Elisa K. Tong|Tung T. Nguyen|Penny Lo|Susan L. Stewart|Ginny Gildengorin|Janice Y. Tsoh|Angela M. Jo|Marjorie Kagawa?Singer|Angela Sy|Charlene Cuaresma|Hy Lam|Ching Wong|Mi T. Tran|Moon S. Chen
Lay health educators increase colorectal cancer screening among Hmong Americans: A cluster randomized controlled trial
University of California, Davis|University of California, San Francisco|University of California, San Francisco|University of California, San Francisco|University of New Mexico|University of California, Los Angeles|University of Hawai?i at M?noa|University of Hawai?i at M?noa|University of California, San Francisco|University of California, San Francisco|University of California, San Francisco|University of California, Davis
asian americans lower colorectal cancer crc screening rates nonhispanic white individuals hmong americans limited socioeconomic resources literacy current randomized controlled trial conducted determine whether bilingualbicultural lay health educator lhe education could increase crc screening among hmong americansa cluster randomized controlled trial conducted among hmong americans sacramento california lhes recruited participants randomized intervention control groups intervention group received crc education 3 months delivered lhe control group received education regarding nutrition physical activity delivered health educator outcomes changes selfreported everscreening uptodate crc screening 6 monthsall 329 participants foreignborn mostly formal education limited english proficiency employment majority participants insured regular source health care intervention group experienced greater changes intervention control group everscreening p 068 uptodate screening p0001 multivariable regression analyses intervention group demonstrated greater increase control group reporting everscreening adjusted odds ratio 173 95 confidence interval 107279 uptodate screening adjusted odds ratio 171 95 confidence interval 126232 individuals health insurance found 4 times odds receiving screening everscreening uptodate screening higher crc knowledge score mediated intervention effect screening outcomesa culturally linguistically appropriate educational intervention delivered trained lhes found increase crc screening immigrant population low levels education employment english proficiency literacy cancer 201798106 2016 american cancer society