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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: Ann Lee & Suirong Li
Advisor: Dr. Kimlin Ashing-Giwa

Introduction
Breast cancer is the most frequently diagnosed cancer in Asian American & Latina women.
Survival rates are increasing.
Differences in HRQOL outcomes are documented (Ashing-Giwa, 2004; 2007)
Differences in health behaviors and health beliefs may exist based on culture and ethnicity.

Overall Goal
Examine the relationships among health behaviors and cultural health beliefs among Chinese, Korean and Mexican BCS
Conduct secondary data analyses to examine doctor patient relationships

Methods – Phase I
Secondary data derived from Dr. Ashing-GiwaÕs study examining QOL among a population-based, multi-ethnic and multi-lingual sample of BCS
Participants (N=237)
    Chinese (N=85), Korean (N=29), and Mexican (N=123)
Data Analyses:
Factor analysis: Health beliefs
ANOVAs: differences by ethnicity & language on acculturation & doctor-patient relationships
Chi-Squares:  treatment-related decisions & life style changes by ethnicity

Demographic and Medical Characteristics
Slide 6
"Chinese & Mexican-Americans believed hereditary..."
Chinese & Mexican-Americans believed hereditary is the most reason causing breast cancer.
Korean-Americans believed stressful life to be the most important reason.
The reasons indicating significant differences in reasons causing breast cancer according to ethnicity:
       - first child after the age of 30 (p=0.006)
      - injury or trauma to the breast (p=0.000)
      - stressful life (p=0.000)
The perceived reasons causing breast cancer needs to be explored further with more reliable methods for statistical interpretation.

Slide 8
Slide 9
Changes in Health Behaviors by Ethnicity
All three ethnic groups were more likely to change their eating patterns after their breast cancer diagnosis and treatment.
Chinese- and Korean-Americans showed different patterns in health behavior changes
    ⇒ Chinese-Americans: exercise, and
        complementary /alternative medicine
    ⇒ Korean-Americans: stress management

Slide 11
Acculturation and Patient-doctor Relationship by Ethnicity
The lower acculturated level for Korean-Americans may be related to their short immigration history.
The score for patient-doctor relationship by Mexican-Americans needs further investigation for the possible contributory factors such as financial & language barriers.

"The perceived reasons causing breast..."
The perceived reasons causing breast cancer needs to be explored further with more reliable methods for statistical interpretation.
Significant differences in life style changes by ethnicity exist. ⇒ the importance of different health behavior intervention based on culture/ethnicity
Lower acculturation level and better patient-doctor relationship for Korean-Americans may be related to sample characteristics including immigration history, language, and SES.
Patient-doctor relationship for Mexican-Americans needs further investigation to explore the possible factors such as financial & language barriers.

Timeline & Tasks
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