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National Institutes of Health: National Cancer Institute: Division of Cancer Control and Population Sciences
Grant Details

Grant Number: 5R01CA113663-05 Interpret this number
Primary Investigator: Taylor, Victoria
Organization: Fred Hutchinson Cancer Research Center
Project Title: Hepatitis B Esl Education for Chinese
Fiscal Year: 2009
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Abstract

Little is known about the disease prevention behavior of Chinese in North America, and relatively few studies have addressed cancer control in this group. However, Chinese Americans/Canadians have a much higher incidence of liver cancer than non-Latino Whites. This excess risk is attributable to high rates of hepatitis B virus (HBV) infection combined with low levels of hepatitis B vaccination coverage. One critical area for the strategic development of health literacy among Asian and other immigrant groups is the design and evaluation of culturally appropriate English as a second language (ESL) curricula. The goal of our research is to increase the proportion of Chinese adults who have been tested for evidence of HBV infection. Our objective is to conduct a group-randomized controlled trial to evaluate the acceptability, feasibility, and effectiveness of a liver cancer control educational intervention for Chinese attending ESL classes. Our study will be conducted in Seattle, Washington and Vancouver, British Columbia. The Health Behavior Framework, findings from a previous hepatitis B qualitative study, and focus groups of ESL teachers as well as students will be used to develop the hepatitis B educational program. An intervention trial will be conducted with ESL classes as the unit of randomization. Sixty ESL classes will be randomized to experimental or control status. Six hundred Chinese men and women aged 18-64 years will participate in the trial. The experimental group will receive a hepatitis B intervention and the control group will receive a heart disease intervention. Educational components will include an ESL curriculum as well as a pamphlet. Participants will complete a self-administered baseline survey, just prior to receiving health education. Outcome evaluation will be based on data from an in-person follow-up survey and medical record verification. Our primary outcome will be HBV serologic testing. Knowledge about key hepatitis B facts will be examined as a secondary outcome.

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Publications

Hepatitis B Knowledge And Practices Among Chinese Immigrants To The United States
Authors: Taylor,V.M. , Tu,S.P. , Woodall,E. , Acorda,E. , Chen,H. , Choe,J. , Li,L. , Yasui,Y. , Hislop,T.G. .
Source: Asian Pacific Journal Of Cancer Prevention : Apjcp, 2006 Apr-Jun; 7(2), p. 313-7.
PMID: 16839229
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Hepatitis B Knowledge, Testing And Vaccination Levels In Chinese Immigrants To British Columbia, Canada
Authors: Hislop,T.G. , Teh,C. , Low,A. , Li,L. , Tu,S.P. , Yasui,Y. , Taylor,V.M. .
Source: Canadian Journal Of Public Health. Revue Canadienne De Santé Publique, 2007 Mar-Apr; 98(2), p. 125-9.
PMID: 17441536
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Predisposing, Reinforcing And Enabling Factors Associated With Hepatitis B Testing In Chinese Canadians In British Columbia
Authors: Hislop,T.G. , Teh,C. , Low,A. , Tu,S.P. , Yasui,Y. , Coronado,G.D. , Li,L.L. , Taylor,V.M. .
Source: Asian Pacific Journal Of Cancer Prevention : Apjcp, 2007 Jan-Mar; 8(1), p. 39-44.
PMID: 17477769
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Development Of An Esl Curriculum To Educate Chinese Immigrants About Physical Activity
Authors: Taylor,V.M. , Cripe,S.M. , Acorda,E. , Teh,C. , Coronado,G. , Do,H. , Woodall,E. , Hislop,T.G. .
Source: Journal Of Immigrant And Minority Health / Center For Minority Public Health, 2008 Aug; 10(4), p. 379-87.
PMID: 17943444
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Development Of An Esl Curriculum To Educate Chinese Immigrants About Hepatitis B
Authors: Taylor,V.M. , Coronado,G. , Acorda,E. , Teh,C. , Tu,S.P. , Yasui,Y. , Bastani,R. , Hislop,T.G. .
Source: Journal Of Community Health, 2008 Aug; 33(4), p. 217-24.
PMID: 18373185
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Knowledge And Behaviour Regarding Heart Disease Prevention In Chinese Canadian Immigrants
Authors: Hislop,T.G. , Teh,C. , Low,A. , Yasui,Y. , Tu,S.P. , Li,L. , Taylor,V.M. .
Source: Canadian Journal Of Public Health. Revue Canadienne De Santé Publique, 2008 May-Jun; 99(3), p. 232-5.
PMID: 18615948
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Opinions From Esl Instructors And Students About Curricula On Hepatitis B For Use In Immigrant Communities
Authors: Coronado,G.D. , Taylor,V.M. , Hislop,T.G. , Teh,C. , Acorda,E. , Do,H.H. , Chen,H. , Thompson,B. .
Source: Journal Of Cancer Education : The Official Journal Of The American Association For Cancer Education, 2008; 23(3), p. 161-6.
PMID: 18709587
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Evaluation Of A Hepatitis B Lay Health Worker Intervention For Chinese Americans And Canadians
Authors: Taylor,V.M. , Hislop,T.G. , Tu,S.P. , Teh,C. , Acorda,E. , Yip,M.P. , Woodall,E. , Yasui,Y. .
Source: Journal Of Community Health, 2009 Jun; 34(3), p. 165-72.
PMID: 19127416
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A Cross-border Comparison Of Hepatitis B Testing Among Chinese Residing In Canada And The United States
Authors: Tu R,S.P. , Li,L. , Tsai,J.H. , Yip,M.P. , Terasaki,G. , Teh,C. , Yasui,Y. , Hislop,T.G. , Taylor,V. .
Source: Asian Pacific Journal Of Cancer Prevention : Apjcp, 2009 Jul-Sep; 10(3), p. 483-90.
PMID: 19640196
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Sources Of Health Information Among Chinese Immigrants To The Pacific Northwest
Authors: Woodall,E.D. , Taylor,V.M. , Teh,C. , Li,L. , Acorda,E. , Tu,S.P. , Yasui,Y. , Hislop,T.G. .
Source: Journal Of Cancer Education : The Official Journal Of The American Association For Cancer Education, 2009; 24(4), p. 334-40.
PMID: 19838895
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Hepatitis B Testing And Vaccination In Immigrants Attending English As A Second Language Classes In British Columbia, Canada
Authors: Hislop,T.G. , Bajdik,C.D. , Teh,C. , Lam,W. , Tu,S.P. , Yasui,Y. , Bastani,R. , Taylor,V.M. .
Source: Asian Pacific Journal Of Cancer Prevention : Apjcp, 2009; 10(6), p. 997-1002.
PMID: 20192572
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Evaluation Of A Hepatitis B Educational Esl Curriculum For Chinese Immigrants
Authors: Taylor,V.M. , Teh,C. , Lam,W. , Acorda,E. , Li,L. , Coronado,G. , Yasui,Y. , Bajdik,C. , Hislop,G. .
Source: Canadian Journal Of Public Health. Revue Canadienne De Santé Publique, 2009 Nov-Dec; 100(6), p. 463-6.
PMID: 20209742
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Hepatitis B Esl Education For Asian Immigrants
Authors: Taylor,V.M. , Gregory Hislop,T. , Bajdik,C. , Teh,C. , Lam,W. , Acorda,E. , Li,L. , Yasui,Y. .
Source: Journal Of Community Health, 2011 Feb; 36(1), p. 35-41.
PMID: 20559696
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