Abstract
ulture influences health status. Cultural awareness on the part of health care proCviders improves both health outcomes and care quality. Gastric cancer is a leading cause of death worldwide, particularly in Eastern Asians (Chinese, Japanese, Koreans, Mongolians). The incidence rate for gastric cancer was number 1 among Eastern Asians in 2008 (30 per 100,000 populations), which is about 6 in 10 new cases. Korea has the highest rate of gastric cancer (41.4 per 100,000) among Asians, followed by Mongolia (34 per 100,000), Japan (31.1 per 100,000), and China (29.9 per 100,000). Gastric cancer in the United States is the 14th leading cancer, with 21,600 new cases and 10,990 deaths in 2013. According to the 2006-2010 California cancer incidence data, which is the only available data for individual Asians, gastric cancer is the 3rd most common cancer in both Korean American men and women in California and the 5th most common in Japanese and Vietnamese American men. Although nationwide campaigns are regularly mounted to screen for breast, cervical, and colorectal cancers in the US, gastric cancer screening is totally overlooked, perhaps because of its low incidence among non-Hispanic whites. Asian Americans have been largely neglected with regard to health status assessment, program development, and resource allocation. Absence of national guidelines for gastric cancer screening and a lack of awareness of culturally related health risks by US health care providers has hindered early detection and treatment of gastric cancer in Asian Americans. Therefore, gastric cancer is frequently diagnosed in a later stage with a lower cure rate. For example, the 5-year survival rate was 67% in Korea from 20062010, whereas the survival rate was 26.9% in America from 2002-2008. Asian Americans are the fastest growing minority population in the US, currently numbering more than 17 million (nearly 6% pecent of the population), an increase of 43% between 2000 and 2010. Asians
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