47 results on '"Chen Jr, Moon S."'
Search Results
2. Association Between COVID-19 and Planned and Postponed Cancer Screenings Among American Indian Adults Residing in California and Oklahoma, March–December 2020.
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Dang, Julie H.T., Chen, Sixia, Hall, Spencer, Campbell, Janis E., Chen Jr, Moon S., and Doescher, Mark P.
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INDIGENOUS peoples of California ,MEDICAL protocols ,RESEARCH funding ,CERVIX uteri tumors ,ENDOWMENTS ,EARLY detection of cancer ,BREAST tumors ,FISHER exact test ,COLORECTAL cancer ,MULTIVARIATE analysis ,CHI-squared test ,DESCRIPTIVE statistics ,ODDS ratio ,CONFIDENCE intervals ,SOCIAL support ,DATA analysis software ,COVID-19 pandemic ,NATIVE Americans ,SOCIAL distancing - Abstract
Objective: Little is known about how the COVID-19 pandemic affected cancer screenings among American Indian people residing in California and Oklahoma, 2 states with the largest American Indian populations. We assessed rates and factors associated with cancer screenings among American Indian adults during the pandemic. Methods: From October 2020 through January 2021, we surveyed 767 American Indian adults residing in California and Oklahoma. We asked participants whether they had planned to obtain screenings for breast cancer, cervical cancer, and colorectal cancer (CRC) from March through December 2020 and whether screening was postponed because of COVID-19. We calculated adjusted odds ratios (AORs) for factors associated with reasons for planned and postponed cancer screening. Results: Among 395 participants eligible for breast cancer screening, 234 (59.2%) planned to obtain the screening, 127 (54.3%) of whom postponed it. Among 517 participants eligible for cervical cancer screening, 357 (69.1%) planned to obtain the screening, 115 (32.2%) of whom postponed it. Among 454 participants eligible for CRC screening, 282 (62.1%) planned to obtain CRC screening, 80 of whom (28.4%) postponed it. In multivariate analyses, women who lived with a child (vs did not) had lower odds of planning to obtain a breast cancer screening (AOR = 0.6; 95% CI, 0.3-1.0). Adherence to social distancing recommendations was associated with planning to have and postponement of cervical cancer screening (AOR = 7.3; 95% CI, 0.9-58.9). Participants who received (vs did not receive) social or financial support had higher odds of planning to have CRC screening (AOR = 2.0; 95% CI, 1.1-3.9). Conclusion: The COVID-19 pandemic impeded completion of cancer screenings among American Indian adults. Interventions are needed to increase the intent to receive evidence-based cancer screenings among eligible American Indian adults. [ABSTRACT FROM AUTHOR] more...
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- 2025
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3. Effect of an Educational Video to Increase Calls and Screening into an Anal Cancer Clinical Trial Among HIV+ Hispanics in PR: Results from a Randomized Controlled Behavioral Trial
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Ortiz, Ana P., Machin, Mark, Soto-Salgado, Marievelisse, Centeno-Girona, Hilmaris, Rivera-Collazo, Darilyn, González, Daisy, Chen, Jr., Moon S., and Colón-López, Vivian
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- 2019
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4. Electronic health record alerts enhance mass screening for chronic hepatitis B
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Chak, Eric, Li, Chin-Shang, Chen, Jr., Moon S., MacDonald, Scott, and Bowlus, Christopher
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- 2020
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5. "You Don't Know If It's the Truth or a Lie": Exploring Human Papillomavirus (HPV) Vaccine Hesitancy among Communities with Low HPV Vaccine Uptake in Northern California.
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Dang, Julie H. T., Gori, Alexandra, Rios, Lucy, Rolon, Angelica M., Zhang, Jingwen, and Chen Jr., Moon S.
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VACCINE hesitancy ,HUMAN papillomavirus vaccines ,HUMAN papillomavirus ,VACCINATION status ,VACCINATION coverage - Abstract
Background: Vaccine hesitancy, delaying or refusing to vaccinate despite the availability of vaccines, impedes the progress of achieving optimal HPV vaccine coverage. Little is known about the sources of human papillomavirus (HPV) vaccine hesitancy among racially/ethnically and geographically diverse communities. The purpose of this paper is to explore HPV vaccine hesitancy among rural, Slavic, and Latino communities that reside in counties with low HPV vaccine uptake rates. Methods: Key informant interviews and focus groups were conducted with rural, Slavic, and Latino communities that reside within counties in California that have low HPV vaccine up to date rates (16–25%). Qualitative data were transcribed verbatim and analyzed using inductive and deductive thematic analysis. Results: A total of seven focus groups and 14 key informant interviews were conducted with 39 individuals from seven California counties. Salient themes that contributed to HPV vaccine hesitancy included the following: social media and the anti-vaccination movement; a strong belief in acquiring immunity naturally; prior vaccine experiences; and vaccine timing concerns. Participants suggested the provision of culturally appropriate, in-language, in-person easy to understand HPV vaccine education to mitigate HPV vaccine hesitancy. Conclusions: Our findings can inform future interventions to increase HPV vaccine uptake among hesitant communities. [ABSTRACT FROM AUTHOR] more...
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- 2024
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6. Tobacco and marijuana use during the COVID-19 pandemic lockdown among American Indians residing in California and Oklahoma.
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Dang, Julie H. T., Chen, Sixia, Hall, Spencer, Campbell, Janis E., Chen Jr., Moon S., and Doescher, Mark P.
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CANNABIS (Genus) ,SUBSTANCE abuse ,COVID-19 ,CROSS-sectional method ,AGE distribution ,PSYCHOLOGY of Native Americans ,INCOME ,DESCRIPTIVE statistics ,EMPLOYMENT ,HEALTH attitudes ,ALCOHOL drinking ,RESEARCH funding ,STAY-at-home orders ,SMOKING ,STATISTICAL sampling ,MARITAL status ,COVID-19 pandemic - Abstract
INTRODUCTION American Indian (AI) people experience a disproportionate tobacco and marijuana burden which may have been exacerbated by the COVID-19 pandemic. Little is known about the tobacco and marijuana habits of American Indian individuals during the COVID-19 pandemic. The objective of this study is to examine tobacco and marijuana use as well as change in use during the COVID-19 pandemic among the American Indian community. METHODS This cross-sectional study analyzes survey data from a convenience sample of American Indian individuals residing in California and Oklahoma and included adults with and without cancer that resided in both rural and urban areas (n=1068). RESULTS During October 2020 -- January 2021, 36.0% of participants reported current use of tobacco products, 9.9% reported current use of marijuana products, and 23.7% reported increased use of tobacco and/or marijuana in the past 30 days, with no difference between those with cancer and those without cancer. Tobacco use was associated with marital status, age, employment status, COVID-19 exposure, COVID-19 beliefs, and alcohol consumption. Marijuana use was associated with COVID-19 beliefs, alcohol consumption, and income level. Increased tobacco and/or marijuana use was associated with baseline use of those products. Nearly a quarter of participants reported increased use of tobacco and/ or marijuana products during the COVID-19 pandemic. CONCLUSIONS We observed high rates of tobacco use during the COVID-19 pandemic, consistent with other studies. Research is needed to examine whether tobacco and marijuana use will decrease to pre-pandemic levels post-pandemic or if these behaviors will persist post-pandemic. Given these findings, there is a pressing need to increase access to evidence-based tobacco and marijuana treatment services in the AI population post COVID-19 pandemic. [ABSTRACT FROM AUTHOR] more...
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- 2023
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7. Social Environmental Influences on Smoking and Cessation: Qualitative Perspectives Among Chinese-Speaking Smokers and Nonsmokers in California
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Saw, Anne, Paterniti, Debora, Fung, Lei-Chun, Tsoh, Janice Y., Chen, Jr., Moon S., and K. Tong, Elisa
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- 2017
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8. Diabetes Prevalence and Risk Factors in Four Asian American Communities
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Stewart, Susan L., Dang, Julie, and Chen, Jr., Moon S.
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- 2016
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9. Engaging diverse populations about biospecimen donation for cancer research
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Dang, Julie H. T., Rodriguez, Elisa M., Luque, John S., Erwin, Deborah O., Meade, Cathy D., and Chen, Jr., Moon S.
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- 2014
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10. Electronic Messages Increase Hepatitis B Screening in At-Risk Asian American Patients: A Randomized, Controlled Trial
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Hsu, Leeyen, Bowlus, Christopher L., Stewart, Susan L., Nguyen, Tram Thanh, Dang, Julie, Chan, Brian, and Chen, Jr., Moon S.
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- 2013
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11. Factors Associated with Hepatitis B Testing Among Vietnamese Americans
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Nguyen, Tung T., McPhee, Stephen J., Stewart, Susan, Gildengorin, Ginny, Zhang, Lena, Wong, Ching, Maxwell, Annette E., Bastani, Roshan, Taylor, Vicky M., and Chen, Jr, Moon S.
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- 2010
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12. A Cancer Health Needs Assessment Reveals Important Differences Between US-Born and Foreign-Born Latinos in California.
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Quino, Juanita Elizabeth, Perez, Fabian, Perez, Angelica, Vang, April Pangia, Avendano, Leonie, Dang, Julie, Chen Jr, Moon S., Arana, Alexa Morales, Rocha, Sienna, Nuno, Miriam, Lara Jr, Primo N., Fejerman, Laura, and Carvajal-Carmona, Luis G. more...
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HISPANIC Americans ,NEEDS assessment ,WATERSHEDS ,EARLY detection of cancer ,PAP test ,BILINGUALISM ,NATIVE language - Abstract
Background: Cancer is the leading cause of death among Latinos, the largest minority population in the United States (US). To address cancer challenges experienced by Latinos, we conducted a catchment area population assessment (CAPA) using validated questions from the National Cancer Institute (NCI) population health assessment supplement at our NCI-designated cancer center in California. Methods: A mixed-methods CAPA was administered by bilingual-bicultural staff, with a focus on understanding the differences between foreign-born and US-born Latinos. Results: 255 Latinos responded to the survey conducted between August 2019 and May 2020. Most respondents were foreign-born (63.9%), female (78.2%), and monolingual Spanish speakers (63.2%). Results showed that compared to US-born Latinos, foreign-born individuals were older, had lower educational attainment, were most likely to be monolingual Spanish speakers, were low-income, and were more likely to be uninsured. Foreign-born Latinos had lower levels of alcohol consumption and higher consumption of fruits and vegetables. The rate of preventive cancer screenings for breast, cervical and colorectal cancer did not differ by birthplace, although a low fraction (35.3%) of foreign-born Latinas who were up-to-date compared to US-born Latinas (83.3%) with colorectal cancer screening was observed. Time since the last routine check-up for all preventable cancers (cervical p=0.0002, breast p=0.0039, and colorectal p=0.0196) is significantly associated with being up to date with cancer screening. Individuals who had a check-up of two or more years ago are 84% less likely to be up to date with pap smears than those who had a check-up within the year (p=0.0060). Individuals without health Insurance are 94% less likely to be up to date with mammograms and colonoscopy/FIT tests (p=0.0016 and p=0.0133, respectively) than those who are insured. There is no significant association between screening and nativity. Conclusions: Considerable differences in socio-economic and environmental determinants of health and colorectal cancer screening rates were observed between US-born and foreign-born Latinos. The present study represents the foundation for future targeted intervention among immigrant populations at our cancer center's catchment area. [ABSTRACT FROM AUTHOR] more...
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- 2022
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13. Erratum to: A Qualitative Study of Motivations for Minority Recruitment in Cancer Clinical Trials Across Five NCI-Designated Cancer Centers
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Simoni, Zachary R., Martin, M. Y., Wenzel, Jennifer, Cook, Elise D., Konety, Badrinath, Vickers, Selwyn M., Chen, Jr., Moon S., Foaud, Mona N., and Durant, Raegan W.
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- 2017
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14. Barriers to Diabetes Management Among Hmong: Patients' and Physicians' Perspectives.
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Lao, Lue, Chen Jr, Moon S., Stewart, Susan L., and Fang, Dao M.
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PHYSICIANS' attitudes , *HMONG (Asian people) , *TYPE 2 diabetes , *ETHNIC groups , *CHINESE people , *MEDICAL care , *FOOD habits , *COMMUNITY gardens - Abstract
The Hmong, an ethnic group from Laos, have a higher prevalence of diabetes mellitus type 2 than non-Hispanic Whites, Chinese, Korean, and Vietnamese [1, 2, 3]. The Hmong immigrated to the United States after the Vietnam War and brought with them their practice of Shamanism and herbal medicine [8, 10]. Religious, cultural, and language differences are potential barriers to medical care for Hmong patients [10]. This qualitative study explored barriers to diabetes management among Hmong patients. We interviewed twenty-one Hmong patients and five physicians at a clinic in Sacramento, California. Patients and physicians agreed that culture, education, attitudes, and beliefs were major barriers. Findings from this study call for public health interventions to improve diabetes management among Hmong patients. Effective interventions may include a culturally and linguistically tailored education class, a community garden to promote exercise and healthy eating, a Hmong diabetic meal plan, and engagements between health centers and the Hmong community. [ABSTRACT FROM AUTHOR] more...
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- 2021
15. How a Priority of Community Outreach and Engagement Is Changing Health Equity at Cancer Centers.
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Jacobsen, Paul B., Baskin, Monica L., Chen Jr., Moon S., Herbst, Roy S., and Lathan, Christopher S.
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- 2021
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16. Special Convening and Listening Session on Health Equity and Community Outreach and Engagement at National Cancer Institute-Designated Comprehensive Cancer Centers.
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Doykos, Patricia M., Chen Jr., Moon S., Watson, Karriem, Henderson, Vida, Baskin, Monica L., Downer, Sarah, Smith, Lauren A., Bhavaraju, Neeraja, Dina, Samantha, and Lathan, Christopher S.
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- 2021
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17. Recommendations from a Dialogue on Evolving National Cancer Institute-Designated Comprehensive Cancer Center Community Outreach and Engagement Requirements: A Path Forward.
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Doykos, Patricia M., Chen Jr., Moon S., Watson, Karriem, Henderson, Vida, Baskin, Monica L., Downer, Sarah, Smith, Lauren A., Bhavaraju, Neeraja, Dina, Samantha, and Lathan, Christopher S.
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- 2021
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18. Comparing Disease Burden of Diabetes Mellitus Type 2 between Hmong and other Ethnic Groups.
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Lue Lao, Chen Jr., Moon S., and Stewart, Susan L.
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TYPE 2 diabetes , *ETHNIC groups , *HISPANIC Americans , *PEOPLE with diabetes - Abstract
The Hmong, an ethnic group in Laos, immigrated to the United States at the end of the Vietnam War.7 Minnesota and California have the largest Hmong populations.9 Hmong were historically farmers and hunter-gatherers with inadequate food supply in Laos. Here in America, with a surplus of food and a sedentary lifestyle, the Hmong are at increased risk for diabetes, hence the Thrifty Gene Hypothesis.3,4,6,11 This retrospective study compares the prevalence and control of diabetes mellitus-type 2 between the Hmong and other ethnic and racial groups at the Health And Life Organization (HALO) clinic in Sacramento, California. A total of 9,285 charts were reviewed. The Hmong had the highest prevalence but poorest control of diabetes mellitus when compared with the Laotian, Vietnamese, Blacks, Whites, and Hispanics (chi-square p-value <.0001 for difference in prevalence and control). This paper calls for future studies to explore barriers to management and modifiable risk factors among Hmong diabetic patients. [ABSTRACT FROM AUTHOR] more...
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- 2020
19. Incorporating cultural values and use of technology platforms may help outreach Asian Americans in cancer clinical trial participation
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Sun, Angela, primary, Cheng, Joyce, additional, Dang, Julie H.T., additional, Cuaresma, Charlene, additional, Valdez-Dadia, Annalyn, additional, Mesia, Rachel J., additional, Lo, Penny, additional, Chow, Edward A., additional, Ho, Vanessa, additional, Nguyen, Tung T., additional, and Chen, Jr., Moon S., additional more...
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- 2018
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20. Increasing Hepatitis B Testing and Linkage to Care of Foreign-Born Asians, Sacramento, California, 2012–2013
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Dang, Julie H.T., primary and Chen Jr., Moon S., additional
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- 2016
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21. Electronic Medical Alerts Increase Screening for Chronic Hepatitis B: A Randomized, Double-Blind, Controlled Trial.
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Chak, Eric, Taefi, Amir, Chin-Shang Li, Chen Jr, Moon S., Harris, Aaron M., MacDonald, Scott, and Bowlus, Christopher
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Background: Implementation of screening recommendations for chronic hepatitis B (CHB) among foreign-born persons at risk has been sub-optimal. The use of alerts and reminders in the electronic health record (EHR) has led to increased screening for other common conditions. The aim of our study was to measure the effectiveness of an EHR alert on the implementation of hepatitis B surface antigen (HBsAg) screening of foreign-born Asian and Pacific Islander (API) patients. Methods: We used a novel technique to identify API patients by self-identified ethnicity, surname, country of origin, and language preference, and who had no record of CHB screening with HBsAg within the EHR. Patients with Medicare and/or Medicaid insurance were excluded due to lack of coverage for routine HBsAg screening at the time of this study. At-risk API patients were randomized to alert activation in their EHR or not (control). Results: A total of 2,987 patients met inclusion criteria and were randomized to the alert (n = 1,484) or control group (n = 1,503). In the alert group, 119 patients were tested for HBsAg, compared with 48 in the control group (odds ratio, 2.64; 95% confidence interval, 1.88-3.73; P < 0.001). In the alert group, 4 of 119 (3.4%) tested HBsAg-positive compared with 5 of 48 (10.4%) in the control group (P = 0.12). Conclusions: An EHR alert significantly increased HBsAg testing among foreign-born APIs. [ABSTRACT FROM AUTHOR] more...
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- 2018
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22. Community-Based Services to Improve Testing and Linkage to Care Among Non-U.S.-Born Persons with Chronic Hepatitis B Virus Infection - Three U.S. Programs, October 2014-September 2017.
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Harris, Aaron M., Link-Gelles, Ruth, Kim, Karen, Chandrasekar, Edwin, Su Wang, Bannister, Nicole, Pong, Perry, Chak, Eric, Chen Jr., Moon S., Bowlus, Christopher, Nelson, Noele P., Wang, Su, and Chen, Moon S Jr more...
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CHRONIC hepatitis B ,MEDICAL care ,CHRONIC diseases ,PREVENTIVE medicine ,CHRONIC hepatitis C ,COMMUNITY health services administration ,HEPATITIS B vaccines ,HEPATITIS viruses ,IMMIGRANTS ,MEDICAL referrals ,MEDICAL screening ,VIRAL antigens ,EVALUATION of human services programs ,DIAGNOSIS ,THERAPEUTICS - Abstract
Among an estimated 850,000 to 2.2 million persons with chronic hepatitis B virus (HBV) infection in the United States, 70% are non-U.S.-born (1,2). All patients require linkage to care, and approximately 20%-40% require antiviral treatment (3). Without treatment, one in four persons chronically infected with HBV will die prematurely from liver failure, liver cirrhosis, or hepatocellular carcinoma (4). To mitigate morbidity and mortality, CDC funded a cooperative agreement to develop hepatitis B testing and linkage-to-care programs serving non-U.S.-born persons during October 2014-September 2017. This report describes each program's operational services and partnerships with primary care centers, community-based organizations, and public health departments to recruit non-U.S.-born persons for HBV testing using the hepatitis B surface antigen (HBsAg) and link those whose test results were positive to HBV-directed care (medical visit attendance with monitoring of HBV DNA and liver enzyme tests). Among 10,152 program participants, 757 (7.5%) were HBsAg-positive, indicative of chronic HBV infection; among these, 643 (85%) attended ≥1 medical visit, 587 (78%) received HBV-directed care, and 137 (18%) were prescribed antiviral treatment. Among 273 household contacts of HBsAg-positive persons, 39 (14%) had positive test results for HBsAg. Prevalence of current HBV infection was high in this non-U.S.-born population and among household and sexual contacts of HBV-infected persons. HBV testing and linkage to care can be achieved through partnerships with community organizations, health centers, and public health departments. [ABSTRACT FROM AUTHOR] more...
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- 2018
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23. Time, trust, and transparency: Lessons learned from collecting blood biospecimens for cancer research from the Asian American community.
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Dang, Julie H. T., Chen, Jr., Moon S., and Chen, Moon S Jr.
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CANCER research , *TRANSPARENCY (Optics) , *DIRECTED blood donations , *PLASMA gases , *ASIAN Americans - Abstract
Background: Biospecimens from racially diverse groups are needed to advance cancer research. The Asian American Cancer Education Study was developed to increase the number and proportion of blood biospecimen donations from Asian Americans for cancer research.Methods: The authors' targeted approach included 2 types of community engagement, in-reach (within institution to Asian American patients with cancer) and outreach (external to institution to the general Asian American community). Participants received in-language biospecimen education followed by the opportunity to donate blood biospecimens. Outreach participants donated through our community biospecimen blood drives, and in-reach participants consented to donating an extra tube of blood during their routine blood draws as a patient. Donated blood biospecimens were spun down to serum and plasma to be stored in a biorepository or were sent to the laboratory to test for cancer-related risk factors.Results: Three hundred eighty-eight Asian Americans donated 1127 blood biospecimens for cancer research. Four hundred twenty tubes of plasma and serum are currently being stored at the cancer center's biorepository, 39 tubes have been used for cancer genomic research, and 668 tubes were used to characterize cancer-related risk factors.Conclusions: Building upon the past decade of the National Cancer Institute-funded Asian American Network for Cancer Awareness, Research, and Training's foundation of trust and service among Asian Americans, researchers were able to leverage relationships not only to introduce the idea of biospecimen contribution to the community but to also exceed expectations with regard to the quantity of blood biospecimens collected from Asian Americans. Cancer 2018;124:1614-21. © 2018 American Cancer Society. [ABSTRACT FROM AUTHOR] more...- Published
- 2018
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24. The Asian American Network for Cancer Awareness, Research, and Training (AANCART)'s contributions toward reducing Asian American cancer health disparities, 2000-2017.
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Chen, Jr., Moon S., Chow, Edward A., Nguyen, Tung T., and Chen, Moon S Jr.
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CANCER research , *HEALTH of Asian Americans , *CANCER , *INFRASTRUCTURE (Economics) - Abstract
Background: In 2000 and in 2 subsequent 5-year cycles, the National Cancer Institute funded grantees on a regional and national basis to address community needs for cancer awareness, research, and training. The Asian American Network for Cancer Awareness, Research and Training (AANCART) is fortunate to have been funded since 2000 to focus on mitigating cancer health disparities facing Asian Americans residing primarily in California and Hawaii. This article highlights AANCART's achievements with respect to the original specific aims and unanticipated outcomes in its most recent funded cycle.Methods: Sources included reports to the National Cancer Institute and peer-reviewed articles as well as the insights of the 3 principal investigators.Results: All aims of the original application (infrastructure, outreach, research, and training) were attained or exceeded. Most distinctive was the completion and publication of 8 randomized controlled trials to address Asian American cancer health disparities and its nurture of 14 new and early stage investigators who have been productive in terms of research career trajectories.Conclusions: AANCART is contributing to mitigating Asian American cancer health disparities by catalyzing academic and community collaborations that have resulted in linguistically specific and culturally tailored educational products, scientifically rigorous interventions addressed at cancer risk factors, and nurturing new and early stage Asian American cancer investigators. Cancer 2018;124:1527-34. © 2018 American Cancer Society. [ABSTRACT FROM AUTHOR] more...- Published
- 2018
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25. High frequency of the PNPLA3 rs738409 [G] single-nucleotide polymorphism in Hmong individuals as a potential basis for a predisposition to chronic liver disease.
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Tepper, Clifford G., Dang, Julie H. T., Stewart, Susan L., Fang, Dao M., Wong, Kimberly A., Liu, Stephenie Y., Davis, Ryan R., Dao, Doan Y., Gregg, Jeffrey P., Török, Natalie J., Chen, Jr., Moon S., and Chen, Moon S Jr. more...
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LIVER diseases ,PHOSPHOLIPASES ,FATTY liver ,SINGLE nucleotide polymorphisms ,GENERALIZABILITY theory ,PATIENTS - Abstract
Background: An exploratory study was performed to determine the prevalence of the patatin-like phospholipase domain-containing protein 3 (PNPLA3) rs78409 [G] allele among the Hmong as a risk factor for nonalcoholic fatty liver disease (NAFLD). NAFLD/nonalcoholic steatohepatitis is the world's most common chronic liver disease and is expected to replace viral hepatitis as the leading cause of cirrhosis and potential precursor to hepatocellular carcinoma (HCC). Of all populations in California, the Hmong experience the highest risk of death from HCC and the highest prevalence of metabolic syndrome risk factors among Asians that predispose them to NAFLD. Here a genetic explanation was sought for the high rates of chronic liver disease among the Hmong. The literature pointed to the PNPLA3 rs738409 [G] allele as a potential genetic culprit.Methods: Cell-free DNA was isolated from 26 serum samples previously collected in community settings. Quantitative polymerase chain reaction-based single-nucleotide polymorphism (SNP) genotyping was performed with a validated TaqMan SNP genotyping assay, and results were analyzed with TaqMan Genotyper software.Results: The PNPLA3 rs738409 [C>G] variant occurred at a frequency of 0.46 (12 of 26; 95% confidence interval, 0.27-0.67). This carrier rate would rank the Hmong as the third highest population in the 1000 Genomes Project.Conclusions: Although this small sample size limits the generalizability, the high frequency rates of this allele along with the presence of metabolic syndrome risk factors warrant further studies into the etiology of NAFLD among the Hmong. Cancer 2018;124:1583-9. © 2018 American Cancer Society. [ABSTRACT FROM AUTHOR] more...- Published
- 2018
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26. Impact of a cancer education seminar on knowledge and screening intent among Chinese Americans: Results from a randomized, controlled, community-based trial.
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Fung, Lei‐Chun, Nguyen, Kim H., Stewart, Susan L., Chen, Jr., Moon S., Tong, Elisa K., Fung, Lei-Chun, and Chen, Moon S Jr.
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PROSTATE cancer ,PUBLIC health ,CANCER education ,CHINESE Americans ,CANCER prevention - Abstract
Background: Cancer is the leading cause of death for Asian Americans. The authors evaluated the status of cancer prevention for Chinese Americans in San Francisco, which has had years of cancer prevention efforts.Methods: Through a community-based clinic serving Chinese Americans, a randomized, controlled trial (n = 395) was conducted among participants who attended either a cancer prevention seminar or biospecimen education seminar. Changes in knowledge, attitudes, and screening completion/intent were measured across and between seminar groups.Results: Participants were mostly women who had low acculturation and education levels. Over two-thirds to almost all participants knew about modifiable risk factors for cancer and that screening tests were available, including for lung cancer. The majority of women had already completed mammography and Papanicolaou (Pap) tests. Approximately one-half reported having completed colorectal cancer screening, prostate screening, or hepatitis B screening. Most were nonsmokers, but about one-half "strongly agreed" that they would want a test for tobacco smoke exposure. After the cancer prevention seminar, significant increases within group were noted for knowledge (eating healthy foods, from 93.1% to 97.7% [P = .0002]; secondhand smoke causes cancer, from 66.3% to 74.8% [P = .04]) and for screening completion/intent (colorectal cancer, from 58.1% to 64.5% [P = .002] cervical cancer, from 72.9% to 75.5% [P = .04]) and there was a trend toward an increase for prostate cancer (from 50.0% to 61.1%; P = .10). There was a significant change between groups for eating healthy foods (P = .004).Conclusions: The current reports documents the gains in cancer prevention among Cantonese-speaking Chinese Americans, fostered by academic, community, and public health efforts. A community-based seminar demonstrated improvement in some cancer knowledge or screening intent and opportunities for continued efforts. Cancer 2018;124:1622-30. © 2018 American Cancer Society. [ABSTRACT FROM AUTHOR] more...- Published
- 2018
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27. A Pilot Study to Determine the Effect of an Educational DVD in Philippine Languages on Cancer Clinical Trial Participation among Filipinos in Hawai'i.
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Felicitas-Perkins, Jamie Q., Palalay, Melvin Paul, Cuaresma, Charlene, Ho, Reginald C. S., Chen Jr., Moon S., Dang, Julie, and Loui, William S.
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CANCER patients ,CLINICAL trials ,ONCOLOGY ,PILOT projects ,PUBLIC health - Abstract
We conducted an experimental pilot study in an oncology clinic in Honolulu, Hawai'i to determine the effect of a culturally-tailored educational DVD on cancer clinical trial participation among Filipino cancer patients. Thirty-seven patients participated in the study, with 17 randomized into the control group (ie, usual education) and 20 into the intervention group (ie, usual education plus educational DVD). Participants completed pre- and post-educational questionnaires with items asking about understanding of several cancer topics, behavioral outcomes, and attitudes regarding several treatment and physician related topics. A Fisher's exact test was conducted to explore the association between enrollment into a clinical trial and group assignment. General linear models were created to determine significant differences between study groups in post-education response scores for each questionnaire item after controlling for age, gender, education, and pre-education response scores. Two participants from the control group and three participants from the intervention group enrolled into clinical trials. Results showed no significant association between clinical trial enrollment and study group assignment (P > .99). A significant difference was found between study groups on surety of joining the clinical trial suggested to them (P = .013). A multilingual educational DVD to supplement clinical trial education may positively influence Filipino cancer patients to move forward with the decision to join a cancer clinical trial. However, health literacy may serve as a major barrier to actual enrollment into the particular clinical trial available to a patient. [ABSTRACT FROM AUTHOR] more...
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- 2017
28. Cluster-Randomized Trial to Increase Hepatitis B Testing among Koreans in Los Angeles.
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Bastani, Roshan, Glenn, Beth A., Maxwell, Annette E., Jo, Angela M., Herrmann, Alison K., Crespi, Catherine M., Wong, Weng K., Chang, L. Cindy, Stewart, Susan L., Nguyen, Tung T., Chen Jr., Moon S., and Taylor, Victoria M. more...
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Background: In the United States, Korean immigrants experience a disproportionately high burden of chronic hepatitis B (HBV) viral infection and associated liver cancer compared with the general population. However, despite clear clinical guidelines,HBV serologic testing among Koreans remains persistently suboptimal. Methods: We conducted a cluster-randomized trial to evaluate a church-based small group intervention to improve HBV testing among Koreans in Los Angeles. Fifty-two Korean churches, stratified by size (small, medium, large) and location (Koreatown versus other), were randomized to intervention or control conditions. Intervention church participants attended a single-session small-group discussion on liver cancer and HBV testing, and control church participants attended a similar session on physical activity and nutrition. Outcome data consisted of self-reported HBV testing obtained via 6-month telephone follow-up interviews. Results: We recruited 1,123 individuals, 18 to 64 years of age, across the 52 churches. Ninety-two percent of the sample attended the assigned intervention session and 86% completed the 6-month follow-up. Sample characteristics included were as follows: mean age 46 years, 65% female, 97% born in Korea, 69% completed some college, and 43% insured. In an intent-to-treat analysis, the intervention produced a statistically significant effect (OR = 4.9, P < 0.001), with 19% of intervention and 6% of control group participants reporting a HBV test. Conclusion: Our intervention was successful in achieving a large and robust effect in a population at high risk of HBV infection and sequelae. Impact: The intervention was fairly resource efficient and thus has high potential for replication in other high-risk Asian groups. [ABSTRACT FROM AUTHOR] more...
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- 2015
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29. Hepatitis B and Asian Americans.
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Nguyen, Tung T., Taylor, Vicky, Maxwell, Annette E., Chen Jr., Moon S., Bastani, Roshan, and Stewart, Susan
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- 2013
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30. Developing Theoretically Based and Culturally Appropriate Interventions to Promote Hepatitis B Testing in 4 Asian American Populations, 2006-2011.
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Maxwell, Annette E., Bastani, Roshan, Glenn, Beth A., Taylor, Victoria M., Nguyen, Tung T., Stewart, Susan L., Burke, Nancy J., and Chen Jr, Moon S.
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- 2014
- Full Text
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31. Twenty years post-NIH Revitalization Act: enhancing minority participation in clinical trials (EMPaCT): laying the groundwork for improving minority clinical trial accrual: renewing the case for enhancing minority participation in cancer clinical trials.
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Chen Jr, Moon S, Lara, Primo N, Dang, Julie H T, Paterniti, Debora A, Kelly, Karen, and Chen, Moon S Jr
- Abstract
Background: The National Institutes of Health (NIH) Revitalization Act of 1993 mandated the appropriate inclusion of minorities in all NIH-funded research. Twenty years after this act, the proportion of minority patients enrolled in cancer clinical trials remains persistently low. Clinical trials are vehicles for the development and evaluation of therapeutic and preventive agents under scientifically rigorous conditions. Without representation in trials, it is projected that disparities in the cancer burden for minorities will increase.Methods: For this review article, the authors counted the frequency with which minorities were the primary focus of National Cancer Institute-sponsored clinical trials, examined citations from the PubMed database focusing on the search terms "NIH Revitalization Act of 1993" and "enhancing minority accrual to cancer clinical trials," and supplemented the review with their expertise in NIH-funded research related to minority accrual in cancer clinical trials.Results: The reporting and analyses of data based on minorities in clinical trials remain inadequate. Less than 2% of the National Cancer Institute's clinical trials focus on any racial/minority population as their primary emphasis. The current review of the literature indicated that the percentage of authors who reported their study sample by race/ethnicity ranged from 1.5% to 58%, and only 20% of the randomized controlled studies published in a high-impact oncology journal reported analyzing results by race/ethnicity. Proportionately greater population increases in minorities, accompanied by their persistent and disproportionate cancer burden, reinforce the need for their greater representation in clinical trials.Conclusions: Renewing the emphasis for minority participation in clinical trials is warranted. Policy changes are recommended. [ABSTRACT FROM AUTHOR] more...- Published
- 2014
- Full Text
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32. Five National Cancer Institute-designated cancer centers' data collection on racial/ethnic minority participation in therapeutic trials: a current view and opportunities for improvement.
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Hawk, Ernest T, Habermann, Elizabeth B, Ford, Jean G, Wenzel, Jennifer A, Brahmer, Julie R, Chen Jr, Moon S, Jones, Lovell A, Hurd, Thelma C, Rogers, Lisa M, Nguyen, Lynne H, Ahluwalia, Jasjit S, Fouad, Mona, Vickers, Selwyn M, and Chen, Moon S Jr more...
- Abstract
Background: To ensure that National Institutes of Health-funded research is relevant to the population's needs, specific emphasis on proportional representation of minority/sex groups into National Cancer Institute (NCI) cancer centers' clinical research programs is reported to the NCI.Methods: EMPaCT investigators at 5 regionally diverse comprehensive cancer centers compared data reported to the NCI for their most recent Cancer Center Support Grant competitive renewal to assess and compare the centers' catchment area designations, data definitions, data elements, collection processes, reporting, and performance regarding proportional representation of race/ethnicity and sex subsets.Results: Cancer centers' catchment area definitions differed widely in terms of their cancer patient versus general population specificity, levels of specificity, and geographic coverage. Racial/ethnic categories were similar, yet were defined differently, across institutions. Patients' socioeconomic status and insurance status were inconsistently captured across the 5 centers.Conclusions: Catchment area definitions and the collection of patient-level demographic factors varied widely across the 5 comprehensive cancer centers. This challenged the assessment of success by cancer centers in accruing representative populations into the cancer research enterprise. Accrual of minorities was less than desired for at least 1 racial/ethnic subcategory at 4 of the 5 centers. Institutions should clearly and consistently declare their primary catchment area and the rationale and should report how race/ethnicity and sex are defined, determined, collected, and reported. More standardized, frequent, consistent collection, reporting, and review of these data are recommended, as is a commitment to collecting socioeconomic data, given that socioeconomic status is a primary driver of cancer disparities in the United States. [ABSTRACT FROM AUTHOR] more...- Published
- 2014
- Full Text
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33. Increasing Hepatitis B Screening for Hmong Adults: Results from a Randomized Controlled Community-Based Study.
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Chen Jr, Moon S., Fang, Dao M., Stewart, Susan L., May Ying Ly, Lee, Serge, Dang, Julie H. T., Nguyen, Tram T., Maxwell, Annette E., Bowlus, Christopher L., Bastani, Roshan, and Nguyen, Tung T.
- Abstract
The article presents a randomized controlled community-based study that assessed the effectiveness of a lay health worker (LHW) intervention in promoting serologic testing for hepatitis B virus (HBV) and raise awareness of HBV among Hmong adults. It claims that serologic testing for HBV is a key strategy in preventing liver cancer-related deaths. Also mentioned is the relationship of HBV and hepatocellular carcinoma (HCC). more...
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- 2013
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34. Disparities in Hepatocellular Carcinoma Survival among Californians of Asian Ancestry, 1988 to 2007.
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Kwong, Sandy L., Stewart, Susan L., Aoki, Christopher A., and Chen Jr., Moon S.
- Abstract
The article presents a study on the socioeconomic status, demographic factors, disease stages, treatment and survival among hepatocellular carcinoma (HCC) patients of Asian ancestry in California from 1988 to 2007. For the study, researchers examined ethnic differences in HCC survival. They found that cause-specific mortality of HCC patients was significantly higher among Laotian/Hmong and Cambodian ancestry compared with the average of all ethnicities. more...
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- 2010
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35. Factors Associated with Pap Testing among Hmong Women.
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Dao Moua Fang, Lee, Serge, Stewart, Susan, May Ying Ly, and Chen Jr., Moon S.
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- 2010
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36. Parallels between the development of therapeutic drugs and cancer health disparity programs: implications for Disparities Reduction.
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Chu, Kenneth C., Chen Jr., Moon S., Dignan, Mark B., Taylor, Emmanuel, Partridge, Edward, Chen, Moon S Jr, and Community Network Program Principal Investigators
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ANTINEOPLASTIC agents , *DRUG development , *CANCER education , *DRUG efficacy , *CLINICAL trials , *DRUG design , *HEALTH services accessibility , *MEDICAL care , *RESEARCH funding , *TUMORS - Abstract
Background: There are analogies between the development of therapeutic drugs for cancer and the development of interventions for reducing cancer health disparities. In both cases, it can take between 12 and 15 years for the benefits to become apparent.Methods: The initial preclinical phase of drug development is analogous to the development of community partnerships and helping the community learn about cancer. The preclinical phase of in vitro and in vivo testing is analogous to identifying the disparities in the community. Then clinical testing begins with phase 1, toxicity, and dose-establishing studies. Analogously, community-based participatory research is used to develop disparities-reducing interventions (DRIs) within the community.Results: The phase 2 clinical studies to determine whether the drug has activity are analogous to the DRI being implemented in the community to determine whether it can cause behavioral changes that will reduce cancer health disparities. If a drug passes phase 1 and 2 studies, phase 3 clinical trials are initiated. These are controlled studies to examine the efficacy of the drug. The similar activity for disparities research is to determine whether the DRI is better than the current standard/usual practice in controlled trials. If the drug is beneficial, the final phase is the dissemination and adoption of the drug. Analogously in disparities, if the DRI is beneficial, it is disseminated and is culturally adapted to other racial/ethnic groups and finally adopted as standard practice.Conclusions: The process of creating an effective DRI can be envisioned to have 4 stages, which can be used to aid in measuring the progress being made in reducing cancer health disparities. [ABSTRACT FROM AUTHOR] more...- Published
- 2008
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37. Decreasing disparity in liver transplantation among white and Asian patients with hepatocellular carcinoma : California, 1998-2005.
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Robbins, Anthony S., Daily, Michael F., Aoki, Christopher A., Chen Jr., Moon S., Troppmann, Christoph, Perez, Richard V., and Chen, Moon S Jr
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HEALTH equity ,LIVER transplantation ,LIVER cancer ,AMERICANS ,ASIANS ,MEDICAL care ,GOVERNMENT policy ,COMPARATIVE studies ,HEPATOCELLULAR carcinoma ,LIVER tumors ,RESEARCH methodology ,MEDICAL cooperation ,RESEARCH ,RESEARCH funding ,WHITE people ,EVALUATION research - Abstract
Background: A preliminary study using national cancer surveillance data from 1998 through 2002 suggested that there were significant differences between non-Hispanic whites ('whites') and Asian/Pacific Islanders (APIs) in the use of liver transplantation as a treatment for hepatocellular carcinoma (HCC).Methods: The objective of the current study was to examine whether differences in liver transplantation between whites and APIs with HCC were changing over time. By using a population-based, statewide cancer registry, data were obtained on all HCC cases diagnosed in California between 1998 and 2005, and the study was limited to white and API patients with nonmetastatic HCC who had tumors that measured < or = 5 cm in greatest dimension (n = 1728 patients).Results: From 1998 through 2003 (n = 1051 patients), the odds of undergoing liver transplantation were 2.56 times greater for white patients than for API patients (95% confidence interval [CI], 1.72-3.80 times higher), even after adjusting for age, sex, marital status, year of diagnosis, TNM stage, and tumor grade. In contrast, during 2004 and 2005 (n = 677 patients), there were no significant differences in the odds of undergoing liver transplantation. Between 2002 and 2004, changes in liver transplantation policy assigned priority points to patients with HCC (initially to stage I and II, then to stage II only). After the policy changes, API patients with HCC experienced a significant increase in stage II diagnoses, whereas white patients did not.Conclusions: In California, there was a large and significant disparity in the rate of liver transplantation among white and API patients with HCC from 1998 through 2003 but not during 2004 and 2005. Changes in liver transplantation policy from 2002 through 2004 may have played a role in decreasing this difference. [ABSTRACT FROM AUTHOR] more...- Published
- 2008
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38. Overcoming Barriers to Cancer Clinical Trial Accrual.
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Umutyan, Ari, Chiechi, Christine, Beckett, Laurel A., Paterniti, Debora A., Turrell, Corinne, Gandara, David R., Davis, Sharon W., Wun, Ted, Chen Jr., Moon S., and Lara Jr., Primo N.
- Subjects
CLINICAL trials ,CANCER ,UNIVERSITIES & colleges ,MEDICAL experimentation on humans ,CLINICAL medicine - Abstract
The article reports on a study aimed at increasing awareness of cancer clinical trials (CCT) and SB37 through a mass multimedia campaign (MMC) in the University of California (UC) Davis (UCD) Cancer Center catchment area. Participants of the study were from UCD and University of California San Diego (UCSD). The study revealed that respondents from UCD had a greater awareness of CCT and SB27 compared with UCSD respondents. It concluded that awareness on CCT and SB37 increased significangly in the UCD cohort after the MMC. more...
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- 2008
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39. Hepatitis B Awareness, Knowledge, and Screening Among Asian Americans.
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Nguyen, Tung T., Taylor, Vicky, Chen JR., Moon S., Bastani, Roshan, Maxwell, Annette E., and McPhee, Stephen J.
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Background: Due to the high prevalence of hepatitis B, Asian Americans have high rates of liver cancer. Screening for hepatitis B leads to monitoring and treatment and prevent further infection through vaccination of contacts. Methods: We reviewed the published literature up to 2006 on hepatitis B awareness, knowledge, and screening among Asian Americans. Results: Many Asian Americans lack knowledge about hepatitis B and have not been screened. Sociodemographics, knowledge, beliefs, and health care variables are associated with screening. Conclusions: Further research and health policy changes are needed to address the problem of hepatitis B and liver cancer among Asian Americans. [ABSTRACT FROM AUTHOR] more...
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- 2007
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40. Review of smoking cessation research among Asian Americans: The state of the research.
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Chen Jr., Moon S. and Hao Tang
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- *
SMOKING , *SMOKING cessation , *RESEARCH , *HETEROGENEITY , *CIGARETTE smokers , *TOBACCO , *STANDARDIZATION , *ASIAN Americans , *COMMUNITIES - Abstract
The purpose of this paper is to provide an analytic review of population-based efforts to measure smoking prevalence levels among Asian Americans, and peer-reviewed smoking cessation research targeting Asian Americans. The heterogeneity of Asian Americans has hindered precise determinations of their smoking prevalence and has contributed to the difficulty of implementing standardized smoking cessation interventions. First, we reviewed abstracts of published articles accessible through PUBMED between 1995 and 2005 as well as other reports accessible to the authors to ascertain tobacco control interventions focusing on any Asian American population and the available data sources of Asian Americans' tobacco use. Only two clusters of controlled studies and one uncontrolled smoking cessation intervention study focused on Asian Americans have been published in the peer-reviewed literature. These studies had various degrees of success in cessation. Second, we compiled a list of data sources that contain tobacco use information for Asian Americans in California. These sources could potentially be used to shed light on the strategies of cessation intervention for this group. Community-based trial on tobacco cessation is lacking for Asian Americans even though some of the subgroups bear the heavy burden of smoking. Various survey data that have Asian American tobacco use information should be thoroughly analyzed and the results appropriately interpreted as the basis of intervention for this community. We concluded with three specific recommendations for further research on smoking cessation intervention research focused on Asian Americans. [ABSTRACT FROM AUTHOR] more...
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- 2007
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41. Cancer Incidence, Mortality, and Associated Risk Factors Among Asian Americans of Chinese, Filipino, Vietnamese, Korean, and Japanese Ethnicities.
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McCracken, Melissa, Olsen, Miho, Chen, Jr., Moon S., Jernal, Ahmedin, Thun, Michael, Cokkinides, Vilma, Deapen, Dennis, and Ward, Elizabeth
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CANCER risk factors ,CANCER-related mortality ,CANCER diagnosis ,EPIDEMIOLOGY of cancer ,ASIAN Americans ,DISEASES - Abstract
The article summarizes data on cancer incidence, mortality, risk factors and screening for the five largest Asian American ethnic groups in California in order of population size (Chinese, Filipino, Vietnamese, Korean, and Japanese). The analysis is restricted to the most common cancers (prostate, breast, lung, colon/rectum) and for the three sites known to be more common in Asian Americans (stomach, liver, cervix). more...
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- 2007
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42. Smoking cessation interventions among Chinese Americans: The role of families, physicians, and the media.
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Ferketich, Amy K., Wewers, Mary Ellen, Kwong, Kenny, Louie, Eva, Moeschberger, Melvin L., Tso, Alan, and Chen Jr., Moon S.
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SMOKING cessation ,CHINESE Americans ,SOCIAL support ,PHYSIOLOGICAL effects of tobacco ,MEDICAL centers ,PHYSICIANS ,NICOTINE addiction treatment - Abstract
This article describes the results from two studies of Chinese Americans. In one study, a convenience sample of patients completed face-to-face interviews to assess smoking patterns in the home, knowledge of tobacco, and ways in which health interventions could be communicated to the community. The other study involved two focus group discussions with the primary purpose of learning how spouses, health care workers, and the media can participate in smoking cessation interventions. A convenience sample of 795 patients at the Charles B. Wang Community Health Center in New York City's Chinatown was interviewed using face-to-face interviews. The focus group discussions were conducted using 15 volunteers. One discussion was conducted in Mandarin and the other in Cantonese. Although 92.7% of the respondents prefer people not smoke in the home, only 21% ban smoking with few exceptions. The focus group participants indicated that often the smoker is the oldest male and he also is the person who establishes the rules. Nearly half of the respondents receive most of their health-related information from their physician, and the focus group participants stated that physicians are highly regarded in their culture. Finally, the majority of respondents receive health-related information from Chinese language media. These results will assist in the planning of a smoking cessation intervention targeting Chinese Americans. The physician represents a key player in any intervention, and public health antismoking messages may be communicated effectively through Chinese language media. [ABSTRACT FROM AUTHOR] more...
- Published
- 2004
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43. Informal Care and the Empowerment of Minority Communities: Comparisons between the USA and the UK.
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Chen Jr, Moon S.
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HEALTH of minorities , *MEDICAL care , *HEALTH promotion - Abstract
This paper examines informal care and the empowerment of minority communities with respect to health care and health promotion in the USA and the UK based upon work prepared for the workshop, 'Involving Black and Minority Ethnic Users in Delivery of Services and Empowering Communities' presented during the bi-national 1997 USA, UK. Conference, 'Health Gain for Black and Minority Ethnic Communities' and the information gained from that Conference. 'Informal care' is operationally defined as 'the practice of alleviating distressful physiological and psychological dysfunctions through all others (e.g. traditional healers, family members, self, etc.) using measures that do not require a physician's prescription or intervention (e.g. lifestyle modifications) typically outside of formal, institutionally based care mechanisms (e.g. homes and communities). Informal care is a significant force in health maintenance, health promotion, and disease prevention. In the USA, at least one-third of the population is estimated to engage in unconventional medical practices, and perhaps, one-half of racial/ethnic populations use informal care. An enormous potential exists to better utilize informal care because informal care is culturally more compatible, relatively low cost, and flexible. The policy of the Indian Health Service in accepting the use of traditional medicine was cited. The US Congress recognized the potential of alternative medicine by establishing such an Office within the National Institutes of Health. 'Empowerment of racial/ethnic minority communities is the right for minority populations to determine their own destinies. In the USA, racial/ethnic minority populations are Blacks, Hispanics, Asians or Pacific Islanders, and American Indian/Alaska Native. These classifications are based upon self-report; in the UK, the black and minority classifications are based upon countries of birth rather than self-reported racial/ethnic identities. Empowerment of these communities is important both demographically and historically. In demographic terms, racial/ethnic minority populations are increasing at higher rates than the majority population in the USA and hence, the health status of minorities will become the health status of the nation in the next half century. Historically, racial/ethnic minorities have not been empowered. As a consequence of the 1985 Secretary's Task Force Report on Black and Minority Health Federal measures to address disparities in the health status of minorities were initiated. In March 1994, the UK Government initiated the Ethnic Health Unit within the National Health Service. These measures are not mature enough to evaluate their impact. However, progress in implementing measures to empower minorities in the UK have begun and are illustrated by the work reported by Dr Pui-Ling Li, the UK counterpart to the workshop, 'Involving Black and Minority Ethnic Users in Delivery of Services and Empowering Communities'. Recommendations are made to increase use of informal care and the empowerment for racial/ethnic minority communities and to build upon the works in progress in both the USA and the UK. [ABSTRACT FROM AUTHOR] more...
- Published
- 1999
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44. Promoting heart health for Southeast Asians: A database for...
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Chen Jr., Moon S. and Kuun, Patty
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HEALTH promotion , *HYPERTENSION - Abstract
Reports the baseline data collected to study the prevalence of hypertension in a sample 397 Southeast Asians immigrants in Ohio. The implications of tha data for the design of ethically approved and scientifically valid prevention strategies; The context for the collection of data; Baseline demographic characteristics; The videotape strategy. more...
- Published
- 1991
45. Nicotine—individual risk factors for initiation of tobacco use.
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Chen Jr., Moon S.
- Subjects
- *
NICOTINE addiction , *TOBACCO use , *ORAL habits , *TOBACCO , *SMOKING , *RESEARCH , *HEALTH behavior ,RISK factors - Abstract
Discusses the efforts needed to address the individual risk factors for the initiation of nicotine use. Significance of exploring the genetic or metabolic pathways resulting in nicotine use initiation; Need to consider the factors associated with resisting people from starting to use nicotine; Importance of initiating research into social inoculation alongside research on biological and metabolic mechanisms associated with nicotine use. more...
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- 1999
- Full Text
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46. Provider Smoking Cessation Advice Among California Asian-American Smokers.
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Tong, Elisa K., Hao Tang, Chen, Jr., Moon S., and McPhee, Stephen J.
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HEALTH & race , *SMOKING cessation , *HEALTH of Asian Americans , *NICOTINE addiction treatment , *RESEARCH methodology , *SECONDARY analysis , *PATIENT-professional relations , *MEDICAL communication - Abstract
Purpose. To determine proportions of provider advice to quit smoking for Asian-American smokers and to describe factors that may affect the provision of such advice. Design. Secondary data analysis of population-based survey. Setting. California. Subjects. Current smokers from the California Tobacco Use Surveys for Chinese-Americans (n = 2117, participation rate = 52%), Korean-Americans (n = 2545, participation rate = 48%), and Vietnamese-Americans (n = 2179, participation rate = 63.5%) Measures. Sociodemographics including insurance status, smoking frequency, provider visit in past year, and provider advice to quit. Analysis. Multivariate logistic regression models examined dependent outcomes of (1) provider visit in past year and (2) provider advice to quit. Results. Less than a third (30.5%) of smokers in our study reported both seeing a provider (50.8%) and then receiving advice to quit (60.1%). Factors associated with provider visits included being female, being 45 years or older, having health insurance, and being Vietnamese. Among smokers who saw a provider, factors associated with provider advice to quit included having health insurance and being a daily smoker. Conclusions. Asian-American smokers reported low proportions of provider advice to quit in the past year, largely because only half of smokers saw a provider. Providers who see such smokers may need greater awareness that several effective cessation treatments do not require health insurance, and that intermittent smokers need advice to quit. [ABSTRACT FROM AUTHOR] more...
- Published
- 2011
- Full Text
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47. Access to Adequate Healthcare for Hmong Women: A Patient Navigation Program to Increase Pap Test Screening.
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Penny Lo, Dao Moua Fang, May Ying Ly, Stewart, Susan, Lee, Serge, and Chen Jr., Moon S.
- Subjects
- *
HMONG women , *WOMEN'S health , *PAP test , *CERVICAL cancer , *CANCER in women - Abstract
This paper describes the development and implementation of a Hmong Cervical Cancer Intervention Program utilizing a patient navigation model to raise cervical cancer awareness for Hmong women through educational workshops and to assist Hmong women in obtaining a Pap test. Out of 402 women who participated in a baseline survey, the Patient Navigation Program was able to enroll 109 participants who had not had a Pap test in the past 3 years and had never had a Pap test. Through utilization of outreach, an awareness campaign and patient navigation support, at least 38 percent of 109 participants obtained a Pap test. Overall, 21 workshops and 43 outreach activities were conducted by the Hmong Women's Heritage Association, leading to 63 percent of those enrolled in the Patient Navigation Program who could be contacted to obtain a Pap test. [ABSTRACT FROM AUTHOR] more...
- Published
- 2010
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