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Seeking to Bridge Two Cultures: The Wisconsin Hmong Cancer Experience

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Abstract

Compared to white non-Hispanics, Hmong report higher incidence rates of certain cancers and present at an advanced stage. Using a community-based participatory research approach, Hmong leaders partnered with academic researchers to assess the Wisconsin Hmong population’s readiness to address cancer. Using the Colorado Tri-Ethnic Center’s Community Readiness Assessment, face-to-face interviews were conducted with eight Hmong leaders. The stage of readiness to address cancer was “Vague Awareness”. Six thematic areas provided insight into this stage and recommendations for effective intervention. Results emphasize the need for a bridge between Hmong and mainstream communities to provide basic, culturally appropriate education on the US healthcare system and cancer.

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References

  1. Chen MS (2005) Cancer health disparities among Asian Americans: what we know and what we need to do. Cancer 104:2895–2902

    Article  PubMed  Google Scholar 

  2. Mills PK, Yang RC (1997) Cancer incidence in the Hmong of central California, United States, 1987–94. Cancer Causes Control 8:705–712

    Article  CAS  PubMed  Google Scholar 

  3. Mills PK, Yang RC, Riordan DG (2005) Cancer incidence in the Hmong in California, 1988–2000. Cancer 104:2969–2974

    Article  PubMed  Google Scholar 

  4. Ross JA, Xie Y, Kiffmeyer WR, Bushhouse S, Robison LL (2003) Cancer in the Minnesota Hmong population. Cancer 97:3076–3079

    Article  PubMed  Google Scholar 

  5. Yang K (2001) The Hmong in America: twenty-five years after the U.S. secret war in Laos. J Asian Am Stud 4:165–174

    Article  Google Scholar 

  6. Cha D (2003) Hmong American concepts of health, healing, and conventional medicine. Routledge, New York

    Google Scholar 

  7. Pinon-Perez H (2006) Health issues for the Hmong population in the U.S.: implications for health educators. Int Electron J Health Educ 9:122–133

    Google Scholar 

  8. Tanjasiri SP, Kagawa-Singer M, Foo MA et al (2001) Breast cancer screening among Hmong women in California. J Cancer Educ 16:50–54

    CAS  PubMed  Google Scholar 

  9. Tanjasiri SP, Kagawa-Singer M, Foo MA et al (2007) Designing culturally and linguistically appropriate health interventions: the “Life is Precious” Hmong breast cancer study. Health Educ Behav 34:140–153

    Article  PubMed  Google Scholar 

  10. Yang RC, Mills PK, Dodge JL (2006) Cancer screening, reproductive history, socioeconomic status, and anticipated cancer-related behavior among Hmong adults. Asian Pac J Cancer Prev 7:79–85

    PubMed  Google Scholar 

  11. Edwards RW, Jumper-Thurman P, Plested BA, Oetting ER, Swanson L (2000) Community readiness: research to practice. J Commun Psychol 28:291–307

    Article  Google Scholar 

  12. Israel BA, Schulz AJ, Parker EA, Becker AB (1998) Review of community-based research: assessing partnership approaches to improve public health. Annu Rev Public Health 19:173–202

    Article  CAS  PubMed  Google Scholar 

  13. Israel B, Eng E, Schulz A, Parker E (2005) Methods in community-based participatory research for health. Jossey-Bass, San Francisco

    Google Scholar 

  14. Wallerstein NB, Duran B (2006) Using community-based participatory research to address health disparities. Health Promot Pract 7:312–23

    Article  PubMed  Google Scholar 

  15. Lasker RD, Weiss ES (2003) Broadening participation in community problem solving: a multidisciplinary model to support collaborative practice and research. J Urban Health 80(1):14–47

    PubMed  Google Scholar 

  16. Minkler M, Wallerstein N (2003) Community based participatory research for health. Jossey-Bass, San Francisco

    Google Scholar 

  17. Blumenthal DS, DiClemente RJ (eds) (2004) Community-based health research: issues and methods. Springer, New York

  18. Plested BA, Edwards RW, Jumper-Thurman P (2006) Community readiness: a handbook for successful change. Fort Collins, Tri-Ethnic Center for Prevention Research

    Google Scholar 

  19. Jumper-Thurman P, Vernon S, Plested B (2007) Advancing HIV/AIDS prevention among American Indians through capacity building and the community readiness model. J Public Health Manag Pract 13:S49–S54

    Google Scholar 

  20. Findholt N (2007) Application of the community readiness model for childhood obesity prevention. Public Health Nurs 24:565–570

    Article  PubMed  Google Scholar 

  21. Ogilvie KA, Moore RS, Ogilvie DC, Johnson KW, Collins DA, Shamblen RS (2008) Changing community readiness to prevent the abuse of inhalants and other harmful legal products in Alaska. J Commun Health 33:248–258

    Article  Google Scholar 

  22. Faruque CJ (2002) Migration of Hmong to the Midwestern United States. University Press of America, Lanham

    Google Scholar 

  23. Lao Family Community of Minnesota Inc. Hmong families. Published 1997. Available at: http://www.laofamily.org/pdfs/Hmong_Families.pdf. Accessed April 28, 2009

  24. Schroepfer TA, Sanchez GV, Lee KJ, Matloub J, Waltz A, Kavanaugh M (2009) Community readiness assessment: the scoring process revisited. J Commun Pract 17(3):269–290

    Article  Google Scholar 

  25. Hsieh H, Shannon SE (2005) Three approaches to qualitative content analysis. Qual Health Res 15:1277–1288

    Article  PubMed  Google Scholar 

  26. Patton M (1990) Qualitative evaluation and research methods, 2nd edn. Sage, Newbury Park

    Google Scholar 

  27. Yang RC, Mills PK, Riordan DG (2005) Gastric adenocarcinoma among Hmong in California, USA, 1988–2000. Gastric Cancer 8:117–123

    Article  PubMed  Google Scholar 

  28. Yang RC, Mills PK, Riordan DG (2004) Cervical cancer among Hmong women in California, 1988–2000. Am J Prev Med 27(2):132–138

    Article  PubMed  Google Scholar 

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Authors and Affiliations

  1. University of Wisconsin-Madison, Madison, WI, USA

    Tracy A. Schroepfer, Angela Waltz, Hyunjin Noh, Jacqueline Matloub & Viluck Kue

  2. School of Social Work, University of Wisconsin-Madison, 1350 University Avenue, Madison, WI, 53706, USA

    Tracy A. Schroepfer

Authors
  1. Tracy A. Schroepfer
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  2. Angela Waltz
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  3. Hyunjin Noh
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  4. Jacqueline Matloub
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  5. Viluck Kue
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Corresponding author

Correspondence to Tracy A. Schroepfer.

Additional information

Supported by the Wisconsin Comprehensive Cancer Control Program with funds from the Wisconsin Partnership Program.

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Schroepfer, T.A., Waltz, A., Noh, H. et al. Seeking to Bridge Two Cultures: The Wisconsin Hmong Cancer Experience. J Canc Educ 25, 609–616 (2010). https://doi.org/10.1007/s13187-010-0102-1

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  • DOI: https://doi.org/10.1007/s13187-010-0102-1

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