The Role of Cultural Health Beliefs
on Health Behaviors among Chinese, Korean, & Mexican American
Breast Cancer Survivors
PIÕs: Drs. Patricia Gonzalez, Jung-Wong Lim & Ming Wang
Students: Suirong Li & Mee Yon Yum
Advisor: Dr. Kimlin Ashing-Giwa

Breast cancer (BC) is the most frequently diagnosed cancer in Asian-and Latina-American women.
Favorable survivorship outcomes for women with BC may be attributed to lifestyles and behavioral factors.
Given the growing ethnic minority populations in the U.S., and emerging health disparity issues in cancer outcomes, cultural factors of ethnic minorities need to be considered

Overall Goal
Examine the relationships among cultural health beliefs, health behaviors, and factors influencing them among Chinese, Korean and Mexican breast cancer survivors (BCS).
Explore the differences and/or similarities in cultural health beliefs & health behaviors among Chinese-, Korean- & Mexican-American BCS.

Phase I Specific Aims
1. Examine how acculturation is related to cultural health beliefs
2. Examine whether cultural health beliefs are related to treatment-related decisions, doctor-patient relationships, and health behaviors.
3. Examine whether treatment-related decisions and doctor-patient relationships mediate the relationship between cultural health beliefs and health behaviors.
4. Examine the differences and/or similarities in acculturation, cultural health beliefs, treatment-related decisions, doctor-patient relationships, and health behaviors among Chinese-, Korean-, and Mexican-American BCS.

Phase II Specific Aims
1. Explore the cultural health beliefs and  health
    behaviors among Chinese-, Korean-, and
    Mexican-American BCS.
2. Explore the factors (e.g., acculturation, doctor-
    patient relationships) influencing health
    behaviors among Chinese, Korean, and
    Mexican BCS.

Phase I: Overall Framework
Slide 7
Data Analyses
Descriptive statistics
Pearson product-moment correlations
T –Tests

Table 1. Acculturation and cultural health beliefs (Aim1: H1)
Table 2. Cultural health beliefs and doctor-patient relationship (Aim2: H2)
Slide 11
Mediating effects of treatment-related decision and doctor-patient relationship (Aim 3: H5)
Slide 13
Slide 14
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This research is the first study to compare health behaviors and cultural health beliefs across Chinese, Korean- and Latina BCS.
The diverse sample provides a unique opportunity to begin exploration health behaviors and health belief issues.
Results suggest that cultural context must be considered when understanding health behaviors among BCS.

Participants may have provided socially acceptable responses
Self report data are subject to recall bias
Certain health behavior information was not included
Korean-American sample size was small

Activities to Date
Phase I
Identified variables based on research hypotheses
Secondary data analyses and interpretation
Findings reported / Manuscript Development
Phase II
Focus Group Protocol and procedure preparation
Contacted community agencies for recruitment
Two Chinese focus groups conducted
One Korean focus group conducted

Activities to Date (cont.)
Abstracts and Manuscripts
Two Poster presentations
One Oral presentation
One manuscript in press (Supportive Care in Cancer)
Two in preparation
Student research assistants recruited
Training and learning

Slide 20
Research Assistants:
Ann Lee
Suirong Li
Mee Yon Yum
Ariel Bianca Moreno
Dr. Ashing-Giwa: Mentor
Dr. Susan Kane & Dr. Jamil Momand
Funding Source: NIH: 1P20CA118783-01A1  &     1P20CA118775-01A