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Article ; Online: Are College Students Interested in Family Health History Education? A Large Needs Assessment Survey Study.

Li, Ming / Kwok, Oi-Man / Ma, Ping / Tseng, Tung-Sung / Chen, Lei-Shih

International journal of environmental research and public health

2023 Volume 20, Issue 3

Abstract: Family health history (FHH) is an essential foundation for personalized disease prevention. As the incidence of early-onset chronic diseases is increasing among college students, it is important to provide them with the education required to learn about ... ...

Abstract	Family health history (FHH) is an essential foundation for personalized disease prevention. As the incidence of early-onset chronic diseases is increasing among college students, it is important to provide them with the education required to learn about their FHH. This study aimed to assess college students' interest in receiving FHH education, preferred topics, and desired learning methods. We invited college students to complete an online survey from a large research-intensive university. A total of 2276 college students completed the survey. Nearly half of the participants self-identified as non-Hispanic white (45.5%). Slightly more than half of the sample (53.9%) were not interested in receiving FHH education mainly due to low prioritization. Among those who expressed interest in obtaining FHH education, the three most desired learning topics were the ability to interpret FHH information (76.1%), the application of FHH in disease prevention (72.0%), and FHH information collection strategies (63.6%). Computer-based learning (51.1%) was the most preferred educational method. Moreover, females, older individuals, those who have FHH in first-degree relatives, and participants who were members of racial and ethnic groups showed greater interests in receiving FHH education (
MeSH term(s)	Female ; Humans ; Needs Assessment ; Students ; Surveys and Questionnaires ; Medical History Taking ; Ethnicity
Language	English
Publishing date	2023-01-31
Publishing country	Switzerland
Document type	Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	2175195-X
ISSN	1660-4601 ; 1661-7827
ISSN (online)	1660-4601
ISSN	1661-7827
DOI	10.3390/ijerph20032596
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: Family health history of colorectal cancer: a structural equation model of factors influencing Chinese Americans' communication with family members.

Yeh, Yu-Lyu / Li, Ming / Kwok, Oi-Man / Chen, Lei-Shih

Translational cancer research

2022 Volume 8, Issue Suppl 4, Page(s) S355–S365

Abstract: Background: Chinese Americans, the largest subgroup of Asian Americans with a 63% of first-generation immigrants, suffer from high incidence and mortality rates of colorectal cancer (CRC). As an identification marker to classify the CRC risk level, ... ...

Abstract	Background: Chinese Americans, the largest subgroup of Asian Americans with a 63% of first-generation immigrants, suffer from high incidence and mortality rates of colorectal cancer (CRC). As an identification marker to classify the CRC risk level, family health history (FHH) of CRC can help physicians provide patients personalized recommendations towards CRC. Yet, Chinese Americans' communication of FHH of CRC with family members is unknown. The purpose of this first-of-its-kind study is to examine Chinese Americans' behavior and the associated psychological factors of FHH of CRC communication with family members. Methods: We developed an integrated theoretical framework based on the Health Belief Model, the Theory of Planned Behavior, and the Social Cognitive Theory to assess Chinese Americans' FHH of CRC communication with family members and the psychological factors affecting such communication behavior. Using structural equation modeling, the framework was tested with the baseline survey data from 742 Chinese American participants from a FHH-based CRC prevention program in Texas. Results: The majority of Chinese American participants (with an average age of 47.7 years) were female (60.0%), married (72.0%), born outside the US (95.4%), did not speak English at home (95.5%), and had some kind of health insurance (75.2%). About half were employed (52.7%) and had college degrees or above (54.5%), some religious beliefs (52.5%), and primary care physicians (45.1%). Most Chinese Americans in our sample had either never or seldom collected and discussed with their family members about their FHH of CRC. The integrated theoretical framework was supported by the survey data. Perceived susceptibility for getting CRC, perceived severity for CRC, and perceived benefits of FHH of CRC communication with family members were significantly and positively associated with Chinese American participants' attitudes toward FHH communication with family members (β =0.089, P<0.005; β =0.141, P<0.001; and β =0.479, P<0.001, respectively). Attitudes (β =0.324, P<0.001) and self-efficacy (β =0.577, P<0.001) in FHH of CRC communication were positively and significantly associated with the Chinese American sample's intention in communicating FHH of CRC with their family members. Stronger intention, older age, lack of health insurance, and non-English spoken at home were correlated with participants' behavior in FHH of CRC communication (β =0.410, P<0.001; β =0.113, P<0.05; β =-0.112, P<0.05; β =0.096, P<0.05, respectively). Conclusions: Given that most Chinese Americans in our sample lacked FHH of CRC communication with family members, interventions and education for this particular racial/ethnic population are needed. Our integrated theoretical framework may provide a guideline for such interventions and education in the future.
Language	English
Publishing date	2022-01-15
Publishing country	China
Document type	Journal Article
ZDB-ID	2901601-0
ISSN	2219-6803 ; 2218-676X
ISSN (online)	2219-6803
ISSN	2218-676X
DOI	10.21037/tcr.2019.05.18
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: Efficacy of Community Health Worker-Delivered Family Health History-Based Breast Cancer Education and Services Among Chinese Americans.

Assoumou, Bertille / Yeh, Yu-Lyu / Wang, Haocen / Zhang, Zihan / Wang, Jun / Wang, Judy Huei-Yu / Ma, Ping / Chen, Lei-Shih

Journal of cancer education : the official journal of the American Association for Cancer Education

2024 Volume 39, Issue 3, Page(s) 308–314

Abstract: Family health history (FHH) is an evidence-based genomics tool used in cancer prevention and education. Chinese Americans, the largest Asian American group, face unique barriers in FHH collection and communication. This study aimed to evaluate the ... ...

Abstract	Family health history (FHH) is an evidence-based genomics tool used in cancer prevention and education. Chinese Americans, the largest Asian American group, face unique barriers in FHH collection and communication. This study aimed to evaluate the efficacy of culturally and linguistically appropriate community health worker (CHW)-delivered FHH-based breast cancer (BC) education and services to Chinese Americans. A total of 1129 Chinese Americans received FHH-based BC education and service delivered by our trained Chinese American CHWs. Participants responded to evaluation surveys before, immediately after, and 3 months after the education and service. Participating Chinese Americans showed significant increases in rates of collecting FHH of BC, discussing FHH of BC with family members, informing their primary care physicians of their FHH of BC, and discussing their FHH of BC with their primary care physicians at 3 months post-education and service compared to the baseline data (all Ps < 0.01). Attitudes, intention, and self-efficacy related to FHH of BC communication and collection and FHH of BC knowledge were improved both immediately after and 3 months after the delivery of the education and services (all Ps < 0.01). Within 3 months, ~ 14.3% of participants who had a high risk of BC based on FHH reported visiting geneticists for genetic evaluation. Our Chinese American CHW-delivered FHH-based BC education and services showed initial success in increasing knowledge, collection and communication of BC-related FHH, and genetic service utilization among Chinese American participants. This study can serve as a starting point for conducting more robust studies, such as randomized controlled trials, in the future.
MeSH term(s)	Humans ; Female ; Asian/psychology ; Breast Neoplasms/prevention & control ; Breast Neoplasms/ethnology ; Community Health Workers ; Middle Aged ; Medical History Taking ; Adult ; Health Knowledge, Attitudes, Practice ; Health Education ; Aged ; Family Health ; Patient Education as Topic
Language	English
Publishing date	2024-02-22
Publishing country	England
Document type	Journal Article
ZDB-ID	632898-2
ISSN	1543-0154 ; 0885-8195 ; 1543-1154
ISSN (online)	1543-0154
ISSN	0885-8195 ; 1543-1154
DOI	10.1007/s13187-024-02412-1
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Article: Knowledge and Attitudes toward Genetic Testing for Autism Spectrum Disorders among Parents of Affected Children in Taiwan

Li, Ming / Zhao, Shi-Xi / Chen, Wei-Ju / Huang, Tse-Yang / Chen, Lei-Shih

Genes. 2022 Jan. 27, v. 13, no. 2

2022

Abstract: The prevalence of autism spectrum disorders (ASD) in Taiwan has been increasing, and genetic testing for ASD has been available and provided to parents of children diagnosed with ASD in Taiwan. However, there is still limited understanding of Taiwanese ... ...

Abstract	The prevalence of autism spectrum disorders (ASD) in Taiwan has been increasing, and genetic testing for ASD has been available and provided to parents of children diagnosed with ASD in Taiwan. However, there is still limited understanding of Taiwanese parents’ knowledge of and attitudes toward such testing. Therefore, the present study addressed this gap by assessing the attitudes toward as well as actual and perceived knowledge of ASD genetic testing among Taiwanese parents of children diagnosed with ASD. A sample of 443 parents of children with ASD recruited from 236 public schools in Taiwan completed a paper-and-pencil survey. Although parents generally held favorable attitudes toward ASD genetic testing, they had deficient knowledge of such test (with only a 31.4% average correct rate on the actual knowledge scale). Tailored health education materials should be developed to improve the knowledge of ASD genetic testing among parents with affected children in Taiwan.
Keywords	autism ; health education ; surveys ; Taiwan
Language	English
Dates of publication	2022-0127
Publishing place	Multidisciplinary Digital Publishing Institute
Document type	Article
ZDB-ID	2527218-4
ISSN	2073-4425
ISSN	2073-4425
DOI	10.3390/genes13020239
Database	NAL-Catalogue (AGRICOLA)

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Article ; Online: Factors Influencing Family Health History Collection among Young Adults: A Structural Equation Modeling.

Li, Ming / Zhao, Shixi / Hsiao, Yu-Yu / Kwok, Oi-Man / Tseng, Tung-Sung / Chen, Lei-Shih

Genes

2022 Volume 13, Issue 4

Abstract: Family health history (FHH) can serve as an entry point for preventive medicine by providing risk estimations for many common health conditions. College is a critical time for young adults to begin to understand the value of FHH collection, and to ... ...

Abstract	Family health history (FHH) can serve as an entry point for preventive medicine by providing risk estimations for many common health conditions. College is a critical time for young adults to begin to understand the value of FHH collection, and to establish healthy behaviors to prevent FHH-related diseases. This study seeks to develop an integrated theoretical framework to examine FHH collection behavior and associated factors among college students. A sample of 2670 college students with an average age of 21.1 years completed a web-based survey. Less than half (49.8%) reported actively seeking FHH information from their family members. Respondents' knowledge about FHH were generally low. Structural equation modeling findings suggested an adequate model fit between our survey data and the proposed integrated theoretical framework. Respondents who were members of racial/ethnic minority groups exhibited higher levels of anxiety and intention to obtain FHH information but had lower confidence in their ability to gather FHH information than non-Hispanic White respondents. Therefore, educational programs designed to enhance the level of young adults' FHH knowledge, efficacy, and behavior in FHH collection, and change subjective norms are critically needed in the future, especially for these who are members of racial/ethnic minority groups.
MeSH term(s)	Adult ; Ethnicity ; Family Health ; Humans ; Latent Class Analysis ; Medical History Taking ; Minority Groups ; Young Adult
Language	English
Publishing date	2022-03-29
Publishing country	Switzerland
Document type	Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	2527218-4
ISSN	2073-4425 ; 2073-4425
ISSN (online)	2073-4425
ISSN	2073-4425
DOI	10.3390/genes13040612
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: Knowledge and Attitudes toward Genetic Testing for Autism Spectrum Disorders among Parents of Affected Children in Taiwan.

Li, Ming / Zhao, Shi-Xi / Chen, Wei-Ju / Huang, Tse-Yang / Chen, Lei-Shih

Genes

2022 Volume 13, Issue 2

Abstract	The prevalence of autism spectrum disorders (ASD) in Taiwan has been increasing, and genetic testing for ASD has been available and provided to parents of children diagnosed with ASD in Taiwan. However, there is still limited understanding of Taiwanese parents' knowledge of and attitudes toward such testing. Therefore, the present study addressed this gap by assessing the attitudes toward as well as actual and perceived knowledge of ASD genetic testing among Taiwanese parents of children diagnosed with ASD. A sample of 443 parents of children with ASD recruited from 236 public schools in Taiwan completed a paper-and-pencil survey. Although parents generally held favorable attitudes toward ASD genetic testing, they had deficient knowledge of such test (with only a 31.4% average correct rate on the actual knowledge scale). Tailored health education materials should be developed to improve the knowledge of ASD genetic testing among parents with affected children in Taiwan.
MeSH term(s)	Autism Spectrum Disorder/diagnosis ; Autism Spectrum Disorder/epidemiology ; Autism Spectrum Disorder/genetics ; Child ; Genetic Testing ; Health Knowledge, Attitudes, Practice ; Humans ; Parents ; Taiwan/epidemiology
Language	English
Publishing date	2022-01-27
Publishing country	Switzerland
Document type	Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	2527218-4
ISSN	2073-4425 ; 2073-4425
ISSN (online)	2073-4425
ISSN	2073-4425
DOI	10.3390/genes13020239
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: Chinese American and Non-Hispanic White Breast Cancer Patients' Knowledge and Use of BRCA Testing.

Wang, Haocen / Chen, Lei-Shih / Hsiao, Hsin-Yi / Hsiao, Suh Chen / Han, Tian / Chang, Emily / Assoumou, Bertille / Wang, Judy Huei-Yu

International journal of environmental research and public health

2023 Volume 20, Issue 4

Abstract: Breast cancer is the most commonly diagnosed cancer among Chinese American women. Knowing the BRCA1 and BRCA2 (BRCA1/2) gene mutation status can improve breast cancer patients' health outcomes by guiding targeted treatment towards preventing breast ... ...

Abstract	Breast cancer is the most commonly diagnosed cancer among Chinese American women. Knowing the BRCA1 and BRCA2 (BRCA1/2) gene mutation status can improve breast cancer patients' health outcomes by guiding targeted treatment towards preventing breast cancer recurrence and other BRCA-related cancers. Nevertheless, it is unclear if there is a disparity in knowledge and use of BRCA testing among Chinese American breast cancer patients. This cross-sectional study investigated the possible presence of differences in the knowledge and the use of BRCA testing between Chinese American and Non-Hispanic White (NHW) breast cancer patients. We surveyed 45 Chinese American and 48 NHW adult breast cancer patients who had been diagnosed with breast cancer within the previous two years through telephone interviews. The results showed that race was not statistically related to the use of BRCA testing. BRCA testing utilization was associated with family history (
MeSH term(s)	Adult ; Female ; Humans ; Breast Neoplasms/diagnosis ; Cross-Sectional Studies ; East Asian People ; Genetic Predisposition to Disease ; Genetic Testing ; Mutation ; Neoplasm Recurrence, Local/genetics ; White ; Health Knowledge, Attitudes, Practice
Language	English
Publishing date	2023-02-15
Publishing country	Switzerland
Document type	Journal Article ; Research Support, N.I.H., Extramural ; Research Support, Non-U.S. Gov't
ZDB-ID	2175195-X
ISSN	1660-4601 ; 1661-7827
ISSN (online)	1660-4601
ISSN	1661-7827
DOI	10.3390/ijerph20043384
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: Evaluating a genomics short course for undergraduate health education students.

Talwar, Divya / Zhao, Shixi / Goodson, Patricia / Chen, Lei-Shih

Personalized medicine

2020 Volume 17, Issue 4, Page(s) 295–306

Abstract: Background: ...

Abstract	Background:
MeSH term(s)	Clinical Competence ; Curriculum ; Education, Medical, Undergraduate/methods ; Female ; Genomics/education ; Genomics/methods ; Health Education/methods ; Health Knowledge, Attitudes, Practice ; Humans ; Male ; Program Evaluation/methods ; Students ; Surveys and Questionnaires ; Young Adult
Language	English
Publishing date	2020-07-03
Publishing country	England
Document type	Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	2299146-3
ISSN	1744-828X ; 1741-0541
ISSN (online)	1744-828X
ISSN	1741-0541
DOI	10.2217/pme-2019-0120
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: The Impact of COVID-19 on Risky Behaviors and Health Changes in African-American Smokers Who Are Eligible for LDCT Screening.

Tseng, Tung-Sung / Li, Mirandy / Kao, Yu-Hsiang / Chen, Lei-Shih / Lin, Hui-Yi

Frontiers in public health

2021 Volume 9, Page(s) 745925

Abstract: The COVID-19 pandemic has disrupted much of day-to-day life in the US and around the world. Smokers have a higher risk of adverse outcomes due to COVID-19. This study investigated the impact of COVID-19 on risky behaviors and health changes in lower ... ...

Abstract	The COVID-19 pandemic has disrupted much of day-to-day life in the US and around the world. Smokers have a higher risk of adverse outcomes due to COVID-19. This study investigated the impact of COVID-19 on risky behaviors and health changes in lower income African-American smokers eligible for Low dose computed tomography (LDCT) screening, who may be more adversely impacted by the COVID-19 pandemic. A total of 22 African-American daily smokers who were eligible for LDCT screening participated in this study. The mean age of participants was 61.2 years old (SD = 4.7), 77.3% of the smokers were female, all participants had an income below $20,000, and 63.6% were on Medicaid. Descriptive statistics were used to provide summary information on demographics, COVID-19, and health status. Results showed that participants increased cigarette smoking, spent more time on screens, increased sugary drink consumption, consumed more vegetables and fruits, and engaged in more gardening activities during the COVID-19 pandemic. However, participants also decreased physical activity time and slept less during the pandemic. In general, more than one-third of participants gained more body weight and reported increased stress and anxiety. Our results suggest that African-American smokers who qualify for LDCT screening should be encouraged to consider strategies not only for smoking cessation, but also risky behavior control and management.
MeSH term(s)	African Americans ; COVID-19 ; Early Detection of Cancer ; Female ; Humans ; Lung Neoplasms/epidemiology ; Middle Aged ; Pandemics ; SARS-CoV-2 ; Smokers ; United States/epidemiology
Language	English
Publishing date	2021-12-08
Publishing country	Switzerland
Document type	Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	2711781-9
ISSN	2296-2565 ; 2296-2565
ISSN (online)	2296-2565
ISSN	2296-2565
DOI	10.3389/fpubh.2021.745925
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: Chinese Americans' Family History of Colorectal Cancer Communication With Primary Care Physicians.

Yeh, Yu-Lyu / Li, Ming / Kwok, Oi-Man / Ma, Ping / Chen, Lei-Shih

Health education & behavior : the official publication of the Society for Public Health Education

2021 Volume 49, Issue 1, Page(s) 169–178

Abstract: Background: Colorectal cancer (CRC) is the third most common cancer for Chinese Americans. Family history (FH) plays an important role in clinical practice for CRC prevention. Nevertheless, Chinese Americans' FH of CRC communication with primary care ... ...

Abstract	Background: Colorectal cancer (CRC) is the third most common cancer for Chinese Americans. Family history (FH) plays an important role in clinical practice for CRC prevention. Nevertheless, Chinese Americans' FH of CRC communication with primary care physicians (PCPs) are still unknown. Aims: This study examined Chinese Americans' behavior and the underlying psychological factors for FH of CRC communication with PCPs. Method: A total number of 742 Chinese Americans completed a survey developed based on the health belief model, the theory of planned behavior, and the social cognitive theory. Data were analyzed using structural equation modeling. Results: Majority of the Chinese American participants (75.3%) had never discussed FH of CRC with their PCPs. Lack of inquiries from the PCPs was the main barrier. Structural equation modeling results suggested a good model fit between our theoretical model and the survey data (comparative fit index [CFI] = .946, root mean square error of approximation [RMSEA] = .070, and standardized root mean square residual [SRMR] = .020). Participants' FH of CRC communication with PCPs was positively associated with their intention (β = .30, Conclusions: Given that most Chinese Americans in this study did not communicate their FH of CRC with their PCPs, it is important to promote such behavior among Chinese Americans. Our structural equation modeling findings can guide future interventions and education for this underserved racial/ethnic minority group.
MeSH term(s)	Asian Americans ; Colorectal Neoplasms/prevention & control ; Communication ; Early Detection of Cancer/psychology ; Ethnicity ; Health Knowledge, Attitudes, Practice ; Humans ; Minority Groups ; Physicians, Primary Care
Language	English
Publishing date	2021-05-21
Publishing country	United States
Document type	Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	1362906-2
ISSN	1552-6127 ; 1090-1981
ISSN (online)	1552-6127
ISSN	1090-1981
DOI	10.1177/10901981211009750
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