Korean and Mexican bosom disease survivors (BCS). Investigate the distinctions as well as similitudes in social wellbeing convictions & wellbeing practices among Chinese-, Korean-& Mexican-American BCS.

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Phase I Specific Aims 1. Look at how cultural assimilation is identified with social wellbeing convictions 2. Analyze whether social wellbeing convictions are identified with treatment-related choices, specialist tolerant connections, and wellbeing practices. 3. Inspect whether treatment-related choices and specialist understanding connections intervene the relationship between social wellbeing convictions and wellbeing practices. 4. Look at the distinctions and additionally likenesses in cultural assimilation, social wellbeing convictions, treatment-related choices, specialist understanding connections, and wellbeing practices among Chinese-, Korean-, and Mexican-American BCS.

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Phase II Specific Aims 1. Investigate the social wellbeing convictions and wellbeing practices among Chinese-, Korean-, and Mexican-American BCS. 2. Investigate the variables (e.g., cultural assimilation, specialist tolerant connections) affecting wellbeing practices among Chinese, Korean, and Mexican BCS.

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Phase I: Overall Framework Treatment Decision H2 H5 Health conduct Acculturation Cultural wellbeing convictions H1 H4 H6 Doctor-persistent Relationship H3

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Research Method Sample Measures N = 237 Chinese (N=85), Korean (N=29), Mexican (N=123) Age > 18 Stage 0-III CCSP, Hospital registries Community offices Health practices : Self-report wellbeing conduct instrument (5-things)  Diet, work out, option solution, push administration Cultural wellbeing convictions: The Multidimensional Health Locus of Control (4-things) + 3 new things Acculturation: Short Acculturation scale (7-thing) Methods Cross-sectional Population-based Mixed Methods Culturally Responsive Model Doctor-understanding relationship: The Adherence Determinant Questionnaire (6-things) Treatment-related choice (1-thing)  Secondary information examinations

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Data Analyses Descriptive insights Pearson item minute connections T –Tests ANOVAs Chi-Squares

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Table 1. Cultural assimilation and social wellbeing convictions (Aim1: H1) *p<0.05, **p<0.01, ***p<0.001

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Table 2. Social wellbeing convictions and specialist understanding relationship (Aim2: H2) *p<0.05, **p<0.01

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Table 3. Social wellbeing convictions and wellbeing practices (Aim2: H3) *p<0.05

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Mediating impacts of treatment-related choice and specialist tolerant relationship (Aim 3: H5) Treatment choice Doctor-persistent relationship Health conduct Cultural Health conviction Treatment-related choices and specialist quiet relationship did not intervene the relationship between social wellbeing convictions and wellbeing practices. Along these lines, discoveries did not bolster the speculation.

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Table 4. Cultural assimilation & Doctor-persistent relationship by Ethnicity & Language (Aim 4: H6) *p<0.05, **p<0.01, ***p<0.001

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Table 5. Treatment-related choices by ethnicity (Aim4: H6) **p<0.01

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Table 6. Wellbeing conduct changes by ethnicity (Aim 4: H6) * P < 0.05

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Conclusions This examination is the main study to think about wellbeing practices and social wellbeing convictions crosswise over Chinese, Korean-and Latina BCS. The different specimen gives an extraordinary chance to start investigation wellbeing practices and wellbeing conviction issues. Comes about recommend that social setting must be considered when understanding wellbeing practices among BCS.

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Limitations Participants may have given socially satisfactory reactions Self report information are liable to review predisposition Certain wellbeing conduct data was excluded Korean-American specimen size was little

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Activities to Date Phase I Identified factors in view of research theories Secondary information examinations and understanding Findings reported/Manuscript Development Phase II Focus Group Protocol and method arrangement Questionnaire Contacted people group organizations for enrollment Two Chinese center gatherings led One Korean center gathering led

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Activities to Date (cont.) Abstracts and Manuscripts Two Poster presentations One Oral presentation One original copy in press (Supportive Care in Cancer) Two in readiness Student look into associates selected Training and learning

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Timeline & Tasks Completed In process Target Schedule

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Acknowledgments Research Assistants: Ann Lee Suirong Li Mee Yon Yum Ariel Bianca Moreno Dr. Ashing-Giwa: Mentor Dr. Susan Kane & Dr. Jamil Momand Funding Source: NIH: 1P20CA118783-01A1 & 1P20CA118775-01A