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  1. Article ; Online: Health Related Social Needs Among Chinese American Primary Care Patients During the COVID-19 Pandemic: Implications for Cancer Screening and Primary Care.

    Tsui, Jennifer / Yang, Annie / Anuforo, Bianca / Chou, Jolene / Brogden, Ruth / Xu, Binghong / Cantor, Joel C / Wang, Su

    Frontiers in public health

    2021  Volume 9, Page(s) 674035

    Abstract: Research Objective: ...

    Abstract Research Objective:
    MeSH term(s) Aged ; Asian ; COVID-19 ; Early Detection of Cancer ; Humans ; Neoplasms/diagnosis ; New Jersey ; Pandemics ; Primary Health Care ; SARS-CoV-2
    Language English
    Publishing date 2021-05-28
    Publishing country Switzerland
    Document type Journal Article ; Research Support, N.I.H., Extramural
    ZDB-ID 2711781-9
    ISSN 2296-2565 ; 2296-2565
    ISSN (online) 2296-2565
    ISSN 2296-2565
    DOI 10.3389/fpubh.2021.674035
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Health Related Social Needs Among Chinese American Primary Care Patients During the COVID-19 Pandemic

    Jennifer Tsui / Annie Yang / Bianca Anuforo / Jolene Chou / Ruth Brogden / Binghong Xu / Joel C. Cantor / Su Wang

    Frontiers in Public Health, Vol

    Implications for Cancer Screening and Primary Care

    2021  Volume 9

    Abstract: ... the COVID-19 pandemic to inform strategies to improve cancer screening and primary care among AA patients ... identification to adequately address social needs that impact health outcomes and life course experiences ... while food insecurity and housing instability were higher among Chinese-S participants. Lower-income patients had higher ...

    Abstract Research Objective: Initiatives to address social determinants of health (SDOH) and measure health-related social needs (HRSN) within clinic settings are increasing. However, few have focused on the specific needs of Asian Americans (AA). We examine the prevalence of HRSN during a period spanning the COVID-19 pandemic to inform strategies to improve cancer screening and primary care among AA patients.Methods: We implemented a self-administered HRSN screening tool in English and Chinese, traditional (T) or simplified (S) text, within a hospital-affiliated, outpatient primary care practice predominantly serving AA in New Jersey. HRSN items included food insecurity, transportation barriers, utility needs, interpersonal violence, housing instability, immigration history, and neighborhood perceptions on cohesion and trust. We conducted medical chart reviews for a subset of participants to explore the relationship between HRSN and history of cancer screening.Results: Among 236 participants, most were Asian (74%), non-US born (79%), and privately insured (57%). One-third responded in Chinese (37%). Half reported having ≥1 HRSN. Interpersonal violence was high across all participants. Transportation needs were highest among Chinese-T participants, while food insecurity and housing instability were higher among Chinese-S participants. Lower-income patients had higher odds of having ≥2 HRSN (OR:2.53, 95% CI: 1.12, 5.98). Older age and public insurance/uninsured were significantly associated with low neighborhood perceptions.Conclusions: We observed higher than anticipated reports of HRSN among primary care patients in a suburban, hospital-affiliated practice serving AA. Low neighborhood perceptions, particularly among Chinese-S participants, highlight the importance of addressing broader SDOH among insured, suburban AA patients. These study findings inform the need to augment HRSN identification to adequately address social needs that impact health outcomes and life course experiences for Asian patients. As HRSN measuring ...
    Keywords social determinants ; social needs ; cancer screening ; Asian American (AA) ; primary care ; COVID-19 ; Public aspects of medicine ; RA1-1270
    Subject code 360 ; 300
    Language English
    Publishing date 2021-05-01T00:00:00Z
    Publisher Frontiers Media S.A.
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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