Barriers and Challenges to Cervical Cancer Screening, Follow.Up, and Prevention Measures among Korean Immigrant Women in Hawaii

Objective: Despite being the fastest-growing population in the United States, Asian American women have one of the lowest cancer screening rates and the least attention given to cancer-related research. Cervical cancer screening disparities among Korean immigrant women (KIWs) in Hawaii have been rep...

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Main Authors: Eurina Yujin Cha, Hans Chun
Format: Article
Language:English
Published: Elsevier 2021-01-01
Series:Asia-Pacific Journal of Oncology Nursing
Subjects:
Online Access:http://www.apjon.org/article.asp?issn=2347-5625;year=2021;volume=8;issue=2;spage=132;epage=138;aulast=Cha
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author Eurina Yujin Cha
Hans Chun
author_facet Eurina Yujin Cha
Hans Chun
author_sort Eurina Yujin Cha
collection DOAJ
description Objective: Despite being the fastest-growing population in the United States, Asian American women have one of the lowest cancer screening rates and the least attention given to cancer-related research. Cervical cancer screening disparities among Korean immigrant women (KIWs) in Hawaii have been reported. Methods: The qualitative ethnographic study was to explore the health barriers and challenges of cervical cancer prevention among KIWs in Hawaii. The Social Ecological Model was used to guide the study. Data were collected using individual structured interviews with 20 KIWs aged 21–65 years. The data were coded and analyzed to identify themes in exploring health barriers. Results: The findings revealed that participants (a) lacked knowledge about the U.S. health-care system; (b) lacked access; (c) had limited resources regarding cervical cancer screening communicated in Korean; (d) lacked an understanding of cultural and psychosocial beliefs on preventive care; (e) lacked female and Korean-speaking providers; and (f) experienced language barriers and limited coverage of health insurance. Conclusions: A multicomponent intervention combining individual and community-based, Internet-accessible, culturally, and linguistically appropriate approaches may enhance effective cervical cancer screening rates and positive health outcomes among KIWs in Hawaii.
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spelling doaj.art-1e472e6b11f246d396974f7c3050dc142023-08-02T09:06:28ZengElsevierAsia-Pacific Journal of Oncology Nursing2347-56252349-66732021-01-018213213810.4103/2347-5625.308302Barriers and Challenges to Cervical Cancer Screening, Follow.Up, and Prevention Measures among Korean Immigrant Women in HawaiiEurina Yujin ChaHans ChunObjective: Despite being the fastest-growing population in the United States, Asian American women have one of the lowest cancer screening rates and the least attention given to cancer-related research. Cervical cancer screening disparities among Korean immigrant women (KIWs) in Hawaii have been reported. Methods: The qualitative ethnographic study was to explore the health barriers and challenges of cervical cancer prevention among KIWs in Hawaii. The Social Ecological Model was used to guide the study. Data were collected using individual structured interviews with 20 KIWs aged 21–65 years. The data were coded and analyzed to identify themes in exploring health barriers. Results: The findings revealed that participants (a) lacked knowledge about the U.S. health-care system; (b) lacked access; (c) had limited resources regarding cervical cancer screening communicated in Korean; (d) lacked an understanding of cultural and psychosocial beliefs on preventive care; (e) lacked female and Korean-speaking providers; and (f) experienced language barriers and limited coverage of health insurance. Conclusions: A multicomponent intervention combining individual and community-based, Internet-accessible, culturally, and linguistically appropriate approaches may enhance effective cervical cancer screening rates and positive health outcomes among KIWs in Hawaii.http://www.apjon.org/article.asp?issn=2347-5625;year=2021;volume=8;issue=2;spage=132;epage=138;aulast=Chacervical cancer screeningcultural approachhealth barriershealth disparitykorean immigrant healthminority healthunderserved minority population
spellingShingle Eurina Yujin Cha
Hans Chun
Barriers and Challenges to Cervical Cancer Screening, Follow.Up, and Prevention Measures among Korean Immigrant Women in Hawaii
Asia-Pacific Journal of Oncology Nursing
cervical cancer screening
cultural approach
health barriers
health disparity
korean immigrant health
minority health
underserved minority population
title Barriers and Challenges to Cervical Cancer Screening, Follow.Up, and Prevention Measures among Korean Immigrant Women in Hawaii
title_full Barriers and Challenges to Cervical Cancer Screening, Follow.Up, and Prevention Measures among Korean Immigrant Women in Hawaii
title_fullStr Barriers and Challenges to Cervical Cancer Screening, Follow.Up, and Prevention Measures among Korean Immigrant Women in Hawaii
title_full_unstemmed Barriers and Challenges to Cervical Cancer Screening, Follow.Up, and Prevention Measures among Korean Immigrant Women in Hawaii
title_short Barriers and Challenges to Cervical Cancer Screening, Follow.Up, and Prevention Measures among Korean Immigrant Women in Hawaii
title_sort barriers and challenges to cervical cancer screening follow up and prevention measures among korean immigrant women in hawaii
topic cervical cancer screening
cultural approach
health barriers
health disparity
korean immigrant health
minority health
underserved minority population
url http://www.apjon.org/article.asp?issn=2347-5625;year=2021;volume=8;issue=2;spage=132;epage=138;aulast=Cha
work_keys_str_mv AT eurinayujincha barriersandchallengestocervicalcancerscreeningfollowupandpreventionmeasuresamongkoreanimmigrantwomeninhawaii
AT hanschun barriersandchallengestocervicalcancerscreeningfollowupandpreventionmeasuresamongkoreanimmigrantwomeninhawaii