3170.0: Monday, October 22, 2001 - Board 7

Abstract #29625

Tailoring breast and cervical cancer programs for Asian American and Pacific Islander women

Tu-Uyen Ngoc Nguyen, MPH1, Marjorie Kagawa-Singer, RN, MN, PhD1, Karen Rezai, MPH2, Lisa Fu, BA2, and Jeffrey Caballero, MPH2. (1) School of Public Health, University of California, Los Angeles, Box 951772, Los Angeles, CA 90095, 310-794-6604, tuuyen@ucla.edu, (2) Association of Asian Pacific Community Health Organizations, 1440 Broadway, Oakland, CA 94612

Asian American and Pacific Islander (AAPI) women have the lowest breast and cervical cancer (BCC) screening rates compared to all other ethnic groups, but few programs have been designed to specifically target these diverse communities to promote screening practices. AAPCHO’s CARE Program (A Community Approach to Responding Early) aims to reduce disparate breast and cervical cancer morbidity and mortality rates amongst AAPI women by building the capacity of community health clinics (CHCs) to deliver effective and culturally/linguistically appropriate BCC programs and services. The CARE program is unique in that it builds on commonalities of program development and capacity building while promoting different strategies of cultural tailoring across AAPI populations.

During this presentation, evaluation results will be presented on the cultural tailoring of BCC programs within six different AAPI communities: Cambodian, Chinese, Filipino, Native Hawaiian, Samoan, and Thai. These results will include analyses of a community survey designed to assess knowledge, attitudes, and screening practices of a convenient sample of AAPI women, as well as qualitative program evaluation data on intervention strategies.

Information will be presented using CARE’s underlying theoretical framework of form and function. Functions are universal and common domains that all six CHCs undertake to build their organizational capacity and community outreach programs (e.g. provider training, outreach education, community needs assessment, etc.). Forms are the specific ways in which the CHCs culturally tailor their programs to fulfill the common functions.

Learning Objectives: At the conclusion of the session, participants will be able to: 1. Identify common functions of breast and cervical cancer (BCC) programs and services that are necessary but require cultural tailoring to be effective in different Asian American and Pacific Islander (AAPI) communities. 2. Articulate unique forms of cultural tailoring and intervention strategies used by six different AAPI communities to enhance effectiveness of their common BCC programs.

Keywords: Cancer Screening, Cultural Competency

Presenting author's disclosure statement:
Organization/institution whose products or services will be discussed: None
I do not have any significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.

The 129th Annual Meeting of APHA