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A Qualitative Review on Mammography Interventions among Asian American Women
Sayeda Tazim Zaidi, Raisa Kabir, and Chia-Liang Dai
Breast cancer (BC) is a leading type of malignancy and the second most common cause of cancer-related death among women around the world. The occurrence of BC has been increasing in Asian American (AA) women. Early detection through mammography is an effective means to reduce mortality associated with BC. However, there is a paucity of data and interventions regarding mammography promotion interventions among AA women. The purpose of this study was to evaluate current interventions for promoting mammography among AA women and suggest recommendations for designing successful interventions. A review for peer-reviewed journal articles in PubMed Central, MEDLINE, CINAHL, ERIC, and Scopus was conducted over the past 15 years for mammography interventions among AA women. A total of eight interventions met the inclusion criteria. Of these, one used the randomized controlled trial (RCT), one used quasi-experimental design, four used pretest-posttest designs, one used single-group time series design, and one used cross-sectional survey. Among the intervention approaches were community workshops, designing religiously tailored interventions, patient navigator care management model, medical interpretation services for limited English proficiency patients, delivery of grocery store-based education, and utilization of health belief model/health promotion model. A paucity of interventions, utilization of small sample sizes, just one randomized controlled trial, and just one intervention based on behavioral theory were some of the limitations of the interventions. Future interventions must be culturally tailored to specific subgroups of AA, be behavioral theory-based and utilize robust randomized controlled trials.
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Identifying Determinants of Breast Cancer Screening Through Mammography Among Asian American Women
Sayeda Tazim Zaidi, Raisa Kabir, and Chia-Liang Dai
Breast cancer is the most common malignancy affecting women around the world. In the US, approximately 1 in 8 women will develop breast cancer over the course of their lifetime. There is a growing incidence of breast cancer among Asian American (AA) women. Breast cancer screening by mammography is the most effective early detection method to reduce mortality but AA women have the lowest utilization rates. This study aims to identify the determinants affecting mammography among AA women. A literature search in PubMed Central, MEDLINE, and CINAHL was undertaken to include all peer-reviewed studies published within the past 20 years about determinants affecting mammography in AA women. A total of 16 studies met the inclusion criteria. Of these, six used secondary data, nine used cross-sectional surveys, and one used a qualitative design. Only three studies used behavioral theories (health belief model and transtheoretical model). Six studies reported the rates of obtaining mammography in AA which ranged from 53% to 82%. The primary positive determinants were U.S. citizenship, education, knowledge of guidelines, health insurance, having a primary care provider and their recommendation, years of residency in the U.S., and knowing someone with a history of breast cancer and/or undergone mammography. The negative factors were less acculturation, perceived religious discrimination, logistical barriers, and religious barriers including impingement on modesty. There were variations among determinants based on national origin. There is a need for utilizing behavioral theories in designing interventions to promote mammography among different subgroups of AA women.
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A Comparison of Eating Behaviors
Zybrell Zayas, Alexis Parsha, Mialene Liwanag, and Kimberly Nehls Ph.D.
How do eating behaviors differ in Japan, in comparison to the United States? How is it deemed healthier? Eating behaviors and diet has become an important factor due to the increasing statistics of obesity in America. Japan, known for its unique style of eating, and has shown the cultural basis of its standpoint on food, which has diverted its culture away from the adverse health effects that the U.S is known for. With the focus on the comparison of the U.S larger portion size to traditional Japanese meal size, there is an overall large effect on health and wellness. The Japanese traditional diet of washoku emphasizes the use of seasonal ingredients. It characterizes the importance of the food dishes being in harmony with nature and the nutritional needs of the human body. The American diet, is usually meat, eggs, and dairy with a high emphasis on sugar consumption. Washoku emphasizes the elements of Cultural differences, and how tradition is emphasized in Japanese meals. Our research will use the following datasets: Self-assessment of health of diet among U.S. shoppers in 2015, Distribution of diets followed by consumers in the United States in 2018 in 2019, Leading food-related habits in Japan as of 2020, Most popular food trends in Japan as of November 2020 and The Role of the Japanese Traditional Diet in Healthy and Sustainable Dietary Patterns around the World. These datasets will guide through examining primary differences on the basis of nutrition, portion size, and cultural differences.
The Office of Undergraduate Research (OUR) provides students with the opportunity to present their research at three annual undergraduate research symposia. This collection contains student posters.
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