Abstract
Evaluate the educational intervention and determine if changes in knowledge and beliefs are associated with positive intentions to screen among Pacific Islanders (PIs). Pre- and post-test surveys were utilized to evaluate the intervention. Educational materials included an in-language presentation, educational videos, and bookmarks with screening re-enforcement messages for community-based PI groups. One hundred and ninety-six PIs aged 50 years and older residing in Orange County completed the educational workshop. The dependent variable is intention and the independent variables are demographic, enabling, and predisposing characteristics. Statistical analyses included paired samples t-tests, chi-square tests, and two logistic regression models. Knowledge and belief scores increased pre- to post-test. A majority intended to (1) talk to a doctor about colorectal cancer (CRC) screening (74.5%), and (2) participate in CRC screening (73.5%). Positive change in knowledge score was a significant predictor for intending to talk to a doctor about CRC screening; female gender and positive change in knowledge score were significant predictors for intending to participate in screening. The study highlighted the effectiveness of tailored education in addressing cultural and linguistic needs of the community. Moreover, it demonstrated the education's potential for moving participants with limited CRC screening knowledge to intend to screen.
Highlights
California is home to the largest Chamorro population in the United States
In 2010 there were an estimated 38,199 Chamorros residing in California: 21.6% spoke a language other than English at home, 12.1% had incomes below the poverty level, 11.5% with no health insurance, 4.7% were foreign born, and 12.2% had less than a high school degree (U.S Census Bureau, 2010)
Studies specific to Pacific Islanders are limited, Dang, Lee, and Tran (2010) found differences in KABs among four disaggregated Asian American and Pacific Islander groups of women in California. These findings suggest that knowledge and beliefs can act as a barrier to healthcare access, and that there are variations in KABs specific to subpopulations
Summary
California is home to the largest Chamorro population in the United States. Recent data from Miller, Chu, Hankey, and Ries (2008) using Surveillance, Epidemiology, and End Results registries from 1998 to 2002 reported cancer incidence and mortality for disaggregated Pacific Islander groups. They reported CRC incidence rates for Native Hawaiian (44.0 per 100,000; 95% CI: 37.3, 51.6) and Samoan women (38.6 per 100,000; 95% CI: 24.1, 60.5), and CRC mortality rates for Native Hawaiian women (13.1 per 100,000; 95% CI: 9.5, 17.7).
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