The effect of a couples intervention to increase breast cancer screening among korean americans.

Purpose/objectivesTo assess the efficacy of Korean Immigrants and Mammography-Culture-Specific Health Intervention (KIM-CHI), an educational program for Korean American (KA) couples designed to improve mammography uptake among KA women.DesignA two-group cluster randomized, longitudinal, controlled design.Setting50 KA religious organizations in the Chicago area.Sample428 married KA women 40 years of age or older who had not had a mammogram in the past year. The women and their husbands were recruited from 50 KA religious organizations.MethodsCouples were randomly assigned to intervention or attention control groups. Those in the KIM-CHI program (n = 211 couples) were compared to an attention control group (n = 217 couples) at baseline, as well as at 6 and 15 months postintervention on mammogram uptake.Main research variablesSociodemographic variables and mammography uptake were measured. Level of acculturation was measured using the Suinn-Lew Asian Self-Identity Acculturation Scale. Researchers asked questions about healthcare resources and use, health insurance status, usual source of care, physical examinations in the past two years, family history of breast cancer, and history of mammography.FindingsThe KIM-CHI group showed statistically significant increases in mammography uptake compared to the attention control group at 6 months and 15 months postintervention.ConclusionsThe culturally targeted KIM-CHI program was effective in increasing mammogram uptake among nonadherent KA women.Implications for nursingNurses and healthcare providers should consider specific health beliefs as well as inclusion of husbands or significant others. They also should target education to be culturally relevant for KA women to effectively improve frequency of breast cancer screening

Care services for frail older people in South Korea

This paper examines the changed social circumstances of older people in South Korea and specifically the increased need for formal health and social services for those who are frail and have no informal carers. The article begins with a summary account of the country's exceptionally rapid demographic, economic and social transformations, which demonstrates a widening gap between the population's expectations and needs, and health and social service provision. It then examines the recently initiated and now burgeoning welfare programmes, with particular attention to health and social services for sick and frail older people. Most extant care services are accessed mainly by two minorities: the very poor and the rich. The dominant policy influence of physicians and a history of conflict between traditional and western medicine probably underlies the low current priority for ‘care’ as opposed to ‘cure’, as also for the management of chronic conditions and rehabilitation. Neither long-term care services nor personal social services are well developed. There is a marked disparity between the acute services, which are predominantly provided by private sector organisations in a highly competitive market and broadly achieve high standards, and public primary care and rudimentary residential services. The latter are weakly regulated and there are many instances of low standards of care

Factors Influencing Colorectal Cancer Screening Among Thais in the U.S.

This study examined factors related to colorectal cancer (CRC) screening uptake among Thais in the United States. A total of 121 Thais between 50 and 75 years of age, who were married and living in southern California participated in the survey (mean age = 61 years). Out of all the participants, only 21% of the participants had fecal occult blood tests, 21% had sigmoidoscopy, and 45% had colonoscopy that were within the recommended period. Overall, 55% of participants met CRC screening adherence criteria. Participants who had had regular checkups in the previous 2 years without having any symptoms were 16 times more likely to have obtained CRC screening than their counterparts (OR 16.01, CI 3.75-68.75) in the multivariable logistic regression model. Other significant predictors of screening adherence included older age (OR 1.08, 95% CI 1.00-1.17), having lived in the U.S. 15 years or longer (OR 6.65, 95% CI 1.55-28.59), having had at least some college education (OR 3.74, 95% CI 1.23-11.37), and higher levels of perceived self-efficacy (OR 1.88, 95% CI 1.01-3.50) to obtain CRC screening. Targeted interventions for Thais who are less likely receive CRC screening could be effective in improving CRC screening. Interventions to improve the populations' awareness of the importance of preventive measures when they are not sick could be also effective

Medication abortion among Asian Americans, Native Hawaiians, and Pacific Islanders: Knowledge, access, and attitudes

Almost no research to date examines abortion attitudes and knowledge among Asian Americans, Native Hawaiians, and Pacific Islanders (AANHPIs) in the U.S. While previous research shows lower rates of abortion among Asian women compared to other racial ethnic groups, abortion rates vary by subgroups when disaggregating data by ethnicity or country of origin. In addition, no literature currently exists documenting AANHPI experiences with and/or use of medication abortion (MA).To help address this research gap, National Asian Pacific American Women's Forum (NAPAWF), in partnership with Ibis Reproductive Health, conducted a two-year study examining AANHPI people's knowledge of, access to, and attitudes about abortion, with a specific focus on medication abortion. While medication abortion accounts for over half of all abortions in the U.S., participants in this study described limited knowledge of abortion methods, including medication abortion.Our study identified a range of barriers to medication abortion. For AANHPI communities, this includes community stigma towards abortion and sexual and reproductive health (SRH), a lack of family support, and the unavailability of language support for limited-English or non-English speaking patients at abortion clinics. Other barriers included the high cost of abortion care, lack of insurance coverage, limited appointment availability, lack of transportation, legal restrictions, longer wait times at the clinic, and protesters outside of clinics.The taboo nature of SRH topics, including abortion, in addition to the general lack of openness among AANHPI community members impacts access to information and services related to their reproductive health. There is an overall need to provide accurate and culturally relevant information about all abortion methods to AANHPI communities to help bridge information gaps and overcome barriers to access.

Trafficking in persons monitoring report: January 2009–June 2011

Since 2008, the Australian Government has increased the tempo on investigating and understanding these crimes, and the Australian Institute of Criminology’s research and monitoring program is part of this effort.  The Government has introduced new legislation to crack down on trafficking slavery and servile marriages. Human trafficking is a serious but underreported problem as victims are unwilling to come forward. Since 2004 only 14 people have been convicted of people trafficking-related offences (nine of the 14 defendants were convicted of slavery offences, three of sexual servitude, one of people trafficking and one of labour exploitation). Between January 2009 and June 2011 there were 73 police investigations in Australia and 145 trafficked people entering the government’s victim support program—slightly more than in the previous period. Victims continue to be overwhelmingly from south-east Asia, one-third from Thailand alone. Authored by Jacqueline Joudo Larsen, Lauren Renshaw, Samantha Gray-Barry, Hannah Andrevski, and Toby Corsbie

Arrested Development: Discrimination and slavery in the 21st Century

This document is part of a digital collection provided by the Martin P. Catherwood Library, ILR School, Cornell University, pertaining to the effects of globalization on the workplace worldwide. Special emphasis is placed on labor rights, working conditions, labor market changes, and union organizing.ASI_2008_DBS_Albania_Arrested_Development.pdf: 65 downloads, before Oct. 1, 2020

Transnational marriages between Vietnamese women and asian men in Vietnamese online media

This paper examines the social construction of marriage migration in Vietnamese online media. We present a content analysis of 643 items published online between 2000 and 2010 on international marriages between Vietnamese women and foreign Asian men. Our analysis reveals that online media content speaks to four important shifts discussed in Vietnamese studies: (1) shifts in notions of gender, sexuality, and marriage; (2) emerging discourses around class-making; (3) emerging discourse on human trafficking; and (4) shifting roles of the media

ILR Faculty Publications 2006-07

The production of scholarly research continues to be one of the primary missions of the ILR School. During a typical academic year, ILR faculty members published or had accepted for publication over 25 books, edited volumes, and monographs, 170 articles and chapters in edited volumes, numerous book reviews. In addition, a large number of manuscripts were submitted for publication, presented at professional association meetings, or circulated in working paper form. Our faculty's research continues to find its way into the very best industrial relations, social science and statistics journals.Faculty_Publications_2006_07.pdf: 46 downloads, before Oct. 1, 2020

The Relationships Between Social Media and Human Papillomavirus Awareness and Knowledge: Cross-sectional Study

Background: Human papillomavirus (HPV) is the most common sexually transmitted infection. HPV can infect both females and males, and it can cause many cancers, including anal, cervical, vaginal, vulvar, and penile cancers. HPV vaccination rates are lower than vaccination rates within other national vaccination programs, despite its importance. Research literature indicates that people obtain health-related information from internet sources and social media; however, the association between such health-seeking behavior on social media and HPV-related behaviors has not been consistently demonstrated in the literature. Objective: This study aims to examine the association between social media usage and HPV knowledge and HPV awareness. Methods: This study analyzed public health data collected through the Health Information National Trends Survey (HINTS) conducted by the US National Cancer Institute. The analysis used data collected in 2020; in total, 2948 responses were included in the analysis. Six HPV-related questions were used to identify HPV awareness, HPV vaccine awareness, and HPV knowledge about HPV-related cancers. Four questions about social media usage and one question about online health information–seeking behavior were used to analyze the associations between social media usage and HPV-related behaviors. Initially, six logistic regressions were conducted using replicate weights. Based on the results, significant factors were included in a second set of regression analyses that also included demographic variables. Results: About half of the respondents were aware of HPV (68.40%), the HPV vaccine (64.04%), and the relationship between HPV and cervical cancer (48.00%). However, fewer respondents were knowledgeable about the relationships between HPV and penile cancer (19.18%), anal cancer (18.33%), and oral cancer (19.86%). Although social media usage is associated with HPV awareness, HPV vaccine awareness, and knowledge of cervical cancer, these associations were not significant after adjusting for demographic variables. Those less likely to report HPV awareness and knowledge included older participants, males, those with a household income of less than US $20,000, those with a formal education equal to or less than high school, or those who resided in a household where adults are not fluent in English. Conclusions: After adjusting for demographic variables, social media use was not related to HPV knowledge and awareness, and survey respondents were generally not aware that HPV can lead to specific types of cancer, other than cervical cancer. These results suggest that perhaps a lack of high-quality information on social media may impede HPV awareness and knowledge. Efforts to educate the public about HPV via social media might be improved by using techniques like storytelling or infographics, especially targeting vulnerable populations, such as older participants, males, those with low incomes, those with less formal education, or those who reside in the United States but are not fluent in English