Differences in Knowledge Attitudes Beliefs and

Authors: T Domi Le Patricia A Carney Frances LeeLin Motomi Mori Zunqiu Chen Holden Leung Christine Lau David A Lieberman

Publish Date: 2013/10/19

Volume: 39, Issue: 2, Pages: 248-265

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Abstract

Asian ethnic subgroups are often treated as a single demographic group in studies looking at cancer screening and health disparities To evaluate knowledge and health beliefs associated with colorectal cancer CRC and CRC screening among Chinese Korean and Vietnamese subgroups a survey assessed participants’ demographic characteristics healthcare utilization knowledge beliefs attitudes associated with CRC and CRC screening Exploratory factor analysis identified six factors accounting 60  of the total variance in beliefs and attitudes Cronbach’s alpha coefficients assessed internal consistency Differences among Asian subgroups were assessed using a Chi square Fisher’s exact or Kruskal–Wallis test Pearson’s correlation coefficient assessed an association among factors 654 participants enrolled 238 Chinese 217 Korean and 199 Vietnamese Statistically significant differences existed in demographic and health care provider characteristics knowledge and attitude/belief variables regarding CRC These included knowledge of CRC screening modalities reluctance to discuss cancer belief that cancer is preventable by diet and lifestyle and intention to undergo CRC screening Chinese subjects were more likely to use Eastern medicine 52  Chinese 25  Korean 27  Vietnamese p  0001 Korean subjects were less likely to see herbs as a form of cancer prevention 34  Chinese 20  Korean 35  Vietnamese p  0001 Vietnamese subjects were less likely to consider CRC screening 95  Chinese 95  Korean 80  Vietnamese p  00001 Important differences exist in knowledge attitudes and health beliefs among Asian subgroups Understanding these differences will enable clinicians to deliver tailored effective health messages to improve CRC screening and other health behaviors

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