title: Cancer screening promotion among medically underserved Asian American women: integration of research and practice.
abstract: Mammography and Pap smear tests are known to be effective early detection measures for breast and cervical cancers, respectively, but Asian Americans are reluctant to make visits for routine preventive care. Quantitative and qualitative research conducted by the Healthy Asian Americans Project (HAAP) between 1996 and 1999 indicated that Asian residents in southeastern Michigan, like the general Asian population in the US, underutilized early cancer screening programs due to cultural, psychosocial, linguistic, and economic barriers. This article reports how the HAAP's research findings guided the Michigan Breast and Cervical Cancer Control Program (BCCCP) promotion (conducted from 2000 to 2001 among medically underserved Asian women residing in southeastern Michigan), and how evaluation of the HAAP's BCCCP promotion will direct future research and health promotion programs. The article presents strategies used to improve access to cancer screening programs for diverse Asian sub-groups as well as outcomes of the 2-year HAAP's BCCCP promotion among the target population. Discussion regarding lessons and experiences gained from integration of research and practice has implications on design and implementation of the cancer screening promotion for the rapidly increasing Asian American population as well as other medically underserved minority populations in the US.
authors.affiliation: University of Michigan, School of Nursing, Ann Arbor 48109-0482, USA. yujiang@umich.edu
authors.forename: Mei-yu
authors.initials: MY
authors.lastname: Yu
authors.forename: Amy D
authors.initials: AD
authors.lastname: Seetoo
authors.forename: Oi Saeng
authors.initials: OS
authors.lastname: Hong
authors.forename: Lixin
authors.initials: L
authors.lastname: Song
authors.forename: Rekha
authors.initials: R
authors.lastname: Raizade
authors.forename: Adelwisa L Agas
authors.initials: AL
authors.lastname: Weller
mesh_terms: D000328:Adult; D001213:Asian / Q000523:psychology*; D001943:Breast Neoplasms / Q000208:ethnology / Q000517:prevention & control*; D005260:Female; D006293:Health Promotion / Q000458:organization & administration*; D006297:Health Services Accessibility; D006801:Humans; D008403:Mass Screening / Q000706:statistics & numerical data*; D017057:Medically Uninsured; D008824:Michigan; D008875:Middle Aged; D010342:Patient Acceptance of Health Care / Q000208:ethnology*; D040241:Social Marketing; D002583:Uterine Cervical Neoplasms / Q000208:ethnology / Q000517:prevention & control*; D016387:Women's Health