Navigation Links
Building a bridge with cross-cultural cancer education
Date:8/17/2010

MADISON Most cancers are easier to treat if detected early, so cancer educators emphasize the benefits of screening and prompt treatment. But for immigrants and other "medically underserved communities," simply handing out a brochure on early detection even if it's been translated into the appropriate language may not work.

"Medical interventions fail if the intervention does not match the community's level of readiness to address the issue," says Tracy Schroepfer, an assistant professor of social work at the University of Wisconsin-Madison.

After a three-year study of the Hmong population in Wisconsin, Schroepfer and collaborator Viluck Kue found that cancer educators were trying to explain cancer detection and prevention to people who don't have a word for cancer or a concept for preventing disease.

The Hmong, originally a hill tribe in Laos, emigrated to the United States after the Vietnam war; about 60,000 Hmong people now live in Wisconsin, says Kue, a Hmong who directs the Wisconsin United Coalition of Mutual Assistance Associations, which serves Southeast Asian immigrants across the state.

Previous efforts to educate Hmong people about preventing and treating cancer had fallen flat, says Kue. "A lot of Hmong were scared of chemotherapy and radiation, they saw people who were not helped, who passed away, and so they began to turn down chemo and radiation in favor of traditional herbal treatment. We want to make sure that people are not scared away from western medical treatment, want to show that these treatments can be helpful."

To find out why the traditional approaches to medical education, which are often based on brochures and handouts, were ineffective, Schroepfer and Kue settled on a strategy called community-based participatory research, which relies on the community to set the agenda and to be a partner in carrying out the research.

In contrast to usual academic research, Schroepfer says, the process was governed by the Hmong themselves. "They own the data, and I have to obtain permission to use it. It's a very different way to do research, and it takes a long time because the researcher must be committed to spending the time to build a relationship with community partners."

For research published online in the Journal of Cancer Education, the researchers adapted a "community-readiness assessment" to ask leaders about the Wisconsin Hmong community's efforts to address cancer. Other questions concerned knowledge, beliefs and traditions related to cancer, prevention and western medicine.

Kue identified eight statewide Hmong leaders, and a Hmong graduate student at UW-Madison performed the surveys.

The results revealed a radically different view of health care, says Schroepfer. "When researchers look at a problem, we look at it through our own eyes. It's important to ask, 'What do you see through your eyes?'"

Early detection had no relevance to the Hmong, Schroepfer says. "Some leaders told us there had been no need: 'In Laos, we had no machines to see inside the body. We had to wait until something hurt.'"

Being treated by a young doctor at the hospital can be unnerving, Schroepfer says, because Hmong elders who were born in Asia had no knowledge about the role of a teaching hospital.

Hmong people tend to make decisions as groups, not as individuals, adds Kue. "If somebody in the family is sick, they will usually want the consent of the elders in a medical decision. If my uncle has a heart problem, the doctor may want to do bypass surgery. But if he discusses it with the family and a lot of people think it is dangerous, he'll decide against it."

Leaders interviewed for the study reported that to educate the Wisconsin Hmong, "Hmong community members need to be the educators," Schroepfer says. "They understand the belief system and can talk to people about it, reframe the experience of cancer."

One concept that arose repeatedly in the interviews was the need for a stronger connection between Hmong and American cultures, says Schroepfer. "The leaders are the ones who used the word 'bridge,' and that's why we used it in the title of the article. They say, 'We need to listen to each other. We want to understand your view of health and the health care system, but need you to understand ours.'"


'/>"/>

Contact: Tracy Schroepfer
tschroepfer@wisc.edu
608-263-3837
University of Wisconsin-Madison
Source:Eurekalert

Related medicine news :

1. Ecumen Building Senior Housing in Apple Valley, Minnesota and Will Manage New Maplewood, Minnesota Property
2. Grubb & Ellis Healthcare REIT II Enters Agreement to Acquire Lacombe Medical Office Building Near New Orleans
3. Healthcare Trust of America, Inc. Executes Agreement to Acquire an Approximately 60,300 Square Foot Medical Office Building in Sugar Land, Texas
4. Clinton Bush Haiti Fund Awards International Medical Corps $500,000 for Emergency Medical Care and Long-Term Rebuilding
5. New Building at University of Michigan Health System Expands Eye Care, Unites Diabetes Researchers
6. Healthcare Trust of America, Inc. Executes Agreement to Acquire an Approximately 60,800 Square Foot Medical Office Building in Mount Pleasant, South Carolina
7. A Warning to Negligent Apartment Building Landlords in New York From Personal Injury Lawyer, David Perecman
8. Building Olympic Champions Starts With Addressing Childhood Obesity
9. Morehead Webinar to Discuss Building Workforce Commitment
10. Quantity vs. quality: Long-term use of bone-building osteoporosis drugs
11. Radon in residential buildings: A risk factor for lung cancer
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:6/26/2016)... ... June 26, 2016 , ... ... they have been diagnosed with endometriosis. These women need a treatment plan to ... a comprehensive approach that can help for preservation of fertility and ultimately achieving ...
(Date:6/25/2016)... , ... June 25, 2016 , ... First Choice ... States, named Dr. Sesan Ogunleye, as the Medical Director of its new Mesquite-Samuell Farm ... Medical Director of our new Mesquite location,” said Dr. James M. Muzzarelli, Executive Medical ...
(Date:6/24/2016)... ... 24, 2016 , ... A recent article published June 14 on ... article goes on to state that individuals are now more comfortable seeking to undergo ... such as calf and cheek reduction. The Los Angeles area medical group, Beverly Hills ...
(Date:6/24/2016)... ... June 24, 2016 , ... Global law firm Greenberg ... Legal Elite. The attorneys chosen by their peers for this recognition are considered among ... Greenberg Traurig Shareholders received special honors as members of this year’s Legal Elite Hall ...
(Date:6/24/2016)... ... 2016 , ... EB Medicine presented its first-ever “Issue of ... in Ponte Vedra Beach, FL. The awards honor the outstanding work of leading ... and Pediatric Emergency Medicine Practice. , “With this award, we recognize the efforts ...
Breaking Medicine News(10 mins):
(Date:6/24/2016)... June 24, 2016  Arkis BioSciences, a leading ... and more durable cerebrospinal fluid treatments, today announced ... Series-A funding is led by Innova Memphis, followed ... other private investors.  Arkis, new financing will accelerate ... the market release of its in-licensed Endexo® technology. ...
(Date:6/23/2016)... 23, 2016 Research and Markets has ... - Forecast to 2022" report to their offering. ... for the patients with kidney failure, it replaces the function ... the patient,s blood and thus the treatment helps to keep ... in balance. Increasing number of ESRD patients ...
(Date:6/23/2016)... DUBLIN , June 23, 2016 ... the "Pharmaceutical Excipients Market by Type (Organic Chemical ... Preservative), Formulation (Oral, Topical, Coating, Parenteral) - Global Forecast ... The global pharmaceutical excipients ... 2021 at a CAGR of 6.1% in the forecast ...
Breaking Medicine Technology: