Vietnamese Individuals Research Articles

Psychometric properties of the New General Self-Efficacy Scale for Vietnamese persons with colorectal cancer.

There are currently no specific tools available to assess self-efficacy among Vietnamese individuals with colorectal cancer (CRC) post-surgery. Translating and evaluating the psychometric properties of the New General Self-Efficacy Scale (NGSE) for use in the Vietnamese population could help address this gap. This study aimed to evaluate the psychometric properties of the Vietnamese version of the NGSE scale. A cross-sectional study was conducted. The sample consisted of 120 individuals aged 20-59 with CRC post-surgery, recruited through a multi-stage sampling technique from three hospitals in Vietnam. The scale was translated into Vietnamese using Brislin's technique. Content validity was assessed using the Content Validity Index for item (I-CVI) and for scale (S-CVI). Construct validity was examined through confirmatory factor analysis (CFA), and reliability was measured using Cronbach's α coefficients. The findings showed an I-CVI of 1.00 and an S-CVI of 1.00, indicating excellent content validity. The Cronbach's α for the NGSE was 0.95, indicating excellent internal consistency. CFA results showed that all eight items fit well within a unidimensional structure (χ2 = 48.936, p >0.05, df = 24, χ2/df = 2.04, RMSEA = 0.078, CFI = 0.979, TLI = 0.971, SRMR = 0.023). Factor loadings for each item ranged from 0.798 to 0.901. The results suggest that the NGSE scale demonstrates good psychometric properties as applied to the Vietnamese individuals examined in this study. This instrument can be regularly utilized in clinical settings to identify key concerns in colorectal cancer patients' care and facilitate appropriate nursing interventions to enhance self-efficacy in this population effectively.

Assessing willingness to pay for children's COVID-19 vaccination among healthcare providers and users using a theory-based discrete choice experiment

Improving vaccine coverage among children is crucial to prevent the long-term consequences of COVID-19 infections and the emergence of resistant COVID-19 variants, especially in resource-scarce settings. This study determined factors influencing the willingness to take and pay for COVID-19 vaccine for children among Vietnamese healthcare professionals and the public. A Theory-Based discrete-choice experiment was focused on a different topic related to vaccines, including the COVID-19 vaccine for children, Monkeypox, the adult COVID-19 booster, the HIV vaccine, and a potential future pandemic. The recruitment period was from April to August 2022, and a total of 5700 Vietnamese individuals aged 16 and above from various regions of the country participated in the study. The data for the sub-study on the COVID-19 vaccination for children was completed by 891 of these participants. Most participants agreed on vaccination for all children. Among healthcare professionals it was 76.2% and 69.3% for the general population. Healthcare professionals were the main source of vaccine information (70.7%). Payment options of 50%, 100%, and full subsidy were the most popular. Concerns about vaccine characteristics were associated with lower acceptance among healthcare professionals and the general public. The burden of historical medical expenses negatively correlated with willingness to pay for vaccination, while service satisfaction positively correlated with willingness to pay. To develop an effective vaccination program among children in Vietnam, providing accurate information and satisfying vaccine services, primarily through knowledgeable and professional healthcare providers, can improve the willingness to vaccinate and pay for the COVID-19 vaccine.

2D/3D Expression Generation Using Advanced Learning Techniques and the Emotion Wheel

Facial expression analysis is a critical component in numerous applications, ranging from human- computer interaction to digital character animation. Despite the availability of extensive datasets, most focus predominantly on basic emotions, limiting the expressiveness and applicability of models trained on them. This article introduces a novel approach to generating compound emotional expressions by leveraging the Emotion Wheel, a principle that captures the complex interrelations between basic emotions. Our method integrates the EMOCA (Emotion Driven Monocular Face Capture and Animation) [1] framework, which enhances 3D facial reconstruction by incorporating emotion recognition, stacking models [2, 54] with a sophisticated expression blending algorithm to synthesize nuanced 2D and 3D facial animations. Utilizing the VKIST dataset, which includes high-resolution facial images of Vietnamese individuals, we build a comprehensive database of emotion parameters. Through principal component analysis (PCA) and correlation-driven blending, our approach not only enhances the realism of generated facial expressions but also preserves the subtle nuances that are characteristic of human emotions. Experimental results demonstrate that our method consistently outperforms traditional linear interpolation techniques, producing more distinct and recognizable blended expressions. A user study further validates the naturalness and quality of the generated expressions, with average ratings indicating a strong preference for the proposed method over existing approaches. These findings suggest significant potential for improving emotional expressiveness in both static and dynamic digital character representations.

Role of HLA-B*58:01-restricted CD8+ T cells in HIV-1 subtype AE infection

Abstract HLA-B*58:01 and HLA-B*57 are protective alleles against HIV-1 subtype B or C infection whereas these HLA alleles have not been reported as protective in HIV-1 subtype AE infection. Although HLA-B*58:01-restricted and HLA-B*57-restricted HIV-1-specific CD8+ T cells have been thoroughly analyzed in subtype B or C infection, they have only been partially analyzed in subtype AE infection. We identified six HLA-B*58:01-restricted subtype AE epitopes in Vietnamese individuals infected with subtype AE. HLA-B*58:01-restricted T-cell responses to Gag epitopes, which may control disease progression in HLA-B*58:01+ and HLA-B*57+ individuals infected with subtype B or C, were not protective in subtype AE infection. These findings suggest that the loss of HLA-B*58:01-restricted T cells specific for some Gag epitopes and/or their reduced ability may account for the lack of protective effects conferred by HLA-B*58:01 in subtype AE infection.

Characterizing the role of the nail salon and nail salon worker on the ethnic identity development of Michigan nail salon workers’ second-generation Vietnamese American children

ObjectiveSecond-generation Vietnamese individuals are a prominent group in the U.S. with unique experiences, such as their parents’ heavy involvement in the nail salon industry, which shapes their identity. Yet, the experiences of Vietnamese American children who are exposed to the industry through their parents’ occupation and its impact on their ethnic identity has not been explored. This study of second-generation Vietnamese Americans with nail salon worker parents in Michigan aims to address this gap and understand the resulting effects of this biculturalism on ethnic identity development. MethodsThis qualitative study utilized interpretive phenomenology to capture the essence of second-generation Vietnamese Americans’ lived experiences. Interviews were recorded, transcribed, and analyzed using thematic analysis. ResultsTwenty-four individuals participated in the interviews and three major themes emerged with respective subthemes. Theme 1 focused on second-generation child and immigrant child responsibilities, as it relates to their parents’ occupation. Theme 2 focused on top-of-the-mind reactions to nail salons. Theme 3 focused on ethnic identity development while growing up in Michigan. ConclusionsThis study on the lived experiences of second-generation Vietnamese Americans with parents in the nail salon industry in Michigan has implications for better understanding the influence of racialized or migrant-based U.S. economies on ethnic identity development.

From National Traitors to National Contributors: Contesting Place and Identity through the Voluntarily Repatriated Vietnamese

This study investigates the multifaceted repatriation experiences of Vietnamese individuals who voluntarily returned from Thailand to the upland region of Thanh Hóa province between 1963 and 1965. Utilizing a historical and ethnographic approach, with interviews conducted in February, March, and April 2019; January 2020; May 2022; December 2023; and January 2024, it examines the intricate interplay of political, social, and cultural dynamics that shaped the repatriation process. The study highlights the relocation and deprivation of rights faced by the returnees, emphasizing the political complexities of repatriation. Through a multi-level analysis, this study reveals the intricate relationship between capital management, everyday life practices, and identity contestation. Additionally, it examines the collectivization and nationalist policies of Vietnam in relation to the voluntarily repatriated people’s commitment to work for the nation. In this case, transculturality served as a pivotal element in the construction of place and identity. The study analyzes the various forms of capital that shape individual and collective identities. By engaging in transcultural and localized processes of everyday life practices, returnees exercised various kinds of capital to enhance the efficiency of workers’ cooperatives. This led to new regulations supplementing those of the state, resulting in a variety of efficient cooperatives. Consequently, the repatriated peoples’ home village transformed from a symbol of national betrayal to a thriving cultural and economic hub. This study contributes to a deeper understanding of the multifaceted complexity of repatriation and its implications for identity construction, placemaking, and economic development.

Genome-wide association and polygenic risk score estimation of type 2 diabetes mellitus in Kinh Vietnamese-A pilot study.

A genome-wide association study (GWAS) is a powerful tool in investigating genetic contribution, which is a crucial factor in the development of complex multifactorial diseases, such as type 2 diabetes mellitus. Type 2 diabetes mellitus is a major healthcare burden in the Western Pacific region; however, there is limited availability of genetic-associated data for type 2 diabetes in Southeast Asia, especially among the Kinh Vietnamese population. This lack of information exacerbates global healthcare disparities. In this study, 997 Kinh Vietnamese individuals (503 with type 2 diabetes and 494 controls) were prospectively recruited and their clinical and paraclinical information was recorded. DNA samples were collected and whole genome genotyping was performed. Standard quality control and genetic imputation using the 1000 Genomes database were executed. A polygenic risk score for type 2 diabetes was generated in different models using East Asian, European, and mix ancestry GWAS summary statistics as training datasets. After quality control and genetic imputation, 107 polymorphisms reached suggestive statistical significance for GWAS (≤5 × 10-6) and rs11079784 was one of the potential markers strongly associated with type 2 diabetes in the studied population. The best polygenic risk score model predicting type 2 diabetes mellitus had AUC = 0.70 (95% confidence interval = 0.62-0.77) based on a mix of ancestral GWAS summary statistics. These data show promising results for genetic association with a polygenic risk score estimation in the Kinh Vietnamese population; the results also highlight the essential role of population diversity in a GWAS of type 2 diabetes mellitus.

Electronic word-of-mouth (eWOM) on social networking sites (SNS): Roles of information credibility in shaping online purchase intention

Electronic word of mouth (eWOM) on social networking sites (SNS) has become crucial in shaping online consumers’ purchase intentions, reflecting the growing reliance on rich nature of user-generated content and recommendations shared on these platforms. This study aims to investigate the intricate relationships among different factors of eWOM information, including information credibility, information usefulness, information adoption, attitude towards information, and their impacts on online purchase intention. This study draws upon the Information Adoption Model (IAM) and the Information Acceptance Model (IACM) foundation theory which reveal the steps individuals take in adopting new information, and focuses on how perceptions and attitudes towards information shape acceptance. The study used a quantitative approach, utilizing a structured questionnaire to collect data from 337 Vietnamese individuals actively engaged in eWOM activities on various SNS platforms. Statistical analysis was conducted using partial least squares structural equation modeling (PLS-SEM). The findings show that information credibility significantly influences both information usefulness and adoption. Interestingly, while information usefulness shapes user attitudes, it does not directly impact online purchase intention. Similarly, a positive attitude toward eWOM does not necessarily lead to information adoption. This suggests that consumers may hold favorable views of eWOM content without actively adopting it. Information adoption emerges as a critical determinant of online purchase intention, emphasizing the importance of promoting user engagement and trust in eWOM information. These findings contribute to a deeper understanding of online consumer behavior and provide valuable guidance for stakeholders seeking to leverage eWOM effectively in digital marketing.

Religion and Individual in a Traditional Multi-Religious Vietnam

From ancient times to the present day, religion has played a multifaceted role in human existence, encompassing various aspects of individual life such as rites of passage, daily routines, and the formation of lifestyle. Traditional Vietnamese spiritual practices draw upon a syncretism of Confucianism, Buddhism, and indigenous beliefs, resulting in a cultural landscape where many Vietnamese individuals do not readily identify themselves as adherents to any single religious tradition. This juxtaposition gives rise to a notable paradox within Vietnamese religious life. While there may appear to be a lack of overt religious devotion in daily practices, religion manifests itself prominently in nearly all significant events in Vietnamese life. This article aims to explore the presence of these traditional religions in Vietnam to elucidate the underlying reasons for this paradox within traditional Vietnamese individual life.

Economic Evaluation of HLA-B*15:02 Genotyping for Asian Australian Patients With Epilepsy

The HLA-B*15:02 allele has been associated with an increased risk of carbamazepine-induced Stevens-Johnson syndrome and toxic epidermal necrolysis in specific Asian populations (including Han Chinese, Malaysian, Thai, and Vietnamese individuals). While HLA-B*15:02 genotype testing in Asian populations is recommended by several international prescribing guidelines, it is not subsidized by the Medicare Benefits Schedule in Australia. To evaluate the cost-effectiveness of HLA-B*15:02 genotyping in Asian Australian patients with epilepsy. A model with components of decision analysis and Markov simulation was developed to simulate clinical trajectories of adult Asian Australian patients with newly diagnosed epilepsy being considered for carbamazepine treatment. Cost-effectiveness and cost-utility analyses over a lifetime time horizon were conducted from the perspective of the Australian health care sector. The study was conducted in May 2023 and data analysis was performed from August 2023 to November 2023. No HLA-B*15:02 genotyping and the empirical initiation of treatment with carbamazepine vs HLA-B*15:02 genotyping and the initiation of treatment with valproate in allele carriers. Life-years (LYs), quality-adjusted life-years (QALYs), and costs in 2023 Australian dollars (A$); incremental cost-effectiveness ratios. HLA-B*15:02 screening was associated with an additional mean cost of A$114 (95% CI, -A$83 to A$374; US$76; 95% CI, -US$55 to US$248) and a reduction in 0.0152 LYs (95% CI, 0.0045 to 0.0287 LYs) but improvement by 0.00722 QALYs (95% CI, -0.0247 to -0.01210) compared with no screening, resulting in an incremental cost-effectiveness ratio of A$15 839 per QALY gained (US$10 523 per QALY). Therefore, universal genotyping for Asian Australian individuals was cost-effective compared with current standards of practice at the A$50 000 per QALY willingness-to-pay threshold. Sensitivity analyses demonstrated that the intervention remained cost-effective across a range of costs, utilities, transition probabilities, and willingness-to-pay thresholds. At the A$50 000 per QALY willingness-to-pay threshold, universal screening was the preferred strategy in 88.60% of simulations. The results of this economic evaluation suggest that HLA-B*15:02 screening represents a cost-effective choice for Asian Australian patients with epilepsy who are being considered for treatment with carbamazepine.

Haplotype of \(\textit{TEX15}\) single nucleotide variants associated with male infertility in 401 Vietnamese individuals

Spermatogenesis is a process of cell differentiation to produce fertilized sperm. Testis-expressed 15 (TEX15), an important gene in spermatogenesis, has been reported to be linked with male infertility in various populations. This study aimed to assess the association of single nucleotide polymorphism (SNP) TEX15 rs323347 with male infertile individuals in a Vietnamese cohort and further analyze the haplotypes of TEX15 rs323346 and TEX15 rs323347. A total of 401 unrelated males, including 202 male infertility patients and 199 healthy controls were genotyped for TEX15 rs323347 using polymerase chain reaction-restriction fragment length polymorphism (PCR-RFLP). Using statistical methods, the results showed that the allele frequencies of TEX15 rs323347 were in agreement with Hardy-Weinberg equilibrium (HWE) (p-value > 0.05), but its genotype frequencies were not significantly different between male infertility patient and control groups (p-values > 0.05). However, the CA haplotype of the two variants (rs323346 and rs323347) increased the risk of male infertility (p = 0.046, OR = 2.547, 95% CI = 0.982–6.602). Thus, this study would enrich the knowledge of the impact of genetic factors on male infertility in the Vietnamese population.

Building nursing homes for high-income individuals/families in Vietnam

This study employs a Bayes model to examine the impact of income groups on the Nursing home usage costs across 10 provinces and cities in Vietnam: Ha Noi, Vinh Phuc, Bac Ninh, Hai Phong, Nam Dinh, Da Nang, Ho Chi Minh City, Can Tho, Dong Nai, and Binh Duong. The study utilizes 8 variables: Average population (DSTB), Average income (TNTB), Income group 1 (TN1), Income group 2 (TN2), Income group 3 (IG3), Income group 4 (TN4), Income group 5 (TN5), Cost of using nursing home (CP), with data collected annually from 2012 to 2022. The results indicate that major cities attract larger populations and a higher proportion of elderly individuals, thus attracting more investment in various forms of nursing homes, thereby improving their competitiveness. Among income groups of residents in provinces and cities, income group 5 has the highest income and shows a positive correlation with cost of using nursing home, which aligns well with reality. In recent years, affluent families have shown a preference for high-end nursing homes offering the best care services, albeit at higher costs than standard ones. However, fundamentally, Vietnamese individuals have not prioritized the choice of living in nursing homes during their elderly years. Research results show that it is necessary to focus on the quality of nursing home services because of increasing demand and the aging population trend of Vietnam in the future.

Abstract 68: The Association of Pre-Pregnancy Body Mass Index With Gestational Diabetes Across Maternal Race and Ethnicity Subgroups

Objective: Gestational diabetes mellitus (GDM) complicates 5-11% of pregnancies within the US and maternal obesity is a strong risk factor. Asian individuals are known to have a higher risk of GDM at a lower body mass index (BMI) compared to European populations. However, Asian Americans represent a heterogenous group, and no studies have captured the variation between BMI and GDM across racial groups at a national level. Our objective was to characterize differences in the association between BMI and GDM by maternal race/ethnicity with a specific focus on Asian subgroups. Methods: We used data from the National Vital Statistics System natality files from 2016 to 2019, capturing all live births in the US, to ascertain incidence of GDM. We used logistic regression with BMI modeled as a cubic b-spline to model the association with risk (predicted probability) of GDM. All analyses were stratified by maternal race/ethnic group. Results: Of the eligible 13.3M pregnancies resulting in live births, 6.5% were affected by GDM, ranging from 5.2% among non-Hispanic Black individuals to 12.3% among Asian individuals. The incidence of GDM was highest among women with obesity with rates of 20.3% in Asian individuals, and 16.0% in American Indian and Alaska Native individuals with obesity (Figure 1A). At a BMI of 23 kg/m2 the predicted probability of GDM was 6.5% for Asian individuals compared to 2.3% for non-Hispanic Black individuals (Figure 1B). There was substantial heterogeneity across Asian ancestry subgroups between pre-pregnancy obesity and GDM incidence (Figure 1C), with Vietnamese and Korean individuals having the largest increase in risk with higher pre-pregnancy BMI (Figure 1D). Conclusion: The risk of GDM increased with higher pre-pregnancy BMI across all maternal race/ethnicity groups, but risk was higher for Asian Americans at a lower BMI. There was substantial variation in BMI-related risk of GDM across Asian ancestry subgroups, suggesting need for more tailored screening and intervention strategies for GDM.

The therapeutic landscape for COVID-19 and post-COVID-19 medications from genetic profiling of the Vietnamese population and a predictive model of drug-drug interaction for comorbid COVID-19 patients

Despite the raised awareness of the role of pharmacogenomic (PGx) in personalized medicines for COVID-19, data for COVID-19 drugs is extremely scarce and not even a publication on this topic for post-COVID-19 medications to date. In the current study, we investigated the genetic variations associated with COVID-19 and post-COVID-19 therapies by using whole genome sequencing data of the 1000 Vietnamese Genomes Project (1KVG) in comparison with other populations retrieved from the 1000 Genomes Project Phase 3 (1KGP3) and the Genome Aggregation Database (gnomAD). Moreover, we also evaluated the risk of drug interactions in comorbid COVID-19 and post-COVID-19 patients based on pharmacogenomic profiles of drugs using a computational approach. For COVID-19 therapies, variants related to the response of two causal treatment agents (tolicizumab and ritonavir) and antithrombotic drugs are common in the Vietnamese cohort. Regarding post-COVID-19, drugs for mental manipulations possess the highest number of clinical annotated variants carried by Vietnamese individuals. Among the superpopulations, East Asian populations shared the most similar genetic structure with the Vietnamese population, whereas the African population showed the most difference. Comorbid patients are at an increased drug-drug interaction (DDI) risk when suffering from COVID-19 and after recovering as well due to a large number of potential DDIs which have been identified. Our results presented the population-specific understanding of the pharmacogenomic aspect of COVID-19 and post-COVID-19 therapy to optimize therapeutic outcomes and promote personalized medicine strategy. We also partly clarified the higher risk in COVID-19 patients with underlying conditions by assessing the potential drug interactions.

Assessing the association of ESR1 polymorphisms with male infertility in Vietnamese population

Male infertility is a prevalent global concern, impacting an estimated 7% of the male population. Many single nucleotide polymorphisms (SNPs) linked to idiopathic male infertility have been discovered since the 1990s, including two intronic SNPs of the estrogen receptor α gene (ESR1), namely rs9340799 and rs2234693. However, the associations of the two SNPs with male infertility have yielded inconsistent results across different populations. In this study, we aimed to assess the association of ESR1 rs9340799 and ESR1 rs2234693 with male infertility in a cohort of Vietnamese individuals consisting of 154 fertile men and 146 infertile men. Genotyping ESR1 rs9340799 and ESR1 rs2234693 for 300 samples was performed using polymerase chain reaction-restriction fragment length polymorphism (PCR - RFLP). The frequencies of genotypes and alleles were analyzed using bioinformatic tools. The genotype distributions of ESR1 rs9340799 and ESR1 rs2234693 followed Hardy-Weinberg equilibrium, but no association of the two SNPs with male infertility was established (p > 0.05) in the additive, dominant, recessive, and allele models. Notably, the haplotype analysis revealed a strong association between the haplotype GT and a decreased risk of male infertility (OR = 0.226; 95% CI = 0.106 - 0.484; p < 0.001). The findings provide additional knowledge about the roles of single nucleotide polymorphisms in male infertility in the Vietnamese population.

NGHIÊN CỨU XÂY DỰNG THIẾT BỊ HỖ TRỢ QUÁ TRÌNH LUYỆN TẬP PHỤC HỒI CHẤN THƯƠNG CỔ TAY

In this paper, we develop a supportive device to monitor the rehabilitation exercise process for people with disabilities to use their hands. The prototype is designed to include a resistance cable system to support the rehabilitation of the patient's hand motor function. During training, the patient pulls the resistance cable to exercise, and the resistance cable system applies force to the product's sensor block. The sensor block is capable of measuring parameters when force is applied, allowing the calculation of hand force during the patient's training. The hand force data obtained from the sensor block is then sent to a separate IoT-based application. This mobile-platform app is particularly developed for hosting data and providing a view for user to track his/her process of training. Additionally, the product is designed with angle measurement capabilities to track motion coordinates during the patient's hand training. The product is tailored to the physique of Vietnamese individuals. The patient's training results are stored on the Internet and displayed on a mobile application, facilitating the monitoring of training progress, comparing patient training results with standard data, and allowing remote monitoring by the patient's family members or healthcare professionals.

The Important Role of New Media Literacy (NML) in Vietnam: Adaptation and Validation of the NML Scale

In a world of constant information and immediate communication, new media literacy (NML) is important. Research on NML is essential for many communities worldwide. This study analyzed the NML levels of 614 Vietnamese individuals aged 18 to 71 (M = 30.8, SD = 9.46) using an adapted and validated version of the 35-item NML scale. Linguistic and metrical parity was achieved via exploratory and confirmatory factor analyses, and validation and reliability testing. Results revealed that this new setting was suitable for the adapted scale. Results also indicated that compared to critical literacy, functional literacy is more effective, and that NML is influenced by age, time spent online, and social media profiles.

Abstract C132: Multilevel facilitators and barriers to cancer screening programs in federally qualified health centers serving Asian American communities

Abstract Purpose: Cancer screening disparities among medically underserved Asian Americans are well documented. Assessing multilevel barriers and facilitators to cancer screening programs within safety-net settings is critical to the implementation of evidence-based strategies to improve cancer screening. This study aims to examine how community and clinic driven priorities and activities can inform multilevel processes for planning of cancer screening programs for Asian American patients within FQHCs. Methods: Academic, clinic and community partners established the Advancing Care Together (ACCT) formal network to increase knowledge, attitudes and screening behaviors among low-income Chinese, Korean and Vietnamese individuals in Orange County, California. ACCT focused on breast, cervical, and colorectal. Over three years, a series of meetings, surveys and interviews were conducted with community and clinic partners before implementing evidence-based strategies (community navigation, educational workshops) to increase cancer screening to address cultural and language barriers. We used the Implementation Research Logic Model to guide our analysis of these data and identify multilevel determinants of cancer screening with input provided by the ACCT network. Using a shared drive to gather formative data, we assembled a codebook in Excel to organize AACT activities and identify barriers and facilitators according to the Consolidated Framework for Implementation Research (CFIR). Results: Our study found barriers and facilitators that represent CFIR domains: i) Community-clinic resources can provide increased awareness of screening services (intervention characteristics); ii) patients had difficulty obtaining a provider with their preferred language (inner setting); iii) transportation issues and cultural stigma around receiving specific cancer education (outer setting); iv) clinic and patient outcomes improved as a result of ACCT activities, payers were unable to establish referrals from federally qualified health centers to comprehensive cancer centers (characteristics of individuals involved in the implementation); and v) staff turnover presented challenges to obtaining electronic medical records to evaluate screening and follow-up services (implementation process). Implications: Community-clinic-academic partnerships can facilitate increasing cancer screening and awareness, including cultural screening barriers and identification of adaptation needs for educational materials, specific to Asian American communities. Barriers identified in the cancer screening process included a lack of motivation to resolve payer-related provider networks to address patient accessibility to specialty care, high turnover among clinic quality improvement teams, and challenges of prioritizing cancer screening throughout the COVID19 pandemic. Successful implementation of evidence-based strategies to increase guideline-adherent care for Asian Americans must overcome longstanding clinic- and community-level barriers, and we believe community-clinic-academic partners hold the key. Citation Format: Samantha Garcia, Sora Tanjasiri, Cevadne Lee, Jaqueline Train, Jennifer Tsui. Multilevel facilitators and barriers to cancer screening programs in federally qualified health centers serving Asian American communities [abstract]. In: Proceedings of the 16th AACR Conference on the Science of Cancer Health Disparities in Racial/Ethnic Minorities and the Medically Underserved; 2023 Sep 29-Oct 2;Orlando, FL. Philadelphia (PA): AACR; Cancer Epidemiol Biomarkers Prev 2023;32(12 Suppl):Abstract nr C132.

The Effects of Vietnamese Consumers’ Perceived Quality Shoes on Repurchase Intention: A Case of MLB Product

Purpose - This paper aims to analyze the effect of perceived footwear quality on the satisfaction and repurchase intentions of Vietnamese customers, with a focus on various footwear attributes.
 Design/Methodology/Approach - This study employs a comprehensive approach, incorporating various methodologies, namely exploratory factor analysis, confirmatory factor analysis, and structural equation modeling (SPSS 25.0 and AMOS 20.0 Ver). The study involves analyzing 200 verified samples of Vietnamese individuals administered through an online survey. The survey questionnaire includes diverse footwear attributes such as aesthetics, style, color, material, size measure, fit, comfort, perspiration, durability, performance of color fastness, workmanship, ease of care, coordination with the wardrobe, price, brand, and country of origin.
 Findings - The analysis identifies six significant shoe quality attributes from the perspective of Vietnamese customers. These are aesthetic beauty, comfort, sweat-wicking, durability, price, and brand origin. Consequently, The study investigate d the relationship between theses six quality attributes and customer satisfaction and between customer satisfaction and repurchase intentions.
 Research Implications - The empirical analysis revealed that, the six identified factors are consistent with shoe attributes valued by Vietnamese consumers, which include aesthetics, comfort, sweat-wicking, durability, price, and brand origin. Hence, companies seeking to enter or enhance competitiveness in the Vietnamese shoe market must be particularly sensitive to pricing.

Endoscopic‐pathological characteristics of early‐onset gastric carcinoma in Vietnamese in the period 2014–2019: A single‐center experience

AbstractTo investigate the time‐trend and endoscopic‐pathological characteristics of early‐onset gastric carcinoma (EOGC) in Vietnamese patients. All patients who underwent upper gastrointestinal endoscopy at a tertiary hospital during the 2014–2019 period and had pathologically confirmed gastric carcinoma were retrospectively recruited. The demographic data and endoscopic and pathological findings from all patients were recorded and analyzed to compare the EOGC group (i.e., ≤40 years of age) with the older group (>40 years of age). Out of 1668 patients with gastric carcinoma, 151 (9.1%) patients were with EOGC. The time‐trend change in the EOGC rate was insignificant during the investigated period (p = .972). The median age of patients with EOGC was 35 (IQR, 32–38). Compared with the older group, EOGC was more likely to present with a female predominance (52.3% vs. 30.7%, p < .001), endoscopically located at the gastric body (34.4% vs. 19.2%, p < .001), presented with a diffuse infiltrative appearance (18.9% vs. 11.7%, p = .011) but were less likely to have superficial gastric cancer morphology (0.0% vs. 4.5%, p = .009). Pathologically, it was more likely to have diffuse type (36.4% vs. 23.9%, p = .001) and poor differentiation (90.6% vs. 62.7%, p < .001). EOGC in Vietnamese individuals is not rare, and its incidence has not significantly changed during the studying period. The majority of EOGC was poorly differentiated carcinoma. This study reported the different endoscopic distribution and appearance of EOGC from gastric carcinoma in older patients requiring attention during endoscopic examination.