Skip to main content

Advertisement

SpringerLink
Log in

Healthcare Professionals’ Perspectives on Adapting a Community Health Worker Model to Facilitate Lung Cancer Screening for Chinese For-Hire Vehicle Drivers

  • Published:
Journal of Cancer Education Aims and scope Submit manuscript

Abstract

Chinese immigrant for-hire vehicle (FHV) drivers who smoke or smoked are at high risk for lung cancer due to the combined impact of tobacco use and air pollution exposure yet underutilize lung cancer screening (LCS). Community Health Worker (CHW) programs have been effective at improving cancer screening rates. This study describes a community needs assessment to inform the adaptation of an existing CHW intervention to facilitate LCS among Chinese FHV drivers. Interviews were conducted until saturation with 13 Chinese-serving health professionals to determine the community’s needs, priorities, and preferences. Transcripts were qualitatively analyzed using Atlas.ti. Seven frequently occurring themes were identified: knowledge of guidelines/access to LCS, acceptability of CHW program, CHW role in screening process, qualities of an ideal CHW, barriers to LCS, challenges to implementing a CHW program, and adaptations to CHW program. The adapted CHW intervention should include culturally tailored health education to increase LCS knowledge for patients and providers.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

Data Availability

Not applicable.

References

  1. Leng JC, Lei L, Lei SF, Zhu Z, Mo N, Sou B, Mujawar I, Gany F (2019) Smoking among Chinese livery drivers. J Immigr Minor Health 21(2):356–363

    Article  Google Scholar 

  2. Li J, Collins D (2017) Smoking environments in transition: the experiences of recent Chinese migrants to Canada. Health Soc Care Community 25(1):65–74

    Article  Google Scholar 

  3. Raz DJ, Gomez SL, Chang ET, Kim JY, Keegan TH, Pham J et al (2008) Epidemiology of non-small cell lung cancer in Asian Americans: incidence patterns among six subgroups by nativity. J Thorac Oncol 3(12):1391–1397

    Article  Google Scholar 

  4. Chae DH, Gavin AR, Takeuchi DT (2006) Smoking prevalence among asian americans: findings from the National Latino and Asian American Study (NLAAS). Public Health Rep 121(6):755–763

    Article  Google Scholar 

  5. Gany F, Bari S, Gill P, Loeb R, Leng J (2015) Step on it! Impact of a workplace New York City taxi driver health intervention to increase necessary health care access. Am J Public Health 105(4):786–792

    Article  Google Scholar 

  6. Apantaku-Onayemi F, Baldyga W, Amuwo S, Adefuye A, Mason T, Mitchell R, Blumenthal DS (2012) Driving to better health: cancer and cardiovascular risk assessment among taxi cab operators in Chicago. J Health Care Poor Underserved 23(2):768–780

    Article  Google Scholar 

  7. Mirpuri S, Gill P, Ocampo A, Roberts N, Narang B, Hwang SW, Gany F (2018) Discrimination and health among taxi drivers in New York and Toronto. J Community Health 43(4):667–672

    Article  Google Scholar 

  8. Lepeule J, Laden F, Dockery D, Schwartz J (2012) Chronic exposure to fine particles and mortality: an extended follow-up of the Harvard Six Cities study from 1974 to 2009. Environ Health Perspect 120(7):965–970

    Article  Google Scholar 

  9. Tsoi CT, Tse LA (2012) Professional drivers and lung cancer: a systematic review and meta-analysis. Occup Environ Med 69(11):831–836

    Article  CAS  Google Scholar 

  10. U.S. Preventive Services Task Force (2014) Recommendation summary. 2014. Available at: www.uspreventiveservicestaskforce.org/Page/Topic/recommendation-summary/colorectal-cancer-screening. Accessed Nov 15, 2019

  11. de Koning HJ, van der Aalst CM, de Jong PA, Scholten ET, Nackaerts K, Heuvelmans MA et al (2020) Reduced lung-cancer mortality with volume CT screening in a randomized trial. N Engl J Med 382(6):503–513

    Article  Google Scholar 

  12. Goel MS, Wee CC, McCarthy EP, Davis RB, Ngo-Metzger Q, Phillips RS (2003) Racial and ethnic disparities in cancer screening: the importance of foreign birth as a barrier to care. J Gen Intern Med 18(12):1028–1035

    Article  Google Scholar 

  13. Lin JS, Finlay A, Tu A, Gany FM (2005) Understanding immigrant Chinese Americans’ participation in cancer screening and clinical trials. J Community Health 30(6):451–466

    Article  Google Scholar 

  14. Sin MK, Ha A, Taylor V (2016) Sociocultural barriers to lung cancer screening among Korean immigrant men. J Community Health 41(4):790–797

    Article  Google Scholar 

  15. Hou SI, Roberson K (2015) A systematic review on US-based Community Health Navigator (CHN) interventions for cancer screening promotion—comparing community-versus clinic-based navigator models. J Cancer Educ 30(1):173–186

    Article  Google Scholar 

  16. Kangovi S, Mitra N, Grande D, White ML, McCollum S, Sellman J, Shannon RP, Long JA (2014) Patient-centered community health worker intervention to improve posthospital outcomes: a randomized clinical trial. JAMA Intern Med 174(4):535–543

    Article  Google Scholar 

  17. Rogers EM (2010) Diffusion of innovations. Simon and Schuster

  18. Emery JD, Shaw K, Williams B, Mazza D, Fallon-Ferguson J, Varlow M, Trevena LJ (2014) The role of primary care in early detection and follow-up of cancer. Nat Rev Clin Oncol 11(1):38–48

    Article  Google Scholar 

  19. Development AtSS. ATLAS.ti: the qualitative data analysis & research software. 2012 Available from: http://www.atlasti.com/index.html. Accessed Aug 2019

  20. Strauss A, Corbin JM (1990) Basics of qualitative research: grounded theory procedures and techniques. Sage Publications, Inc

    Google Scholar 

  21. Committee on Quality of Health Care in America, & Institute of Medicine Staff (2001) Crossing the quality chasm: a new health system for the 21st century. National Academies Press, Washington D.C.

    Google Scholar 

  22. Resnicow K, Baranowski T, Ahluwalia JS, Braithwaite RL (1999) Cultural sensitivity in public health: defined and demystified. Ethn Dis 9(1):10–21

    CAS  PubMed  Google Scholar 

  23. Shommu NS, Ahmed S, Rumana N, Barron GR, McBrien KA, Turin TC (2016) What is the scope of improving immigrant and ethnic minority healthcare using community navigators: a systematic scoping review. Int J Equity Health 15(1):6

    Article  Google Scholar 

  24. Nguyen TT, Love MB, Liang C, Fung LC, Nguyen T, Wong C, Gildengorin G, Woo K (2010) A pilot study of lay health worker outreach and colorectal cancer screening among Chinese Americans. J Cancer Educ 25(3):405–412

    Article  Google Scholar 

  25. Taylor VM, Hislop TG, Tu SP, Teh C, Acorda E, Yip MP, Woodall E, Yasui Y (2009) Evaluation of a hepatitis B lay health worker intervention for Chinese Americans and Canadians. J Community Health 34(3):165–172

    Article  Google Scholar 

Download references

Funding

This publication was supported by the National Cancer Institute: Informing the Adaptation of a CHW Model to Facilitate Lung Cancer Screening for Chinese Taxi Drivers (R03 CA202515-02) and Core Center Support Grant (P30 CA008748).

Author information

Authors and Affiliations

  1. Department of Psychiatry and Behavioral Sciences, Immigrant Health and Cancer Disparities Service, Memorial Sloan Kettering Cancer Center, 485 Lexington Ave., 2nd Floor, New York, NY, 10017, USA

    Jennifer Leng & Francesca Gany

  2. Department of Medicine, Memorial Sloan Kettering Cancer Center, New York, NY, 10017, USA

    Jennifer Leng & Francesca Gany

  3. Department of Healthcare Policy and Research, Weill Cornell Medical College, New York, NY, 10017, USA

    Jennifer Leng & Francesca Gany

  4. Warren Alpert Medical School of Brown University, Providence, RI, USA

    Randall Li

  5. City College & The Graduate Center, City University of New York, New York, NY, USA

    Florence Lui

Authors
  1. Jennifer Leng
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Randall Li
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Florence Lui
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Francesca Gany
    View author publications

    You can also search for this author in PubMed Google Scholar

Contributions

Jennifer Leng was the lead in project conception, development, implementation, and manuscript writing, and provided overall guidance and direction; Randall Li contributed to data collection and analysis; Florence Lui contributed to data analysis and manuscript development; and Francesca Gany provided overall supervision, oversight, and guidance.

Corresponding author

Correspondence to Jennifer Leng.

Ethics declarations

Conflict of Interest

The authors declare that they have no conflict of interest.

Ethics Approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards. This article does not contain any studies with animals performed by any of the authors. The study was reviewed and approved by MSKCC’s Institutional Review Board.

Consent to Participate

Informed consent was obtained from all individual participants included in the study.

Consent to Publish

Not applicable; participants have been de-identified.

Additional information

Publisher’s Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Leng, J., Li, R., Lui, F. et al. Healthcare Professionals’ Perspectives on Adapting a Community Health Worker Model to Facilitate Lung Cancer Screening for Chinese For-Hire Vehicle Drivers. J Canc Educ 37, 311–318 (2022). https://doi.org/10.1007/s13187-020-01813-2

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s13187-020-01813-2

Keywords

Search

Navigation