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Publication Date

11-16-2023

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Presentation: 4:33

Poster attached as supplemental file below

Abstract

Cancer is the leading cause of death in the U.S. Asian community, marked by lower cancer screening rates and unique cultural and linguistic barriers. Chinese is the largest Asian subgroup with a high percentage of individuals with limited English proficiency. The primary aim of this capstone is to understand cancer knowledge and beliefs among participants who completed an online population-level survey in Chinese. This study utilized descriptive statistics to outline the demographic backgrounds of the survey participants. ANOVA was applied to analyze eight cancer knowledge and beliefs questions among three language groups, Chinese, English and Spanish. The survey included 2744 survey participants, with 8.9% responding in Chinese, 75.0% in English, and 16.1% in Spanish. Majority of the Chinese survey participants were female (61.7%), between age 18-34 (58.8%) and well educated (38.7% holding at least a bachelor’s degree). Compared to English and Spanish survey participants, the Chinese group exhibited stronger belief in the impact of personal behavior and lifestyle on cancer (Chinese, M=2.75; English, M=2.31; Spanish, M=2.63; P<0.001), perceived limited control over reducing cancer risks (Chinese, M=2.40; English, M=2.03; Spanish, M=2.20; P<0.001), and associated cancer with death (Chinese, M=2.87; English, M=2.82; Spanish, M=2.35; P<0.001). The difference in cancer belief across language groups indicates the necessity for inclusive public health programs beyond English to enhance cancer awareness. Findings also demonstrated the importance of tailoring cancer education for the local Chinese community addressing components like cancer prevention behaviors, screening guidelines, and the risks and benefits of cancer screenings.

Language

English

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