| Autor: |
Fernández-Esquer ME; Department of Health Promotion and Behavioral Sciences, The University of Texas Health Science Center , Houston, TX, USA., Nguyen FM; Department of Health Promotion and Behavioral Sciences, The University of Texas Health Science Center , Houston, TX, USA., Atkinson JS; Department of Health Promotion and Behavioral Sciences, The University of Texas Health Science Center , Houston, TX, USA., Le YC; McGovern Medical School, The University of Texas Health Science Center , Houston, TX, USA., Chen S; HOPE Clinic , Houston, TX, USA., Huynh TN; MD Anderson Cancer Center , Houston, TX, USA., Schick V; Department of Management, Policy, and Community Health, The University of Texas Health Science Center , Houston, TX, USA. |
| Abstrakt: |
Vietnamese nail salon workers have low cancer screening rates and confront multiple socioeconomic disparities as immigrants to the US. The Sức Khỏe là Hạnh Phúc (Vietnamese for "Health is Happiness") program was adapted to the cultural and work needs of this population and implemented at nail salons to increase cancer screening adherence. A total of 186 study participants were recruited from 59 nail salons in a neighborhood with mostly Asian population. After being pretested, workers were enrolled in a cancer education session delivered by Vietnamese lay health workers. Non-adherent cases were offered navigation to cancer screening services to a local federally qualified health center. Participants completed a posttest survey five months, on average. At posttest, navigated non-adherent participants were more likely to report a recent Pap test compared to cases not navigated (83.8% vs. 50.0%), an effect not observed for mammography uptake (77.3% vs. 71.4%). Time in the US, marital status, insurance status, having a primary care provider and/or a gynecologist were significantly associated with cancer screening adherence. Low rates of adherence to cancer screening among Vietnamese nail salons workers can be improved by community based programs addressing cultural and work-related barriers confronted by this population. |
