• TOGETHER Program Cohort 2 in Maryland

  • Community Outreach Event for Breast Cancer Awareness Month at Global Mission Church in Silver Spring, MD

  • 2015 Susan G. Komen Washington, D.C. Race for the Cure

  • Screening to Overcome and Prevent (STOP) Project Korean Focus Group

  • Screening to Overcome and Prevent (STOP) Project Chinese Focus Group

  • Fieldwork at Eden Center in Falls Church, VA for the Lay Health Worker Model to Reduce Liver Cancer Disparities Project

  • Fieldwork at the Buddhist Tzu Chi Foundation in Reston, VA for the Lay Health Worker Model to Reduce Liver Cancer Disparities Project

  • Community Advisory Board (CAB) Meeting on 12/17/2012

Director: 
Office Phone Number: 
301-405-7251
Email: 
sunmin at umd.edu

Welcome to the Maryland Asian American Health Studies (MAAHS) website!

Share This Page

Research Team

Principal Investigator

Sunmin Lee

Sunmin Lee, Sc.D
Associate Professor 
Department of Epidemiology and Biostatistics 
University of Maryland College Park School of Public Health 
Tel: 301-405-7251, Fax: 301-314-9366 
Email: sunmin at umd.edu

 

Current Members

Mary Jung Research Assistant  Email: mjung at umd.edu
Xiaoxiao Lu Xiaoxiao Lu Research Assistant  Email: xxlu at umd.edu
Esther Choi Research Assistant  Email: echoi124 at umd.edu
Julia Chen Research Assistant Email: juliacenchen at gmail.com
       

Past Members

Lu Chen

Harihar Bhattarai

Jingjing Chen

Lu Chen

Hyo J Cho

Jennifer Choi

Hyo J Cho 

Jennifer Choi

Eunha Cho

Young Chun

HyeEun Chung

Tong-Han Chung

Young Chun

HyeEun Chung

Tong-Han Chung 

Anh Kelly Huynh

Binna Kim

Anh Kelly Huynh 

 Juhye Kang

Binna Kim 

Namwook Koo

Margaret Lahey

Gil Yong Kim

Namwook Koo

Margaret Lahey

Daisy Le

Chang Won Lee

Jamie Lok

Daisy Le

Chang Won Lee 

Jamie Lok 

Genevieve Martinez

Jane Oh

Genevieve Martinez

Diane Ng

Jane Oh

Allison O'Neil

Youngsuk Oh

Allison O'Neil

Charles Park

Woochul Park

Victor Pattianakotta

 

Woochul Park

Victor Pattianakotta 

Laura Samabataro 

Lynn Scully

Eva Sharma

Jamie Sim

Lynn Scully 

Eva Sharma

Bertina Su

Hien Tran

Amy Tse

Bertina Su 

Hien Tran

Amy Tse

Rajiv Ulpe

Teddy Weng

Sung Hae Uhm

Rajiv Ulpe 

Teddy Weng 

Ying Wang

Rudan Zhuo

Ying Wang

Soo Yee

Rudan Zhuo 

 

Yuqing Zhang

Soo Kyung Park

 

Click on the headings below to view journal articles, conference abstracts, and research highlights.

Journal Articles

Peer-Reviewed Journal Articles

Juon HS, Rimal R, Lee S. Social Norms, Family Communication, and Hepatitis B Screening among Asian Americans. J Health Comm. In Press.

Juon HS, Guo J, Lee S. Predictors of colorectal cancer screening among Asian Americans aged 50-75 years old. J Racial Ethn Health Disparities. In Press. PMID: 28664503.

Jung MY, Holt CL, Ng D, Sim H, Lu XX, Le D, Juon HS, Li J, Lee S. Chinese and Korean American immigrant experience: A mixed-methods examination of facilitators and barriers of colorectal cancer screening. Ethn Health. 25:1-20, 2017.

Juon HS, Kim F, Strong C, Park E, Lee S. Hepatitis B virus infection and exposure among non-native Chinese-, Korean-, and Vietnamese Americans in the Baltimore Washington metropolitan area. Hepatitis Monthly. 17(1): e43018, 2017.

Lu X, Juon HS, Lee S. Do recommendations by healthcare providers, family-members, friends, and individual self-efficacy increase uptake of hepatitis B screening? Results of a population-based study of Asian Americans. Int J MCH AIDS. 6(1), 9-18, 2017.

Lu X, Holt CL, Chen JC, Le D, Chen J, Kim G-Y, Li J, Lee S. Is colorectal cancer a Western disease? Role of knowledge and influence of misconception on colorectal cancer screening among Chinese and Korean Americans: A mixed methods study. Asian Pac J Cancer Prev. 17(11): 4885-4892, 2016.

Lu X, Sim HJ, Juon HS, Lee S. Hypertension among Asian Americans: Associations with measures of acculturation. Am J Health Stud. 31(3): 132-142, 2016.

Lee S, Chae DH, Jung MY, Chen L, Juon HS. Health examination is not a priority for less acculturated Asian Americans. J Racial Ethn Health Disparities. 1-10, 2016.

Jaschek G, Carter-Pokras OD, He X, Lee S, Canino G. Association of types of life events with depressive symptoms among Puerto Rican youth. PLoS ONE. 11(10): e0164852, 2016.

Jaschek G, Carter-Pokras O, He X, Lee S, Canino G. Association of child maltreatment and depressive symptoms among Puerto Rican youth. Child Abuse Negl. 58: 63-71, 2016.

Juon HS, Strong C, Kim F, Park E, Lee S. Lay health worker intervention improved compliance with hepatitis B vaccination in Asian Americans: Randomized controlled trial. PLoS ONE. 11(9), e0162683. 2016.

Kim J, Cha S, Kawachi I, Lee S. Does retirement promote healthy behaviors in Korean young elderly? J Behav Health. 5(2): 45-54, 2016.

Young DR, Lee S, Kuo J, Saksvig BI. Co-occurring social and dietary health-promoting behaviors and physical activity among high school girls. Health Behav Policy Rev. 3(1): 3-12, 2016.

Lee S, Zhai S, Zhang G, Ma XS, Lu X, Tan Y, Siu P, Seals B, and Ma GX.  Factors associatedwith Hepatitis C knowledge before and after an educational intervention among Vietnamese Americans. Clin Med Insights: Gastroenterol. 29(8):45-53, 2015.

Kanamori M, Carter-Pokras O, Madhavan S, Feldman R, He X, Lee S. Overweight status of the primary caregivers of orphan and vulnerable children in 3 Southern African countries: A cross sectional study. BMC Public Health. 15:757, 2015.

Ma GX, Tan Y, Jung M, Ma XS, Toubbeh J, Ma X. and Lee S. Factors associated with hepatitis C screening behaviors and infection status among Vietnamese Americans. Am J Health Behav. 39(5): 640-51, 2015.

Kanamori M, Carter-Pokras O, Madhavan S, Lee S, He X, Feldman R. Association between orphan and vulnerable child caregiving, household wealth disparities, and women's overweight status in three southern African countries participating in demographic health surveys. Matern Child Health J. 19(8):1662-71, 2015.

Martinez-Garcia G, Atkinson N, Carter-Pokras O, Portnoy B, Lee S. Do Latino youth really want to get pregnant? Assessing pregnancy wantedness among male and female Latino youth. Am J Sex Educ. 9(3):329-346, 2014.

Lee S, Kim D. Acculturation and self-rated health among foreign women in Korea. Health and Social Welfare Review. 34(2): 453-482, 2014 

Kanamori M, Carter-Pokras O, Madhavan S, Feldman R, He X, Lee S. Orphan/vulnerable child caregiving moderates the association between women’s autonomy and their BMI in three African countries. AIDS Care. 3:1-10, 2014. 

Juon HS, Lee S, Kirk G, Bowie J, Rimal R. Effect of a liver cancer education program on hepatitis B screening among Asian Americans in the Baltimore-Washington metropolitan area, 2009-2010. Prev Chronic Dis. 11:130258, 2014. 

Lee S, Chen L, Jung MY, Baezconde-Garbanati L, Juon HS. Acculturation and cancer screening among Asian Americans: Role of health insurance and having a regular physician. J Community Health. 39(2):201-12, 2014. 

Young DR, Saksvig BI, Wu TT, Zook K, Li X, Champaloux S, Grieser M, Lee S, Treuth M. Multilevel correlates of physical activity for early, mid, and late adolescent girls. J Phys Act Health. 11(5), 2014. 

Ihara ES, Chae DH, Cummings J, Lee S. Correlates of mental health service use and type among Asian Americans. Admin Pol Ment Health. 1-9, 2013.

Lee S, Yoon H, Chen L, Juon HS. Culturally tailored photonovel development for hepatitis B prevention in Chinese, Korean, and Vietnamese American communities in Maryland. Health Educ Behav. 40(6): 694-703, 2013.

Lee S, O’Neill A, Ihara ES, Chae DH. Change in self-reported health status among immigrants in the United States: Associations with measures of acculturation. PLos ONE. 8(10): e76494, 2013.

Lee S, Chen L, Ma GX, Fang CY, Oh Y, Scully L. Challenges and needs of Chinese and Korean American breast cancer survivors: In-depth interviews. N Am J Med Sci (Boston). 6(1):1-8, 2013.

Lee S, Chen L, He X, Miller MJ, Juon HS. A cluster analytic examination of acculturation and health status among Asian Americans in the Washington DC metropolitan area, United States. Soc Sci Med. 96:17-23, 2013.

O’Neill A, Lee S, Yan A, Voorhees CC. Association between weather and physical activity in Baltimore teens. Environ Behav. 45(1):138-151, 2013.

Clough J, Lee S, Chae DH. Barriers to health care among Asian immigrants in the United States: A traditional review. J Health Care Poor Underserved. 24(1):384-403, 2013.

Tanaka M, Strong C, Lee S, Juon HS. Influence of information sources on hepatitis B screening behavior and relevant psychosocial factors among Asian immigrants. J Immigr Minor Health. 15(4):779-87, 2013.

Lee S, Young DR, Pratt CA, Jobe JB, Chae SE, McMurray RG, Johnson CC, Going SB, Elder JP, Stevens J. Effects of parents' employment status on changes in body mass index and percent body fat in adolescent girls. Child Obes. 8(6):526-32, 2012.

Ma GX, Gao W, Lee S, Wang MQ, Tan Y, Shive SE. Health seeking behavioral analysis associated with breast cancer screening among Asian American women. Int J Women Health. 4:235-243, 2012.

Lee S, Chen L, Ma GX, Fang CY. What is lacking in patient-physician communication: Perspectives from Asian American breast cancer patients and oncologists. J Behav Health. 1(2):102-109, 2012.

Strong C, Lee S, Tanaka M, Juon HS. Ethnic differences in prevalence and barriers to HBV screening and vaccination among Asian Americans. J Community Health . 37(5):1071-80, 2012.

Lee S, O’Neill A, Park J, Scully L, Shenassa ED. Health insurance moderates the association between length of stay and health in legal immigrants. J Immigr Minor Health. 14(2):345-349, 2012.

Chen L, Juon HS, Lee S. Acculturation and BMI among Chinese, Korean and Vietnamese adults. J Community Health. 37(3):539-546, 2012.

Chae DH, Lee S, Lincoln KD, Ihara ES. Discrimination, family relations, and major depression among Asian Americans. J Immigr Minor Health. 14(3):361-70, 2012.

Philbin MM, Erby LAH, Lee S, Joun HS. hepatitis B and liver cancer among three Asian American sub-groups: A focus group inquiry. J Immigr Minor Health. 14(5):858-68, 2012.

Lee S, Ma GX, Juon HS, Martinez G, Hsu CE, Bawa J. Assessing the needs and guiding the future: Findings from the health needs assessment in 13 Asian American communities of Maryland in the United States. J Immigr Minor Health. 13(2):395-401, 2011.

Ma GX, Lee S, Wang M, Tan Y, Gao W, Ma X, Lai P, Toubbeh JI. Role of sociocultural factors in hepatitis B screening among Asian Americans. South Medi J. 104(7):466-72, 2011.

Ayers JW, Juon HS, Lee S, Park E. Hepatitis B vaccination prevalence and its predictors among Asian, Pacific Islander, Native American, and multiracial groups in NHANES. J Immigr Minor Health. 12(6):847-52, 2010.

Choi KS, Lee S, Park EC, Kwak MS, Spring B, Juon HS. Low rates of breast cancer screening in Korean women compared with Korean American women and White women. J Women Health. 19(6):1089-1096, 2010.

Lee S, Martinez G, Ma GX, Hsu CE, Robinson ES, Bawa J, Juon HS. Access barriers and health care in 13 Asian American communities. Am J Health Behav. 34(1):21-30, 2010.

Lee S, Juon HS, Martinez G, Hsu CE, Robinson ES, Bawa J, Ma GX. Model minority at risk: Expressed needs of mental health by Asian American youth. J Commun Health. (34):144-152, 2009.

Juon HS, Choi KS, Park EC, Kawk MS, Lee S. Hepatitis B vaccinations among Koreans: Results from 2005 Korea National Cancer Screening Survey. BMC Infect Dis. 25(9):185, 2009.

Lee S, Martinez G, Hsu CE, and Maryland Asian American Health Solutions. Asian American Health Priority: Strengths, Needs and Opportunities for Action: A study of Montgomery County, MD, 2008. Asian American Health Initiative, Department of Health and Human Services, Montgomery County, Maryland. 2008.

Tworoger SS, Lee S, Schernhammer ES, Grodstein F. The association of sleep duration, difficulty sleeping, and snoring with cognitive function in older women. Alzheimer Dis Assoc Disord. 20(1):41-48, 2006.

Lee S, Buring JE, Cook NR, Grodstein F. The relation of education and income to cognitive function among professional women. Neuroepidemiology. 26(2):93-101, 2006.

Lee S, Cho E, Grodstein F, Kawachi I, Hu FB, Colditz GA. The effects of marital transition on changes in dietary and other health behaviors. Int J Epidemiol. 34(1):69-78, 2005.

Lee S, Kawachi I, Grodstein F. Does caregiving stress affect cognitive function in older women? J Nerv Ment Dis. 192(1):51-57, 2004.

Lee S, Colditz GA, Berkman LF, Kawachi I. Prospective study of job insecurity and coronary heart disease among US women. Ann Epidemiol. 14(1):24-30, 2004.

Lee S, Colditz GA, Berkman LF, Kawachi I. Prospective study of caregiving to non-ill children and grandchildren and coronary heart disease among US women. Am J Public Health. 93(11):1939-1944, 2003.

Lee S, Kawachi I, Berkman LF, Grodstein F. Education, other socioeconomic indicators, and cognitive function in older women. Am J Epidemiol. 157:712-720, 2003.

Lee S, Colditz GA, Berkman LF, Kawachi I. Prospective study of caregiving and coronary heart disease among US women. Am J Prev Med. 24(2):113-119, 2003.

Lee S, Colditz GA, Berkman LF, Kawachi I. Prospective study of job strain and coronary heart disease among US women. Int J Epidemiol. 31:1147-1153, 2002.

Conference Abstracts

Conference Abstracts

Randomized controlled trial to increase quality of life and reduce perceived stress among Korean American breast cancer survivors. Lee S, Jung MY, Sim JH. World Congress of Psycho Oncology. Berlin, Germany, 2017.

Randomized Controlled Trial to Increase Quality of Life and Reduce Stress among Korean American Breast Cancer Survivors. Lee S. BIT’s Annual World Cancer Congress. Barcelona, Spain, 2017.

Enhancing Breast Cancer Survivorship for Korean Women Using a Randomized Controlled Trial to Improve Quality of Life and Decrease Stress. Society for Behavioral Medicine Meeting. Lee S, Jung MY, Wan MQ. Society for Behavioral Medicine Meeting. San Diego, CA, 2017. 

Randomized controlled trial to increase quality of life and reduce perceived stress among Korean American breast cancer survivors. Lee S, Jung MY, Sim JH, Wang MQ. American Associations of Cancer Research (AACR) Cancer Disparities Meeting. Fort Lauderdale, FL, 2016. 

Examining psychometric properties of the Functional Assessment of Cancer Therapy-Breast (FACT-B) among Korean American breast cancer survivors. Jung MY, Wang MQ, Lee S. American Associations of Cancer Research (AACR) Cancer Disparities Meeting. Fort Lauderdale, FL, 2016.

Tell a friend and save a life: Investigating the impact of knowledge on colorectal cancer screening behaviors and confidence among Chinese and Korean Americans using a mixed methods approach. Jung MY, Lu XX, Chen JC, Le D, Chen JJ, Lee SAmerican Associations of Cancer Research (AACR) Cancer Disparities Meeting. Atlanta, GA, 2015.

Examining colorectal cancer screening barriers and facilitators through cultural lens: A mixed methods study of Chinese and Korean Americans. Lee S, Jung MY, Lu XX, Sim J, Ng D.  American Associations of Cancer Research (AACR) Cancer Disparities Meeting. Atlanta, GA, 2015.

Overcoming breast cancer related stigma: Lessons learned about outreach, recruitment, and retention of Korean breast cancer survivors from an ongoing randomized controlled trial intervention program. Lee S, Jung MY, Uhm S, Xim HJ. American Associations of Cancer Research (AACR) Cancer Disparities Meeting. Atlanta, GA, 2015.

Asian American experience: A mixed-method study of barriers to colorectal cancer screening. Lee S, Jung MY, Ng D, Sim H. European Public Health Conference. Milan, Italy, 2015.

Prevalence of health-related quality of life (HRQOL) among foreign-born Asian Americans. Juon HS, Kim F, Chung S-Y, Lee SAmerican Public Health Association(APHA). Chicago, IL, 2015.

Is colorectal cancer a western disease? Influence of misconception on colorectal cancer screening: A mixed-methods study. Lu XX, Holt CL, Juon HS, Li J, Chen J, Kim G, Lee SAmerican Public Health Association(APHA). Chicago, IL, 2015. 

Chinese and Korean American immigrant experience: A mixed-methods examination of facilitators and barriers of colorectal cancer screening. Jung MY, Holt CL, Juon HS, Li J, Eng D, Sim HLee SAmerican Public Health Association(APHA). Chicago, IL, 2015. 

A mixed-methods study of physician-patient communication on colorectal cancer screening among older Chinese and Korean Americans. Lu XX, Le D, Chun Y, Battharai HLee SAmerican Public Health Association(APHA). Chicago, IL, 2015.

The roles of health literacy to disparities in preventive health behaviors among Asian Americans. Lu XX, Juon HS, Lee SAmerican College of Epidemiology Meeting. Silver Spring, MD, 2014

Culture matters: Cultural views of cancer and colorectal cancer screening behavior among Asian Americans. Jung MY, Juon HS, He X, Lee SAmerican Public Health Association(APHA). Boston, MA, 2013.

Association between informational support and hepatitis B screening among Chinese, Korean, and Vietnamese adults. Lu XX, Juon HS, Lee SAmerican Public Health Association(APHA). Boston, MA, 2013.

Causes of death among cancer survivors in the NIH-AARP Diet and Health Study. Jung MY, Lee S, Park Y. American Public Health Association(APHA). Boston, MA, 2013.

Acculturation and cancer screening among Asian Americans: Role of health insurance and having a regular physician. Lee S, Chen L, Jung M, Juon HS. Science of Eliminating Health Disparities Summit. National Harbor, MD, 2012.

Acculturation, access to health care, and health examination behaviors among Asian Americans. Lee S, Chen L, Jung M, Juon HS. American Public Health Association(APHA). San Francisco, CA, 2012.

Acculturation and cancer screening among Asian Americans: Role of health insurance and having a regular physician. Lee S, Chen L, Jung M, Juon HS. American Public Health Association(APHA). San Francisco, CA, 2012.

Acculturation and cancer screening among Asian Americans: Role of health insurance and having a regular physician. Lee S, Chen L, Jung M, Juon HS. NCI/CRCHD Cancer Health Disparities Program Meetings. Bethesda, MD, 2012.

What drive pregnancy intentions among Latino youth? Martinez-Garcia G, Atkinson N, Carter-Pokras O, Lee S, Portnoy B, Sawyer R, Kattar C, Galeas S. American Public Health Association(APHA). Washington, DC, 2011.

Effect of culturally-tailored liver cancer education program on hepatitis B screening behavior in Chinese, Korean, and Vietnamese Americans. Juon HS, Strong C, Lee S, Kirk G, Bowie JV. American Public Health Association (APHA), Washington DC, 2011.

Acculturation and health status among Chinese, Korean, and Vietnamese Americans. Lee S, Chen L, Strong C, Tanaka M, Juon HS. American Public Health Association (APHA), Washington DC, 2011.

What is lacking in patient-physician communication: from Asian American breast cancer patients’ and oncologists’ perspectives. Lee S, Ma GX, Fang CY, Chen L, Oh Y, Scully L. Center to Reduce Cancer Health Disparities Meeting, National Cancer Institute, Bethesda, MD, 2011

Challenges and needs of Chinese and Korean American breast cancer survivors: In-Depth Interviews. Lee S, Ma GX, Fang CY, Chen L, Oh Y, Scully L. Center to Reduce Cancer Health Disparities Meeting, National Cancer Institute, Bethesda, MD, 2011.

Impact of culturally-integrated liver cancer education on hepatitis B knowledge among Asian Americans. Juon HS, Bowie J, Chen L, and Lee S. American Public Health Association (APHA), Denver, CO, 2010.

Culturally tailored photonovel development for hepatitis B prevention in Chinese, Korean, and Vietnamese American communities in Maryland. Lee S, Yoon H, Tran H, and Juon HS. American Public Health Association (APHA), Denver, CO, 2010.

Do weather variables predict physical activity in Baltimore teens? O'Neill A, Lee S, and Voorhees CC. American Public Health Association (APHA), Denver, CO, 2010.

Relationship between acculturation, health status, and health insurance. Lee S, O'Neill A, Shenassa ED, Scully L, and Park, J. American Public Health Association (APHA), Denver, CO, 2010.

Process evaluation of culturally tailored liver cancer education material for Asian Americans. Yoon H, Lee S, Strong C, Chung T, and Juon HS. American Public Health Association (APHA), Denver, CO, 2010.

How self-efficacy can assist in translating knowledge into behavior: Promoting liver cancer prevention through Hepatitis B screening among Asian immigrants in Maryland. Rimal RN, Lee S, Wu Y, and Juon HS.. American Public Health Association (APHA), Denver, CO, 2010.

Prevalence and factors associated with hepatitis B screening and vaccination among Asian Americans. Strong C, Lee S, Chung T, Chen L, Tran H, and Juon HS. American Public Health Association (APHA), Denver, CO, 2010.

Awareness and perceptions of Hepatitis B and Liver Cancer among three Asian American groups: A focus group inquiry. Philbin M, Erby L, Lee S, and Juon HS. American Public Health Association (APHA), Denver, CO, 2010.

Role of sociocultural factors in hepatitis b screening among Asian Americans. Ma GX, Toubbeh JI, Lee S, Wang MQ, and Liu A. American Public Health Association (APHA), Denver, CO, 2010.

Psychosocial, cultural, and environmental predictors of tobacco use among Asian Americans in Maryland. Lee S, Lok JK, Sharma E, Wang Y, Ulpe R, Carter-Pokras O. American Public Health Association (APHA), Philadelphia, PA, 2009.

Assessing the Needs and Guiding the Future: Health Needs Assessment in 13 Asian American Communities In Maryland. Lee S, Ma GX, Juon HS, Hsu CE, Martinez G, Bawa J. NIH Summit: The Science of Eliminating Health Disparities. National Harbor, MD, 2008.

Low rates of breast cancer screening in Korean women compared with Korean American women. Lee S, Choi KS, Park EC, Kwak MS, Spring B, Juon HS. American Public Health Association (APHA), San Diego, CA, 2008.

Health policy actions for the minority within and beyond minority borders: Priorities and action plans for improving Asian American health in Maryland. Lee S, Hsu CE, Martinez G, Bawa J, Canda L, Tillman U, Ma GX, Juon HS. American Public Health Association (APHA), San Diego, CA, 2008.

Health needs assessments of Asian Americans: Findings from focus groups of 13 Asian American communities. Lee S, Hsu CE, Martinez G, Bawa J, Ma GX, Juon HS. American Public Health Association (APHA), San Diego, CA, 2008.

Cross-cultural validity of the CES-D among Korean American adolescents. Juon HS, Song S, Cho J, Lee S. Society for Research on Adolescence (SRA), Chicago, IL, 2008.

Model Minority at Risk: Expressed Needs of Mental Health by Asian American Youth. Lee S, Hsu CE, Martinez G, Su B, Bawa J. American Public Health Association (APHA), Washington, DC, 2007.

Developing an evidence-based culture of mental health wellness in under-represented Asian American communities. Hsu CE, Martinez G, Su B, Choi J, Bawa J, Lee S. National Prevention and Health Promotion Summit, Washington, DC, 2007.

Partnership for health disparities solutions: collaborating with under-represented Asian American communities to address health needs. Lee S, Hsu CE, Martinez G, Su B. NYU Center for the Study of Asian American Health Annual Conference. New York, NY, 2007.

Effects of lifestyle modification interventions on social support: Results from the PREMIER Trial. American Heart Association Cardiovascular Disease Epidemiology and Prevention. Jerome GJ, Young, DR, Brantley, PJ, Coughlin JW, Lee S, Erlinger TP, Cooper L, Appel, LJ. Orlando, FL, 2007.

Effects of marital transitions on dietary and other health behaviors in women. Lee S, Cho E, Grosdtein F, Kawahic I, Hu FB, and Colditz, GA. Society for Epidemiologic Research, Atlanta, GA, 2003. 

Education, other socioeconomic indicators, and cognitive function in older women. Lee S, Kawachi I, Berkman LF, and Grodstein, F. Society for Epidemiologic Research, Palm Springs, CA, 2002.

Research Highlights

Research Highlights

PLoS Blog Feature

Our photonovels, which were developed for the Asian Liver Cancer Education Program in Maryland, were featured in Public Health Perspectives, a Public Library of Science (PLoS) blog that focuses on pressing public health issues. Read more here.

Citation: Le, V. Cultural Comic Books for Educating Asian Americans about Hepatitis B. Public Health Perspectives, May 24, 2013. http://blogs.plos.org/publichealth/2013/05/24/cultural-comic-books-for-e...

Recent Projects

Click on the headings below to learn more about our recent projects.

TOGETHER: Support Program for Korean Breast Cancer Survivors (English)

Together Overcome and Get Empowered Through Health Education and Relationships (TOGETHER): Support Program for Korean Breast Cancer Survivors

Project Overview

Breast cancer is the most common cancer among Korean women in the United States. Many of these women face difficulties due to the cancer and lack information to help them navigate through the experience. However, existing support programs have been developed primarily for English-speaking, non-Hispanic White women. Faced with this need among Korean breast cancer survivors, Professor Sunmin Lee in the Department of Epidemiology and Biostatistics at the University of Maryland School of Public Health and her research team developed a program that provides culturally appropriate information that is delivered in Korean. The T.O.G.E.T.H.E.R.(Together Overcome and Get Empowered Through Health Education and Relationships) program is one of the first programs to be specifically developed for Korean women with breast cancer.

This project, which is funded by the National Cancer Institute (NCI) at the National Institutes of Health (NIH), was designed to improve the lives of Korean breast cancer survivors. In addition, this program was in part developed using information from interviews with physicians as well as other Korean breast cancer survivors in order to identify the specific needs and issues that Korean breast cancer survivors face. 

 Click here to be directed to our program's Facebook page. 

The TOGETHER Program in the Media

  • Click here to see our video clip from WKTV USA, which was published on March 4, 2015.

  • Click here to see a video  about our program.  Included in this video is a brief introduction to our program from our Principal Investigator, messages from our program facilitators, experiences from previous participants, and greeting from the TOGETHER research team.

  • Click here to listen to our radio interview on 1310AM WDCT Family Radio (기쁜소리방송) on February 11, 2015.

  • Our program has also been featured in local Korean newspaper articles.  Click on the links below to view them:

  1. Korea Daily article: in English | in Korean

  2. Korea Times article:  in English | in Korean

About the Program

The program consisted of 7 weekly sessions and 1 follow-up session that lasted for about 2 hours each. All sessions were delivered in Korean by two female bilingual licensed clinical psychologists. Participants had the opportunity to learn, share, and bond with other Korean breast cancer survivors, who had similar experiences. The program provided important information that was culturally tailored, including information on diet and nutrition; exercise; complementary and alternative medicine; communicating with healthcare providers and family/friends; preventing and managing treatment side effects; follow-up care plans for breast cancer survivors; and dealing with cancer related employment, insurance, and financial issues. 

TOGETHER Program Cohorts

We conducted our first cohort in the Spring of 2014, second cohort in the Fall of 2014, third cohort in the Spring of 2015, fourth cohort in the Fall of 2015, and fifth and last cohort in the Spring of 2016.  Below are pictures from our cohorts in Maryland and Virginia:

TOGETHER Cohorts

 

Thoughts from Our Participants

 

TOGETHER Program Outreach

The TOGETHER program conducted outreach in the community to not only recruit participants, but also to increase awareness about breast cancer and breast cancer screening in the Korean community. Below are images of seminars and outreach activities that we conducted in local Korean churches.

TOGETHER Program Outreach

 

Healthy Together Happy Together Event 

On December 11, 2014, the TOGETHER program research team hosted a breast cancer event at the Global Mission Church in Silver Spring, MD.  The motivation behind this event was to promote the health and well-being of Korean women with breast cancer by connecting local physicians, leaders in the community, members of the media, and breast cancer survivors.  Through this event, it was our hopes to initiate and build a collaborative effort to prevent and overcome cancer within the Korean community.

Healthy Together Happy Together Event

 

2015 Susan G. Komen Washington, D.C. Race for the Cure

On May 9, 2015, the TOGETHER program research team, participants, as well as friends and family joined the Korean Community Service Center (KCSC) team to participate in the 2015 Susan G. Komen Washington, D.C. Race for the Cure. Our program participants expressed their excitement to be able to celebrate being breast cancer survivors with women from all over the region. The event was inspiring and empowering as we completed the 5k (3.1 miles) walk with about 15,000 other people, including 1,500 breast cancer survivors.

2015 Susan G. Komen Washington, D.C. Race for the Cure

 

TOGETHER Preview Event 

On August 22nd (in Vienna, MD) and 23rd (in Hanover, MD), the TOGETHER team held a special program preview event for Korean breast cancer survivors as well as their friends and family. Women interested in participating received a sneak peek of the program, met past participants, and learned about “Effective Communication Methods for a Happier Life” from Dr. Jinhee Kang (clinical psychologist at the University of Maryland Counseling Center), and “Foods that are Good for My Body” from Ms. Young Lim Chu (complementary and alternative medicine practitioner). Attendees expressed that they were comforted by sharing their experiences with other Korean women with breast cancer and affirmed their attendance after they came to recognize the importance of this beneficial program.

TOGETHER Preview Event

 

TOGETHER Program Picnic

On October 6th and 7th, the TOGETHER program research team held picnics in Virginia at Mason District Park and in Maryland at Matthew Henson State Park for our cohorts 1 to 4 participants as well as long-time breast cancer survivors. This event was not only a fun, bonding experience where we got to know each other better but also a celebration for our breast cancer survivors.

TOGETHER Program Picnic

 

Cancer Seminar Series: Treatment Side Effects

The TOGETHER program research team hosted a cancer treatment side effects seminar on February 14, 2015  at the Korean American Family Counseling Center in Vienna, VA.  The speaker, Ms. Chung Ahn, is a certified oncology rehabilitation registered nurse at the National Rehabilitation Hospital in Washington, D.C., who has 25 years of experience as a nurse and 3 years of experience treating cancer patients specifically.  Cancer survivors, friends, and family members gathered to learn about ways to reduce and manage cancer treatment side effects, especially those related to breast cancer.

Cancer Seminar Series: Treatment Side Effects

 

Cancer Seminar Series: Breast Cancer Screening and Diagnosis

Dr. Gina Kim-Ahn, who has 13 years of experience as a radiologist and is currently a Breast Imaging Fellow at George Washington University, provided an informative seminar on April 26, 2015 at Bethany Church in Gaithersburg, MD. Her talk was a part of the TOGETHER program research team's cancer seminar series. Dr. Kim covered various breast cancer screening and diagnosis related topics including screening guidelines and methods, understanding mammogram results, what to do if your screening results are abnormal, and screening for recurrence among breast cancer patients. Attendees expressed that after years of getting mammograms, they finally understood about breast cancer screening.  

Cancer Seminar Series: Breast Cancer Screening and Diagnosis

 

Cancer Seminar Series: Everything You Ever Wanted to Know About Breast Cancer

On May 30, 2015, the TOGETHER program research team continued its cancer seminar series at the Korean United Methodist Church of Greater Washington. The speakers included three local Korean physicians: Dr. Gina Kim (a breast imaging fellow at George Washington University), Dr. Bonnie Sun (a breast surgeon and assistant professor of surgery at the Johns Hopkins School of Medicine), and Dr. David Min (a medical oncologist at Maryland Oncology Hematology and a clinical professor at Georgetown University School of Medicine). Drs. Kim, Sun, and Min provided detailed explanations and answers to individuals’ questions and covered everything the audience wanted to know about breast cancer from diagnosis to surgery and treatment. 

Cancer Seminar Series: Everything You Ever Wanted to Know About Breast Cancer

TOGETHER: Support Program for Korean Breast Cancer Survivors (Korean)

Together Overcome and Get Empowered Through Health Education and Relationships (TOGETHER): Support Program for Korean Breast Cancer Survivors

연구 소개

유방암은 미국에서 살고 있는 한국인 여성들에게 가장 흔하게 발생하는 암입니다. 유방암을 앓고 있는 대다수의 한인 여성들은 암을 경험하고 극복하는데 도움이 되는 유용한 정보가 부족하여 많은 어려움을 겪고 있습니다. 그러나 현재 존재하는 대부분의 유방암 생존자를 위한 지지 프로그램들은 영어를 사용하는 비히스패닉 백인 여성만을 대상으로 하고 있습니다. 매릴랜드 주립대학교 보건대학원의 이선민 교수와 연구팀은 한인 유방암 생존자를 위한 프로그램의 중요성과 필요성을 느끼게 되었고, 한국인의 문화에 적합하고 알맞도록 한국어로 된 프로그램을 개발하였습니다. 투게더 T.O.G.E.T.H.E.R.(Together Overcome and Get Empowered Through Health Education and Relationships) 프로그램은 유방암을 앓고 있는 한국인 여성을 위해 특별히 개발된 최초의 프로그램입니다.

이 연구는국립보건원(National Institutes of Health) 산하국립암연구소(National Cancer Institute)의 연구비 지원을 받아 수행되고 있습니다. 이 프로그램은 한국인 유방암 생존자들의 삶의 질을 향상시키기 위한 목적으로 개발되었으며, 한인 유방암 생존자를 비롯한 전문의들과의 인터뷰를 통하여 한인 유방암 생존자들의 구체적인 요구 사항과 유방암 생존자들이 직면하는 여러 문제들을 확인한 후 이를 프로그램에 반영하였습니다. 

 저희 프로그램의 Facebook 페이지에 방문하시려면 이곳을 클릭하세요.

투게더 프로그램 관련 미디어 자료 

  • 2015년 3월 4일에  WKTV USA에서 방영된 저희 프로그램 TV 클립을 보실려면 이곳을 클릭하세요

  • 저희 프로그램에 관한 소개 영상을 보시려면 이곳을 클릭하세요. 이 영상은 연구 책임자의 간략한 프로그램 소개와 프로그램 진행자의 메시지, 프로그램에 참여했던 분들의 소감과 TOGETHER 연구팀의 인사 등으로 구성되어 있습니다. 

  • 저희 프로그램에 관한 라디오 인터뷰를 청취하시려면 이곳을 클릭하세요. 라디오 인터뷰는 2015년 2월 11일에 1310AM WDCT Family Radio 기쁜소리방송을 통해 방송되었습니다.

  • 저희 프로그램은 지역 한인 언론사의 기사를 통해 보도 되었습니다. 기사들을 확인하시려면 아래의 링크를 클릭하세요: 

  1. 중앙일보: 영어 | 한글
  2. 한국일보: 영어 | 한글

프로그램의 내용 

이 프로그램은 7주 과정의 세션과 1회의 후속 세션으로 구성되어, 각 세션은 약 2시간 동안 지속되었습니다. 모든 세션은 한국어와 영어를 모두 사용하는 2명의 여성 한인 임상심리사에 의해 진행되었습니다. 참여자들은 비슷한 경험을 가지고 있는 다른 한인 유방암 생존자들과 함께 배우고, 나누고, 가깝게 어울릴 수 있는 기회를 가지게 되었습니다. 본 프로그램은 문화적으로 맞춤화되어 식이와 영양, 운동, 대체의학, 의료인 및 가족. 친구들과의 의사소통방법, 항암 치료 부작용의 예방과 관리, 유방암 생존자의 후속 치료 계획, 직장 및 보험, 재정 문제 등과 관련된 주요한 정보들을 제공했습니다

투게더 프로그램

저희는 2014년 봄에 프로그램 1기를 진행하였고 같은 해 가을에 2기, 2015년 봄에 3기, 2015년 가을에 4기 그리고 2016년 봄에 마지막 5기를 진행하였습니다. 매릴랜드와 버지니아에서 진행된 1기, 2기, 3기, 4기, 그리고 5의  사진을 아래에서 보실 수 있습니다.

 

TOGETHER Cohorts

 

 

참여자들의 소감 

 

지역사회 유방암 예방 교육  투게더 프로그램 알리기

투게더 프로그램은 프로그램 참여자 모집 뿐만 아니라 한인 사회의 올바른 유방암 인식을 위해 지역사회 곳곳에서 유방암 예방을 위한 교육을 하였습니다. 아래 사진들은 교육 세션과 투게더 프로그램을 알리는 모임에서 찍은 사진들입니다.

 

TOGETHER Program Outreach

 

 

Healthy Together Happy Together Event: 프로그램 송년회

2014년 12월 11일에 투게더 프로그램 연구팀은 매릴랜드 실버스프링에 위치한 지구촌교회(Global Mission Church)에서 유방암 생존자들을 초대하여 송년회를 개최하였습니다. 이 행사는 유방암을앓고 있는 한인 여성들과 지역 의료전문가. 지역사회 지도자 및 언론의 만남을 주선하여 한인 여성들의 건강과 웰빙을 증진시키는 계기를 마련하고자 하였습니다. 이 행사가 한인 지역사회 구성원이 서로 협력하여 암의 예방과 극복을 위한 노력을 함께 할 수 있도록 만드는 출발점이 되었기를 바라는 바입니다.

 

Healthy Together Happy Together Event

 

 

2015년 Susan G. Komen 워싱턴 D.C. "Race for the Cure" 걷기 대회

2015년 5월 9일 투게더 프로그램 연구팀, 참여자, 그리고 친구 가족들은 워싱턴 한인 복지센터와 함께 Susan G. Komen의 Race for the Cure라는 걷기 대회​에 참여했다. 함께한 투게더 참여자들은 지역의 유방암 생존자들과 함께 서로의 건강을 축하하며 너무 기쁘고 즐거운 시간을 보냈다. 이 이벤트는 다른 15,000명의 참가자들과 그리고 1,500여명의 유방암 생존자들과 함께하는 색다르고 의미있는 경험이었다.

 

2015 Susan G. Komen Washington, D.C. Race for the Cure

 

 

투게더 프리뷰모임

9월에 시작하는 제 4기를 앞두고 투게더 연구팀은 지난 8월 22일(비엔나, 버지니아)과 23일(헤노버, 매릴랜드)에 한인 유방암 생존자들과 그들의 가족을 위해 실제 프로그램과 비슷한 자리를 경험해보는 특별한 프리뷰모임을 가졌다. 투게더 프로그램 참여를 고려하고 있는 분들께 "맛보기" 형식으로 지난 참여자들과의 만남을 주선하고, 강진희 박사(매릴랜드 대학교 카운셀링 센터 임상 심리학자)의 ‘행복한 삶을 위한 효과적인 대화법’, 그리고 주영림 한의사의 ‘내 몸에 맞는 음식’이라는 내용의 유익한 강의를 제공하였다. 참여자들은 다른 한인 유방암 생존자들과 자신의 경험을 나눌수 있어서 마음의 위로가 되고 이 모임을 통해 프로그램의 중요성을 깨달았다며 프로그램 참여를 결정했다.

 

TOGETHER Preview Event

 

 

투게더 프로그램 피크닉

지난 10월 6일과 7일 투게더 프로그램 연구팀은 유방암 인식의 달을 맞이하여 프로그램 1기~ 4기 참여자들과 오래된 유방암 생존자들을 위해 버지니아 Mason District Park와 매릴랜드의 지구촌교회에서 피크닉을 개최 했습니다. 맛있는 음식과 재미있는 게임들을 통해 서로 알아가며 서로의 건강을 축하하는 즐거운 시간이었습니다!

 

TOGETHER Program Picnic

 

 

암 세미나 시리즈: 항암 치료 부작용 

투게더 프로그램 연구팀은 항암 치료에서의 부작용에 관한 세미나를 2015년 2월 14일, 버지니아 비엔나에 위치한 한인가정상담소에서 개최하였습니다. 세미나 연자인 안정옥씨는 현재 워싱턴D.C. 국립재활병원의 암 재활 간호사로서 25년의 간호사 경력을 갖고 있으며 3년 간 암 환자만을 전문적으로 치료한 경험을 갖고 있습니다. 주로 유방암과 관련하여 암 치료 시 발생하는 부작용을줄이고 관리하는 법을 배우기 위해 암 생존자 및 지인과 가족분들이 한 자리에 모였습니다. 

 

Cancer Seminar Series: Treatment Side Effects

 

 

암 세미나 시리즈: 유방암 검진과 결과 

지나 김 박사는 조지 워싱턴 대학병원에 재직중인 13년 경력의 유방 방사선 전문의로, 2015년 4월 26일 게이더스버그에 위치한 베다니장로교회에서 한인여성들에게 유용한 세미나를 강의 했습니다. 이번 유방암 검진과 진단 세미나는 미니 유방암/일반암 예방 세미나와 유방암 치료 부작용 세미나에 이은 세번째 세미나 였습니다. 김 박사는 유방암 검진 종류, 양성검사 결과와 그 후 절차들, 조직검사, 유방암 종류와 단계들, 그리고 유방암 생존자들의 재발 방지를 위한 검진 등에 대해서 나눴습니다. 세미나에 참여한 여성들은 메모그램을 수년간 받아왔지만 이제서야 검진에 대해서 이해했다고 말했습니다. 

 

Cancer Seminar Series: Breast Cancer Screening and Diagnosis

 

 

암 세미나 시리즈: 유방암에 대한 모든것 

2015년 5월 30일 투게더 프로그램 연구팀은 와싱톤 한인교회에서 암 세미나 시리즈의 네번째 세미나를 개최했다. 세 분의 전문의 선생님 : Gina Kim 박사 (워싱턴 D.C.George Washington 대학교 유방 방사선 전문의) , Bonnie Sun 박사 (Johns Hopkins 의대 유방 수술 전문의/조교수) , 그리고 David Min 박사 (Maryland Oncology Hematology 암 전문의/Georgetown University 임상교수) 께서 유방암에 관한 자세한 설명과 함께 참여자들의 질문에 답했다. 유방암 진단, 치료에서 수술까지 참여자들이 가지고있는 모든 궁금증을 풀수있는 시간이었다.

 

Cancer Seminar Series: Everything You Ever Wanted to Know About Breast Cancer

 

Quality of Life among Asian American Breast Cancer Survivors

Quality of Life among Asian American Breast Cancer Survivors

Project Overview

Breast cancer incidence has been rapidly increasing for Chinese and Korean women in the United States. Although psychosocial interventions have shown to effectively improve quality of life in breast cancer patients, there is scarcity of information on similar studies among Asian American women. The aim of the project is to develop a linguistically and culturally appropriate intervention for these women should provide information in their language, teach skills to cope with problems and stress/depression/anxiety and increase self-efficacy in the context of cultural background, and create a support group with women from the same ethnic group.

In-Depth Interviews

We conducted in-depth interviews with Chinese and Korean breast cancer survivors and oncologists that saw Asian patients in the Washington D.C. metropolitan area in the spring of 2010. Interviews were recorded and transcripts were translated into English. Qualitative analysis were performed by two independent coders and then discussed and agreed upon by the research team.

Posters based on the results of in-depth interviews:

Challenges and Needs of Chinese and Korean American Breast Cancer Survivors: In-Depth Interviews

What Is Lacking in Patient-Physician Communication: from Asian American Breast Cancer Patients’ and Oncologists’ Perspectives

Publications:

  • Lee S, Chen L, Ma GX, Fang CY, Oh Y, Scully L. Challenges and Needs of Chinese and Korean breast cancer survivors. North Am J Med Sci. 6(1):1-82013.
  • Lee S, Chen L, Ma GX, Fang CY. What is lacking in patient-physician communication: Perspectives from Asian American breast cancer patients and oncologists. J Behav Health. 1(2):102-109, 2012.

STOP: Colorectal Cancer Screening among Chinese and Korean Americans

Screening to Overcome and Prevent (STOP) Colorectal Cancer Screening among Chinese and Korean Americans

Project Overview

Colorectal cancer is the second leading cancer killer among Asian Americans. However, Chinese and Koreans Americans report lower colorectal cancer screening rates than among non-Latino Whites and African Americans. This is a serious concern considering that colorectal cancer screening can reduce deaths from colorectal cancer and can help save lives by finding cancer early when it is most treatable. The aim of this project is to understand colorectal cancer screening behaviors among Chinese- and Korean- Americans, and to learn about barriers to and facilitators of colorectal cancer screening and strategies to increase colorectal cancer screening in these populations. This study is funded by the Centers for Disease Control and Prevention (CDC).

In-Depth Interviews & Focus Groups

We have conducted 17 key informant interviews and 12 focus groups to explore major findings. Our focus groups consisted of Chinese or Korean adults who were 50 to 85 years of age and had not been diagnosed with colorectal cancer. Participants completed a brief survey and took part in a 1.5 to 2 hour focus group discussion on factors that inhibit and enable the receipt of colorectal cancer screening.  Findings will be used to develop future interventions to increase screening, especially incorporating culturally and linguistically appropriate strategies into communication messages, community outreach and education, and environmental and system changes to increase screening rates among Chinese and Korean American population.

Focus Group Pictures:

CRC Focus Groups

 

 

Lay Health Worker Model to Reduce Liver Cancer Disparities

Lay Health Worker Model to Reduce Liver Cancer Disparities

Project Overview

This project, which is funded by the National Cancer Institute, utilized a community-based participatory approach to help build a sustainable, liver cancer prevention program that is conducted by lay health workers (LHWs).  After receiving training and certification through our project, LHWs aided in the recruitment of eligible participants for hepatitis B virus (HBV) screening, conductedd telephone interventions, provided community education to increase liver cancer awareness, and provided follow‐up resources for HBV vaccinations.  Participants consisted of Chinese, Korean, and Vietnamese Americans residing within the Baltimore-Washington Metropolitan Area. This project also included biospecimen banking which will contribute to future research aimed towards liver cancer prevention. 

The insights gained from this project will be valuable in implementing liver cancer prevention programs for other non-English speaking populations who are at high-risk for HBV infection and will help address health disparities among immigrant populations.  For this project, our research team has been working closely with Dr. Hee-Soon Juon at the Sidney Kimmel Medical College at Thomas Jefferson University.

Specific Aims:

The goal of this study is to implement culturally integrated, liver cancer prevention programs for Chinese, Korean, and Vietnamese Americans through outreach, screening, education, research, and training in the Baltimore-Washington Metropolitan Area. In order to fulfill this goal, we worked towards achieving the following specific aims:

  1. To develop a training protocol and certification program for LHWs to conduct sustainable, community-based liver cancer prevention programs

  2. To assess the true prevalence of hepatitis B virus infection by providing HBV screening tests for Chinese, Korean, and Vietnamese Americans

  3. To implement a tailored intervention based on HBV screening results

    • Provide LHW-led intervention programs to promote adherence to HBV vaccinations for those who are unprotected

    • Provide patient-navigation services for antiviral therapy and adherence to follow-up treatment to those who are infected with HBV

  4. To investigate the molecular epidemiology of hepatitis B among infected Asian Americans

    • Assess the molecular markers (e.g., HBV genotyping), HBsAg quantitation, and polymerase mutations

    • Assess environment factors (e.g., exposure to Aflatoxin in foodstuffs)

    • Build databases for future cohort or case-control studies

Our project is interdisciplinary in nature and has worked to form strong partnerships among the Sidney Kimmel Medical College, Johns Hopkins School of Medicine, University of Maryland School of Public Health, Hepatitis B Initiative-DC (HBI-DC), and other community-based organizations (CBOs) in the Baltimore-Washington Metropolitan Area. This collaboration between the research community and CBOs will contribute to increasing access to and utilization of culturally and linguistically appropriate LHW-led liver cancer prevention programs, improving cancer survival rates, and reducing mortality with early diagnosis of cancer.

Photos:

Community Advisory Board (CAB) Meeting 12/17/2012

Lay Health Worker (LHW) Training 12/22/2012

Fieldwork at Eden Center 8/3/2013

Fieldwork at the Buddhist Tzu Chi Foundation 8/18/2013

Asian Liver Cancer Education Program in Maryland

Asian Liver Cancer Education Program in Maryland

Project Overview

This was a 4-year project to evaluate existing educational materials for liver cancer prevention and to develop non-traditional and culturally integrated educational materials to be used in Chinese, Korean, and Vietnamese populations in Maryland. We implemented a community-based cancer intervention program using newly developed educational materials to increase hepatitis B virus screening and evaluated the effectiveness of the materials. This project was funded by the National Cancer Institute, and we worked closely with Dr. Hee-Soon Juon who was at the Johns Hopkins School of Public Health (see the Maryland Asian American Cancer Program (MAACP) website for more information). This 4-year project was divided into Phase I, Phase II, and Phase III with specific aims for each period.

Phase I: 2009


We developed educational strategies tailored to the needs of target communities to increase public awareness of liver cancer prevention. In this phase, we reviewed existing education materials, and conducted 8 focus groups in Maryland Korean, Chinese and Vietnamese communities on their knowledge, attitude and behaviors regarding HBV screening and liver cancer prevention. Results were used to develop culturally tailored educational materials for each ethnic group. These photonovels were used in the phase II interventions.

► Download the photonovels in Chinese, Korean, or Vietnamese. English versions are also included in each booklet.

Chinese

Korean

Vietnamese

Phase II: 2009-2010


We implemented theory-driven and culturally integrated community-based cancer intervention programs to increase hepatitis B virus screening through increased cancer awareness, outreach, and accessibility to screening for Asian Americans. A randomized control study has been conducted with a total of 877 Asian American participants recruited from community/faith based organizations in Maryland from each ethnicity group.

Intervention Program

► A powerpoint presentation on general knowledge of hepatitis B and liver cancer in the audience preferred language.

  •  Download the presentation in English, Chinese, Korean, or Vietnamese.

 

English

Chinese

Korean

Vietnamese

► A role-play video on patient-physician communication: How to ask for Hepatitis B screening?

  •  Click the desired language below to view the English role-play video with subtitles.

Chinese

Korean

Vietnamese

► A question & answer session.

► Distribution of photonovels for participants to take home.

Phase III: 2011-2012


We evaluated the effectiveness of the educational intervention on hepatitis B and liver cancer awareness and examined the impact of the intervention on the study population’s cancer related knowledge, attitudes, efficacy, behavior intent, and screening behaviors.

 

Past Projects

Click on the headings below to learn more about our past projects.

Asian American Health Priorities: Strengths, Needs, and Opportunities for Action

Asian American Health Priorities: Strengths, Needs, and Opportunities for Action

Project Overview

MAAHS carried out a health needs assessment in 13 Asian American communities (Asian Indian, Burmese, Cambodian, Chinese, Filipino, Indonesian, Japanese, Korean, Nepali, Pakistani, Taiwanese, Thai, and Vietnamese) in Montgomery County, Maryland in 2007. Through 19 focus groups, we were able to identify the most pressing health needs and barriers to health care access in these communities, and were able to come up with recommendations for action. This study was funded by the Asian American Health Initiative (Department of Health and Human Services, Montgomery County, Maryland), and was completed with close partnerships with the above mentioned communities. Detailed reports are available below.

Reports

Combined Reports:

Individual Community Reports:

Exploring Cultural, Pshycological, and environmental factors influencing tobacco use among Asian Americans in Maryland

Exploring Cultural, Pshycological, and environmental factors influencing tobacco use among Asian Americans in Maryland

Project Overview

Our team performed four focus groups (Asian Indian, Chinese, Korean, and Vietnamese to explore cultural, psychosocial, and environmental factors that influence smoking in Asian Americans living in Maryland.This was part of a main study that examines smoking behaviors of minority populations, funded by the Maryland Department of Health and Mental Hygiene (PI: Dr. Olivia Carter-Pokras). During our focus groups we inquired about the participants’ knowledge, attitudes and behaviors related to smoking, cultural and environmental influences on smoking, barriers for smoking cessation, and recommendations for smoking cessation/prevention program development.