HEALTH EQUITY AROUND STOMACH CANCER SUZANNE PAK DIRECTOR OF COMMUNITY & BEHAVIORAL HEALTH KOREAN WOMEN’S ASSOCIATION (KWA)
SP SPECIFIC ECIFIC AI AIM Improve Early Detection of Stomach Cancer Among Asian Pacific Americans Research Supporting Health Disparity: Asian and Pacific Americans are more than 2 times as likely to get stomach cancer (compared to white counterparts) Korean Americans, in particular, are more than 8 times as likely to get stomach cancer Stomach cancer patients in U.S. only have 5 year survival rate of 26.9% (compared to 67% survival rate in S. Korea), due to late detection Jung et al. Cancer Res Treat 2013
MET METHOD HODS Stomach Cancer Community Preliminary Conference Advisory Committee Education & Research Advocacy & Survey 20 diverse Primary (interviews) 120 participants Early Detection: Asian American patients 55% Asian Pacific Provider & Patient members Doctors and physicians are Americans, 30% Education Researcher concerned about stomach Caucasian behavioral cancer Americans, 10% Advocacy: Hispanic health Screening Guidelines Americans, 5% agencies Secondary government African Americans ACS: cancer incidence and Prevention: agencies mortality by site, ethnicity, Food and patient 110 pre-surveys and stage of detection Substances, advocates S. Korean research on Symptoms impact of mass screening 81 post-surveys on survival rate
RESUL RESULT Participants 2.5 times more likely to take action after intervention
RESUL RESULT Key Barrier: Upper Endoscopy is Not Covered as a Preventative Screening Procedure – Even for Racial or Ethnic Groups Who Are at High Risk Ev Even en When hen Upp Upper er Endoscop Endoscopy y Is Is Appr pproved ed by by Hea Health lth Insur Insurance, ance, It It Would ould Be Be as as a Dia a Diagnostic gnostic Pr Procedur ocedure, Subject e, Subject to to Copa Copays ys and and Dedu Deductibles ctibles. Mak Makes P es Patien tient t Edu Educa cation tion Ar Aroun ound d Ear Early y De Detec tection tion Mor More e Co Comple mplex x (Can’t Simply Say “Get Screened” After Certain Age) Ne Next xt Steps: Steps: F Focus P ocus Patient tient Educa Education tion on Pr on Prevention, ention, Inte Integrate te Ear Early y Det Detection ection Ef Effor orts with ts with Color Colorectal ectal Canc Cancer er Scr Screening eening
RESUL RESULT Prevention Education Following Conference & Survey (Salt, Vitamin B, Alcohol & Tobacco Use)
ACK CKNO NOWLEDG WLEDGEMENTS EMENTS Early Detection of Stomach Cancer Colorectal Cancer Screening Prevention of Stomach Cancer (Substance Use & Nutrition)
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