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Older Korean American men's prostate cancer screening behavior: the prime role of culture

TitleOlder Korean American men's prostate cancer screening behavior: the prime role of culture
Publication TypeJournal Article
Year of Publication2013
AuthorsLee, HY, Jung, Y
JournalJ Immigr Minor HealthJ Immigr Minor Health
Volume15
Pagination1030-7
Date PublishedDec
ISBN Number1557-1920 (Electronic)<br/>1557-1912 (Linking)
Accession Number23504334
KeywordsAged, Asian Americans/ statistics & numerical data, Cross-Sectional Studies, Health Behavior/ ethnology, Humans, Interviews as Topic, Male, Middle Aged, New York City/epidemiology, Patient Acceptance of Health Care/ ethnology, Prostate-Specific Antigen/blood, Prostatic Neoplasms/blood/ prevention & control, Questionnaires, Republic of Korea/ethnology
AbstractEast and South Asian male immigrants show markedly low odds of prostate cancer screening as compared to U.S.-born men. However, knowledge about these immigrants' culture-based screening behavior and barriers to screening is extremely limited. This study investigates factors influencing receipt of prostate cancer screening among Korean American immigrant men, particularly investigating culture's impact on screening behaviors. Data were collected through a convenience and purposive sampling technique from 134 Korean American males aged 50 and older recruited in New York City. A structured questionnaire was used and cultural variables were measured by adopting items from Tang and colleagues' work. Approximately 60 % of the sample had received a prostate-specific antigen (PSA) test in their lifetime, and of these, about 66 % reported having done so in the previous 12 months. Logistic regression analysis revealed that a crisis-oriented intervention approach was associated with a substantially reduced likelihood of screening. A positive correlation was noted between the use of Eastern medicine and PSA test receipt. Further analysis revealed a significant interaction effect between use of Eastern medicine and age in predicting PSA test uptake. Culture-specific intervention strategies for increasing prostate cancer screening in this group are discussed, with particular attention to increasing pertinent health literacy. Health professionals should consider the cultural domain when working with Korean immigrant men in order to provide culturally competent care.
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