Chinese Immigrant Community Research Articles

Abstract B110: A community-based educational intervention to improve colorectal cancer screening

Abstract Background: Colorectal cancer (CRC) is the 3rd leading cause of cancer death in the US. Early detection through screening increases survival and decreases mortality. Approximately 59% of eligible adults in the US are up to date on CRC screening with lower rates in minoritized communities. We report on a tailored a CRC screening educational intervention focused on improving CRC screening rates in the Black, Latinx, and Chinese immigrant communities that we serve. Methods: An educational intervention utilizing NCI’s Screen to Save CRC colorectal cancer educational materials was tailored through key contact interviews and focus groups with Black, Latinx, and Chinese immigrant communities and made available in Spanish/English/Mandarin. Invitations to participate were primarily disseminated through weekly email blasts to adults (persons age18+). A pre- and post-intervention survey was used to assess patient knowledge and intentions to screen. Persons completing the post-survey received a FIT test for CRC screening with a FIT. We used McNemar test to compare the results pre- and post-survey. Results: Of the 300 participants who completed the post-survey, 117 (39%) were male, and 183 were female (61%). 231 identified as white non-Latinx (77%), 48 (16%) Black, 3 (9%) Asians. 241 (80.3%) completed college. 186 (62%) had received CRC screening—176 (95%) by colonoscopy, 31 (17%) by fecal immunochemical test FIT prior to enrollment. 240 (80%) were eligible for FIT by age. 137 (83%) were interested in receiving FIT. Primary reasons for not pursuing FIT test included choosing to pursue a colonoscopy or having had a recent normal colonoscopy. 88 expressed interest pursuing FIT; 66 (75%) participants signed FIT consent form, and 41 (62%) completed FIT. Knowledge regarding CRC screening improved for the following questions: CRC starts in liver (p=0.0082), small intestine (p<0.0001) and colon and/or rectum (p=0.0027), “FIT checks the stool for fat (p<0.0001), tumors (p<0.0001) and polyps (p=0.0067),” “Risk factors for CRC are poor diet (p=0.0019), smoking/tobacco use (p=0.0148), lack of physical activity(p=0.0012),” “Lynch syndrome is a disorder that runs in families and increases my chances of developing CRC (p<0.0001)” and “Increasing my physical activity will not lower my chances of developing CRC (p=0.0019).” 153 (60.24%) said the education session was great and 91 (36.25%) said it was good. When asked if they would recommend this education session to family and friends, more than 80% of participants agreed. Conclusions: CRC education video helped increase patient knowledge regarding CRC, specifically about risk factors and improved knowledge regarding FIT as a CRC screening modality. Citation Format: Iqra Siddiqui, FNU Nikita, Ana Maria Lopez. A community-based educational intervention to improve colorectal cancer screening [abstract]. In: Proceedings of the 17th AACR Conference on the Science of Cancer Health Disparities in Racial/Ethnic Minorities and the Medically Underserved; 2024 Sep 21-24; Los Angeles, CA. Philadelphia (PA): AACR; Cancer Epidemiol Biomarkers Prev 2024;33(9 Suppl):Abstract nr B110.

The associations between social support and mental health among Chinese immigrant pregnant and parenting women

BackgroundWhile it is recognized that social support can alleviate mental health symptoms, this relationship is not well-understood among Chinese pregnant and parenting immigrants in the United States. This study aims to bridge this gap by exploring the relationships between different types of social support and women’s anxiety and depression, and examining how these associations vary with pregnancy status.MethodsData were obtained from a cross-sectional survey conducted in Simplified Chinese or Mandarin between March-June 2021 among 526 women who were pregnant and/or parenting a child under five years. The Patient-Reported Outcomes Measurement Information System (PROMIS) Anxiety, Depression, and Social Support scales were used to measure anxiety, depression, and social support levels. Descriptive statistics, t-tests, chi-square tests, and Pearson’s correlations were employed for analysis. Hierarchical regression was conducted to investigate the main and interaction effects of social support types and pregnancy status on mental health outcomes.ResultsCompared to non-pregnant women, pregnant women reported higher mean scores for anxiety (non-pregnant: 55, pregnant: 59, p < 0.01) and depression (non-pregnant: 54, pregnant: 56, p = 0.02). Instrumental support displayed a significant main effect in relation to anxiety (β=-0.13, p = 0.01) and depression (β=-0.16, p < 0.01); emotional support exhibited a significant main effect solely on depression (β=-0.13, p = 0.01). Notably, the interaction effects between pregnancy status and both instrumental (β=-0.28, p = 0.01) and emotional support (β=-0.42, p < 0.01) were significant for anxiety. In contrast, informational support did not exhibit a significant impact on either anxiety or depression.ConclusionsThe findings indicate that tailoring support to the cultural context is crucial, especially for pregnant women in this Chinese immigrant community, with instrumental and emotional support being particularly beneficial in mitigating maternal anxiety.

Shaping Habitus and “Good” Lifestyles: Music Education of Chinese Immigrant Families in the UK

This study investigates the phenomenon of “music fever” in the Chinese immigrant community in the UK, a relatively neglected research field in the English language literature. It explores the attitudes of Chinese immigrant parents towards their children’s music learning through three key concepts in Bourdieu’s cultural theory: capital, habitus, and field. Although the interviewees generally displayed a positive attitude towards their children’s music learning, it was conditional on it not interfering with their children’s academic studies. This study extends existing research on East Asian immigrants’ and parents’ perceptions of children’s music education, and contributes to the application of Bourdieu’s theoretical tool in research on East Asian cultural groups in both Western and non-Western contexts.

One Label Doesn’t Fit All: Self-Labeling Practices Within the Chinese Immigrant Community in Canada

Ethnic minority populations, such as the Chinese and other racial minority communities, have traditionally been the targets of physical and social harassment. The onset of the Coronavirus (COVID-19) pandemic has reignited the racism, violence, and xenophobia faced by individuals of Chinese descent across North America. As a result, there is now a spotlight on the Chinese immigrant experience and the capacity for these individuals to authentically communicate and present their identities, specifically through the use of self-labels. In a mixed-methods investigation, we assessed the preferred self-labels among a sample of the Chinese population in Canada and sought to uncover the meanings imbued in the labels they use to describe themselves across different contexts. In addition, the relationships between label preferences and measures of ethnic identity and language were examined. Although bicultural labels (e.g., Chinese Canadian, Canadian Chinese, Hong Kong Canadian, etc.) were the most preferred, there was a variety of labels used, suggesting a more complex meaning in the choice of self-labels. Implications for identity and self-categorization are discussed.

Sources of COVID-19 infection among Chinese immigrants in Canada

PurposeWith the significant impact of the COVID-19 pandemic, understanding the sources of COVID-19 infection is crucial for developing effective public health strategies to control the spread of the disease. Chinese immigrants in Canada represent a population for which no study had previously been conducted to investigate the sources of COVID-19 infection. This study aimed to address this knowledge gap by examining the prevalence of various sources of COVID-19 within the Chinese immigrant community and identifying potential risk factors associated with each source. MethodsAn online cross-sectional survey was conducted in early 2023, which included questions on five possible sources of COVID-19 infection: family, social gatherings, workplace, public places, or unknown. A total of 591 responses were received, of which 488 eligible responses were included in the analysis. Results56.4% of the survey respondents were female, 45.0% had a university degree (or higher), and 19.4% of the participants were 65 years of age or older. Among the 226 individuals who contracted COVID-19, the most commonly reported source of infection was family members (29.2%), followed by public places (27.4%), and social gatherings (16.4%). Additionally, 16.4% of the respondents were uncertain where they had contracted the virus, and 10.6% of the respondents contracted COVID-19 from their workplace. ConclusionsA large majority of participants were able to identify the source of their COVID-19 infection, with results suggesting that individuals are at the highest risk for contraction of COVID-19 from infected family members. Our findings can inform public health efforts to control the spread of COVID-19 in Canada.

Ruptured Rhetoric

Under the pressure of the political environment, Chinese immigrant communities of a new sort have had to form in the UK. From 2020 to 2022, strict COVID-19 policies enforced by the Chinese government left a large number of Chinese nationals stranded overseas. Concurrently, the political conflicts in Hong Kong since 2019 and shifting geopolitical dynamics in China prompted a significant influx of Hong Kong citizens emigrating to the UK. Within this context, soundwork has emerged as a powerful implement for shaping ideology, aesthetics, identity, and subjectivity in these immigrant and diaspora communities. Amid these challenges, ethnic Chinese sound artists based in the UK actively contribute to the construction of Sinophone communities, incorporating the local culture while challenging the homogenized concept of “Chineseness” in terms of a new, critical epistemology. These Sinophone communities take place in venues such as performance spaces, art galleries, and public areas. Artistic activism plays a pivotal role, with sound art serving as a potent medium of expression. Artists such as Chris Zhongtian Yuan, Bo Choy, Yarli Allison, and On Yee Lo employ various forms of artistic expression, including video arts, installations, films, and performances, to capture the political circumstances and psychological states of these communities. By drawing on theoretical frameworks from Sinophone theory and sound studies, this paper analyzes the soundworks of four artists of the Chinese ethnic or Hong Kong diaspora based in London, focusing particularly on the protest, storytelling, ritual, resistance, nostalgia, and mythological elements in their works’ sonic effects.

A Subsidized and Culturally-adapted Community Supported Agriculture Program to Improve Diet of Chinese Immigrant Communities

A Subsidized and Culturally-adapted Community Supported Agriculture Program to Improve Diet of Chinese Immigrant Communities

Dietary Acculturation and Food Habit Changes among Chinese Immigrants in Portugal.

Chinese individuals who immigrate to a Western country tend to change their eating patterns and behaviors depending on how long they live in the host country. This is dietary acculturation, and it can have a positive or negative impact on eating habits. Thus, we aimed to characterize the dietary acculturation of the Chinese immigrant community in Portugal and check the trend of the direction of this acculturation. The study involved 213 immigrants and assessed food consumption, meal patterns, and dietary acculturation. A mean Western acculturation score of 70.1 ± 8.9. was identified and 71.4% had a high Western acculturation score. No one had low or very high Western acculturation. Participants who have a higher level of acculturation tend to have higher energy and fat intake. The likelihood of mixing meals, including, and combining, Chinese and Portuguese meals and foods is associated with time spent in Portugal. Efforts should be made to encourage Chinese immigrants to make a positive dietary transition during their acculturation process.

A review of the role of cultural practices, values, and norms in type II diabetes treatment for Chinese immigrants

Although Type II diabetes (T2D) prevalence in US Chinese immigrants continues to rise, gaps in research and clinical care persist. These gaps are largely due to generalizations of the Asian immigrant population, barriers within biomedical culture, and a lack of culturally sensitive treatment plans. Little attention is paid to the unique sociocultural factors and contexts within each subpopulation, such as family influences or traditional medicine approaches. After an analysis of available literature, folk interpretations of disease, the family unit, and cultural food practices were found to be significant influences on T2D treatment. As they navigate their treatment, Chinese immigrants grapple with issues such as the stigmatization of insulin, the importance of providing food as care, and family well-being and harmony. Understanding how and why these elements of PVN affect T2D treatment is crucial to tailoring medical care to the needs of Chinese immigrant communities.

Reimagining Chinese American Identity: Postcolonial Perspectives on Cultural Negotiation and Transformation in Laurence Yep’s Dragonwings

The Chinese immigrant and Chinese American communities have faced a long history of stigmatisation and misrepresentation due to racial bias and discrimination. This article explores the transformative growth narrative of the child protagonist in Laurence Yep’s novel Dragonwings, set against the backdrop of historical anti-Asian sentiment in the early 1900s. By adopting Said’s “imaginative geography” and Bhabha’s “third space” as analytical perspectives, the study aims to shed light on how the child protagonist’s growth challenges passive Chinese stereotypes and confronts deeply ingrained adversities within the Asian American diaspora by offering an active anti-Oriental perspective. We argue that the transformative journey of the protagonist, Moon Shadow, contests racial biases and cultural boundaries, contributing to a reflective perspective that liberates writers of colour from complicit interrogations. The analysis underlines the transgressive aesthetic within the Chinese American diaspora, showcasing Dragonwings as a quintessential postcolonial bildungsroman that embraces compromise and accommodation in selfformation. Furthermore, the exploration of the child protagonist’s growth in the context of historical realist narrative and the postcolonial lens emphasises the transgressive enjoyment that subverts established norms and identities. The study thus acknowledges the resilience and agency exhibited by the characters in the face of adversity and by understanding the emancipatory potential of growth narratives, it contributes to the broader theme of overcoming adversity and embracing change in the context of language and culture in Asia.

Unpacking the root causes of gambling in the Asian community: Contesting the myth of the Asian gambling culture.

Problem gambling is a public health issue both in the United States and internationally and can lead to mental health and socioeconomic concerns for individuals, families, and communities. Large epidemiological studies on problem gambling have neglected to include working-class, immigrant Asian Americans, who are at higher risk for problem gambling. The lack of data on Asian American gambling may explain a subsequent lack of culturally and linguistically appropriate treatment and prevention services. Additionally, the invisibility of Asian American data in published literature has helped to perpetuate a commonly held myth of an Asian gambling culture. This stereotype of the "Asian gambler" is a form of anti-Asian racism which serves to ignore and minimize the root causes of problem gambling in the Asian American community. Utilizing a community-based participatory research approach, 40 interviews were conducted with the local Khmer (n = 12), Chinese (n = 20), Korean (n = 3), and Vietnamese (n = 5) immigrant communities in the Greater Boston region to assess how problem gambling manifests in the local Asian community. Interviews were conducted in language by bilingual/bicultural community fieldworkers experienced in serving their respective communities. Flyers and social media were used to recruit participants. The interviews were coded into themes which provided a better understanding of the patterns of systemic issues contributing to problem gambling in the Asian American community. Interviewees provided insights into the underlying issues of poverty and social and cultural loss due to immigration as root causes for problem gambling in the Asian American community. The interviews indicate that many individuals in these Asian immigrant communities, who are striving to make a living off low-wage and stressful jobs, struggle to integrate into American society. They often lack culturally appropriate and accessible social and recreational activities, a void that casinos capitalize on through targeted behaviors. Research must address the social and structural barriers in the Asian American communities rather than relying on the "Asian gambler" stereotype and assuming interventions for a general American problem gambler will work for Asian immigrants. The research points to a need for gambling interventions and services that are centered on lived experiences.

Perspectives on mental health difficulties amongst second‐generation Chinese individuals in Germany: Stigma, acculturation, and help seeking

AbstractMigration demands may put Chinese people living abroad at higher risk for mental health difficulties. However, mental illness is stigmatised and often neglected. The aim of this study was to investigate mental illness stigma endorsement amongst second‐generation Chinese individuals in Germany and explore the role of acculturation and stigma on mental health service‐seeking behaviours. In semi‐structured interviews with 23 second‐generation Chinese individuals, half of whom had a history of mental illness and half did not, we explored beliefs contributing to mental illness stigma, manifestations of stigma, the influence of acculturation, experience with mental health difficulties, and barriers to help seeking. Findings indicate that, within Chinese immigrant communities, people with mental illness are perceived as crazy, abnormal, weak, of poor character, having poor genes, or coming from a ‘bad’ family. Manifestations of mental illness stigma were avoidance, social exclusion, labelling, blame, and gossip. Stigma by association of family members was also reported. Acculturation appeared to attenuate stigma endorsement with most participants expressing considerate attitudes towards people with mental illness. However, acculturation also contributed to mental health difficulties through intergenerational differences in view on mental illness and help seeking. Findings highlight the importance of considering family dynamics when providing mental health services to second‐generation Chinese individuals.

Catholic-Confucian Mortuary Practices in a Rural Manchurian Cemetery

Catholic missionaries were active among rural populations in Manchuria, in northeast China, around the turn of the 20th century. Their presence influenced everything from the role of women in religious and family life, to the adoption of new material culture, to local burial customs. This investigation of the Pianliancheng cemetery in Jilin Province, in use from the 1890s to the 1930s, reveals the material and embodied traces of this history. Archaeological, bioarchaeological, and historical evidence for cultural hybridization and transnational connections are presented. Specific findings include the history of individual Catholic priests in the mission, the hybridization of Catholic and Confucian burial practices by the Chinese converts, material connections to Chinese immigrant communities abroad, the labor burden and nutritional status of various members of the community, the continuation of foot binding in rural Manchuria, and the influence of conversion on gender roles and family life.

“Cutting Up a Chicken with a Cow-Cleaver”—Confucianism as a Religion in Japan’s Courts of Law

This paper explores the Naha Confucius Temple case, resolved by the Supreme Court in February 2021, in light of postwar decisions on Articles 20 and 89 of the Japanese constitution. Religion is a contested category in Japanese legislation, appearing both in the constitution and in laws regulating the freedoms and restrictions of legally registered religious organizations. While the organization behind the Confucius Temple in Naha was registered as a general corporate juridical person, the majority opinion sided with the plaintiffs’ argument that the free lease granted to the temple by the municipality of Naha constituted a violence of the ban on public sponsorship of religious institutions and activities. In order to reach their decision, the Supreme Court and the lower courts not only had to decide on whether Confucianism was a religion or not, but also on whether the organization behind the temple—a group dedicated to the history and memory of the Chinese immigrant community in Naha—should in fact be considered a religious organization. The outcome of the case is a good example of religion-making in courts of law, with a central institution of power employing notions of sui generis religion to regulate and define civil actors.

Communication Infrastructure in an Asian Immigrant Community

The health benefits of having a supportive community and access to community resources are well documented and for many immigrant communities, community-based organizations (CBOs) play an important role by providing culturally competent services. The current study uses communication infrastructure theory (CIT) to examine the associations between connections to CBOs, civic engagement, and protective health behaviors within the context of Boston Chinatown’s Chinese immigrant community. According to CIT, neighborhood communication resources encourage residents to engage in civic activities and health-related problem-solving behaviors. To assess these associations, data from a needs assessment survey (N = 360) were analyzed. Results showed that connections to CBOs had a positive association with total number of protective health behaviors. Civic engagement was not found to be associated with health behaviors. We also found no indirect effect of connections to CBOs on the protective health behaviors via civic engagement. These results carry important theoretical and practical implications.

Cross-Cultural Researchers’ Positionality in Immigrant Health Research: Reflections on Conducting Research on Chinese Immigrants’ Experiences in the United States

While a growing body of research has examined immigrants’ health generally, less is known specifically about the impact of immigration policy on the health of Chinese immigrants, the second-largest foreign-born population in the United States. This is due, in part, to the lack of methodologically well-trained, cross-cultural researchers who have both the cultural and linguistic expertise and health knowledge to engage with Chinese immigrant populations. This paper addresses this gap by examining Chinese cross-cultural researchers’ roles in the qualitative phase of the Research on ImmiGrant HealTh and State policy (RIGHTS) project, which sought to assess how immigration policies shaped Chinese and other immigrants’ experiences in healthcare and other related sectors in California. We used reflexivity to assess Chinese cross-cultural researchers’ positionality of insiderness and outsiderness and its influence on the process of data collection (i.e., recruitment, conducting interviews, transcription, and translation). Our reflexivity guides the assessment of the opportunities (e.g., expanding the recruitment pool, engaging participants more effectively in interviews, ensuring data integrity, and discussing heterogeneity within the Chinese immigrant community) and challenges (e.g., the difficulty of recruiting low-income and undocumented immigrants, addressing participants’ in-depth thoughts, the time-consuming nature of transcription and translation, and the assessment of power dynamics) in conducting immigrant health research with the Chinese community. These results highlight the need for cross-cultural researchers to help build trusting relationships with ethnic-minority communities, thus gaining new insights and advancing knowledge within the field of ethnic minority health research. These insights can guide future investigations of Chinese and other immigrant communities as research on immigration policy and health expands.

Elder abuse risk factors: Perceptions among older Chinese, Korean, Punjabi, and Tamil immigrants in Toronto

ObjectivesElder abuse is a significant concern worldwide. Several factors are reported to increase the risk for elder abuse, but little is known about which factors are most relevant to immigrant communities. This study explored perceptions of risk factors for elder abuse among older immigrants, which is the first step toward designing effective interventions. MethodsThis cross-sectional quantitative study was conducted between 2017 and 2019 in the Greater Toronto Area, Ontario, Canada and involved a convenience sample (N = 173) of older women and men from Chinese, Korean, Punjabi, and Tamil immigrant communities. Participants completed a questionnaire about the frequency and importance of risk factors of elder abuse in their respective community. Descriptive statistics were used to analyze the data within each immigrant community and analysis of variance to compare the factor ratings across communities. ResultsThe immigrant communities differed (p < .05) in their perception of the risk factors. Factors rated as frequent and important (x̅ > 2.0 – midpoint of the rating scale) were social isolation, financial dependence, and lack of knowledge of English for Korean; financial dependence, physical dependence, and emotional dependence for Chinese; lack of knowledge of English, emotional dependence, and physical dependence for Tamil; and social isolation for Punjabi. ConclusionThe findings highlight the need for collaboration among public health and social services to work with immigrant communities in co-designing interventions to address these key risk factors and thereby reduce the risk of elder abuse.

Asian American Older Adults and Social Isolation: A Systematic Literature Review

Asian Americans are the fastest growing racial and ethnic minority group in the United States, whose population is aging considerably. Previous studies indicate that social isolation and loneliness disproportionately affects older adults and predicts greater physical, mental, and cognitive decline. A systematic literature review using PRISMA guidelines was conducted to address this emerging need to understand the scope of research focused on social isolation and loneliness among the disparity population of older Asian Americans. Four interdisciplinary databases were searched: PubMed, CINAHL, PsycINFO, and AgeLine; search terms included variations on social isolation, loneliness, Asian Americans, and older adults. Articles were reviewed based on six eligibility criteria: (1) research topic relevance, (2) study participants aged >60 years, (3) Asian immigrants as main participants, (4) conducted in the United States, (5) published between 1995-2019, and (6) printed in the English language. The search yielded 799 articles across the four databases and 61 duplicate articles were removed. s were screened for the 738 remaining studies, 107 of which underwent full-text review. A total of 56 articles met the eligibility criteria. Synthesis of our review indicates that existing research focuses heavily on Chinese and Korean American immigrant communities, despite the heterogeneity of the diverse Asian American population. Studies were largely observational and employed community-based sampling. Critical literature gaps exist surrounding social isolation and loneliness in Asian American older adults, including the lack of studies on South Asian populations. Future studies should prioritize health promotion intervention research and focus on diverse understudied Asian subgroups.

"Work Like a Chinese": Aspirations, Patterns of Work, and Working Conditions of the Chinese Immigrant Community in Southern Spain.

Expanding businesses was the main reason for the immigration of Chinese people in Spain, which consists the fifth largest nationality of immigrants in this country. Nevertheless, few studies have been carried out to understand the working conditions of this population. Using an ethnographic design, this study examined the work patterns and working conditions among Chinese immigrants living in southern Spain and how these factors affected their health. Observing participants, field notes, and semi-structured interviews with question script were conducted with 133 Chinese immigrants. Five main themes were defined: “Economic improvement as a migratory reason”, “Conception to Work”, “Labor Sector”, “Work conditions”, and “Occupational health”. Our results showed that Chinese immigrants worked in the provision of services, with long working hours and little rest. Although they had low rates of unemployment, the working conditions had an important impact on their dietary patterns and their family life. Ergonomic and psychosocial risks also explained high rates of musculoskeletal problems and stress. In conclusion, Chinese immigrants living in southern Spain work actively in the service sector of the economy, but with many work hours. These characteristics seem to impact their health at a physical, psychological, and social level.

Abstract A026: Addressing the burden of gastric cancer disparities in low-income New York City Chinese American immigrants

Abstract Background: Gastric cancer is the third most common cause of cancer death worldwide. In the US, gastric cancer incidence for Chinese Americans is nearly twice that for non-Hispanic whites. Cancer is the leading cause of death among Chinese New Yorkers who experience higher mortality for gastric cancer than other New Yorkers overall. The bacterium Helicobacter pylori (H. pylori) is the strongest risk factor for gastric cancer, and eradication of H. pylori through triple antibiotic therapy is the most effective prevention strategy for gastric cancer. Despite the elevated burden, there are no culturally and linguistically tailored evidence-based intervention strategies to address H. pylori medication adherence and gastric cancer prevention for Chinese Americans in NYC, a largely foreign-born (72%), limited English proficient (61%), and low-income (21% living in poverty) population. Objective: The study objective was to develop and pilot a community health worker (CHW)-delivered linguistically and culturally adapted gastric cancer prevention intervention to improve H. pylori treatment adherence and address modifiable cancer prevention risk factors, including improved nutrition for low-income, LEP, Chinese American immigrants. Methods: We used a mixed methods and community-engaged research approach to develop and pilot the intervention curriculum and materials. Methods included: 1) a comprehensive scoping review of the peer-reviewed and grey literature on gastric cancer prevention programs and strategies targeting Chinese Americans; 2) 15 key informant interviews with gatekeepers and stakeholders serving the New York Chinese immigrant community to assess the knowledge and perception of H. pylori infection and gastric cancer among Chinese New Yorkers; and 3) pilot implementation of the collaboratively developed intervention with H. pylori-infected LEP Chinese immigrant participants (n=7). Results: Study process findings and pilot results will be presented. Preliminary results indicate high patient- and community-level need and acceptability for the intervention. Baseline and 1-month post-treatment outcomes and survey data, qualitative data analysis of the CHW session notes, and key informant interviews will be presented. Conclusion: Findings suggest that a CHW-delivered culturally adapted gastric cancer prevention intervention can result in meaningful health information and treatment adherence for at-risk, low-income Chinese immigrant communities. Study findings are being applied to inform a randomized controlled trial being implemented in safety net hospital settings. Citation Format: Simona Kwon, Yi-Ling Tan, Janet Pan, Qiuqu Zhao, Renee Williams, Sara Chokshi, Devin Mann, Karyn Singer, Benyam Hailu, Chau Trinh-Shevrin. Addressing the burden of gastric cancer disparities in low-income New York City Chinese American immigrants [abstract]. In: Proceedings of the Eleventh AACR Conference on the Science of Cancer Health Disparities in Racial/Ethnic Minorities and the Medically Underserved; 2018 Nov 2-5; New Orleans, LA. Philadelphia (PA): AACR; Cancer Epidemiol Biomarkers Prev 2020;29(6 Suppl):Abstract nr A026.