Skip Navigation
Grant Details

Grant Number: 5R01CA163830-02 Interpret this number
Primary Investigator: Simon, Melissa
Organization: Northwestern University At Chicago
Project Title: Adapting Patient Navigation to Promote Cancer Screening in Chicagos Chinatown
Fiscal Year: 2013
Back to top


Abstract

DESCRIPTION (provided by applicant): Despite the presence of five major academic medical centers, a large county hospital, and two NCI designated comprehensive cancer centers, Chicago has some of the worst cancer disparities between income groups in the US. This burden is accentuated with respect to linguistically and culturally isolated immigrants who do not traditionally benefit from nor participate in research. In particular, Chinese women in Chicago, a significantly understudied population, have unacceptably low breast and cervical cancer screening rates which are only half the rates of white women. This application is a direct outgrowth of concerns expressed by leaders of Chicago's Chinatown community about the need to educate and empower low income Chinese women about cancer prevention and control. Patient navigators (PN) have been studied in African American, Latino, and white populations. However, PN research has largely focused on follow-up of patients with cancer or abnormal findings, rarely to improve screening rates. We seek to study the dissemination of PN behavioral health services interventions by implementing a tailored PN intervention with a focus on increasing breast and cervical cancer screening as well as follow-up for the largely immigrant population of low income women in Chinatown. Our proposed research builds on two NIH funded PN studies, our Chinatown RC4 research infrastructure grant activities, including a community data resource center, and our long-standing community based participatory research (CBPR) partnership with Chinatown's major safety net provider, Mercy Medical Center. Using mixed methods within a CBPR approach, we aim to evaluate the effectiveness of PN adaptation and extension to cancer control education and screening under the auspices of our community research partner, the Chinese American Service League. We will study the fundamental mechanisms required to optimally adapt interventions focused on immigrant populations that are culturally and linguistically isolated. The proposed project seeks to expand the role of PNs, to learn more about what determines the effectiveness of PNs as health educators, how to encourage breast and cervical cancer screening, and how PNs can become trusted and respected community health workers and advocates that provide essential links between the community and the health care system for low income women in Chicago's Chinatown. This research will assess how Chinese women interact with health information and resources via a PN team to make health decisions and access the health care system. Women comprise the largest segment of health workers, health consumers, and health decision makers for their families and communities, but are underrepresented accessing appropriate health services among Asian immigrant populations. Once women are empowered, informed health consumers, they become catalysts for social change.

Back to top


Publications

Elder Abuse: Systematic Review and Implications for Practice.
Authors: Dong XQ
Source: J Am Geriatr Soc, 2015 Jun;63(6), p. 1214-38.
EPub date: 2015 Jun 11.
PMID: 26096395
Related Citations

Back to top


The Development of a Communication Tool to Facilitate the Cancer Trial Recruitment Process and Increase Research Literacy among Underrepresented Populations.
Authors: Torres S, de la Riva EE, Tom LS, Clayman ML, Taylor C, Dong X, Simon MA
Source: J Cancer Educ, 2015 Mar 31;null, p. null.
EPub date: 2015 Mar 31.
PMID: 25820604
Related Citations

Back to top


The association between filial piety and suicidal ideation: findings from a community-dwelling Chinese aging population.
Authors: Simon MA, Chen R, Chang ES, Dong X
Source: J Gerontol A Biol Sci Med Sci, 2014 Nov;69 Suppl 2, p. S90-7.
EPub date: 2014 Nov 5.
PMID: 25378454
Related Citations

Back to top


Social engagement among U.S. Chinese older adults--findings from the PINE Study.
Authors: Dong X, Li Y, Simon MA
Source: J Gerontol A Biol Sci Med Sci, 2014 Nov;69 Suppl 2, p. S82-9.
PMID: 25378453
Related Citations

Back to top


Preventive care service usage among Chinese older adults in the Greater Chicago area.
Authors: Simon MA, Li Y, Dong X
Source: J Gerontol A Biol Sci Med Sci, 2014 Nov;69 Suppl 2, p. S7-14.
PMID: 25378452
Related Citations

Back to top


Anxiety among community-dwelling U.S. Chinese older adults.
Authors: Dong X, Chen R, Simon MA
Source: J Gerontol A Biol Sci Med Sci, 2014 Nov;69 Suppl 2, p. S61-7.
PMID: 25378450
Related Citations

Back to top


Levels of health literacy in a community-dwelling population of Chinese older adults.
Authors: Simon MA, Li Y, Dong X
Source: J Gerontol A Biol Sci Med Sci, 2014 Nov;69 Suppl 2, p. S54-60.
PMID: 25378449
Related Citations

Back to top


Trust in physicians among U.S. chinese older adults.
Authors: Simon MA, Zhang M, Dong X
Source: J Gerontol A Biol Sci Med Sci, 2014 Nov;69 Suppl 2, p. S46-53.
PMID: 25378448
Related Citations

Back to top


The prevalence of cardiopulmonary symptoms among Chinese older adults in the Greater Chicago area.
Authors: Dong X, Zhang M, Simon M
Source: J Gerontol A Biol Sci Med Sci, 2014 Nov;69 Suppl 2, p. S39-45.
EPub date: 2014 Nov 5.
PMID: 25378447
Related Citations

Back to top


Physical function assessment in a community-dwelling population of U.S. Chinese older adults.
Authors: Dong X, Chang ES, Simon MA
Source: J Gerontol A Biol Sci Med Sci, 2014 Nov;69 Suppl 2, p. S31-8.
PMID: 25378446
Related Citations

Back to top


The prevalence of medical conditions among U.S. Chinese community-dwelling older adults.
Authors: Dong X, Chen R, Simon MA
Source: J Gerontol A Biol Sci Med Sci, 2014 Nov;69 Suppl 2, p. S15-22.
PMID: 25378445
Related Citations

Back to top


Addressing health and well-being of U.S. Chinese older adults through community-based participatory research: introduction to the PINE Study.
Authors: Dong X
Source: J Gerontol A Biol Sci Med Sci, 2014 Nov;69 Suppl 2, p. S1-6.
PMID: 25378444
Related Citations

Back to top


Experience of discrimination among U.S. Chinese older adults.
Authors: Dong X, Chen R, Simon MA
Source: J Gerontol A Biol Sci Med Sci, 2014 Nov;69 Suppl 2, p. S76-81.
EPub date: 2014 Oct 18.
PMID: 25326642
Related Citations

Back to top


A battery of tests for assessing cognitive function in U.S. Chinese older adults--findings from the PINE Study.
Authors: Chang ES, Dong X
Source: J Gerontol A Biol Sci Med Sci, 2014 Nov;69 Suppl 2, p. S23-30.
EPub date: 2014 Oct 16.
PMID: 25324222
Related Citations

Back to top


The expectation and perceived receipt of filial piety among Chinese older adults in the Greater Chicago area.
Authors: Dong X, Zhang M, Simon MA
Source: J Aging Health, 2014 Oct;26(7), p. 1225-47.
PMID: 25239974
Related Citations

Back to top


The prevalence of loneliness among U.S. Chinese older adults.
Authors: Simon MA, Chang ES, Zhang M, Ruan J, Dong X
Source: J Aging Health, 2014 Oct;26(7), p. 1172-88.
PMID: 25239972
Related Citations

Back to top


A psychometric assessment of the psychological and social well-being indicators in the PINE study.
Authors: Chang ES, Beck T, Simon MA, Dong X
Source: J Aging Health, 2014 Oct;26(7), p. 1116-36.
PMID: 25239969
Related Citations

Back to top


Demographic characteristics of U.S. Chinese older adults in the Greater Chicago area: assessing the representativeness of the PINE study.
Authors: Simon MA, Chang ES, Rajan KB, Welch MJ, Dong X
Source: J Aging Health, 2014 Oct;26(7), p. 1100-15.
PMID: 25239968
Related Citations

Back to top


Suicidal ideation in an older U.S. Chinese population.
Authors: Dong X, Chen R, Wong E, Simon MA
Source: J Aging Health, 2014 Oct;26(7), p. 1189-208.
EPub date: 2014 Jul 7.
PMID: 25005173
Related Citations

Back to top


Elder abuse: research, practice, and health policy. The 2012 GSA Maxwell Pollack award lecture.
Authors: Dong X
Source: Gerontologist, 2014 Apr;54(2), p. 153-62.
EPub date: 2013 Nov 22.
PMID: 24270215
Related Citations

Back to top


Advancing the field of elder abuse: future directions and policy implications.
Authors: Dong X
Source: J Am Geriatr Soc, 2012 Nov;60(11), p. 2151-6.
EPub date: 2012 Oct 30.
PMID: 23110488
Related Citations

Back to top