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HEALTH EQUITY AROUND
STOMACH CANCER
SUZANNE PAK
DIRECTOR OF COMMUNITY & BEHAVIORAL HEALTH
KOREAN WOMEN’S ASSOCIATION (KWA)
SPECIFIC AIM
Jung et al. Cancer Res Treat 2013
Improve Early Detection of Stomach
Cancer Among Asian Pacific
Americans
Research Supporting Health Disparity: Asian and Pacific Americans are more than
2 times as likely to get stomach cancer
(compared to white counterparts)
Korean Americans, in particular, are more
than 8 times as likely to get stomach cancer
Stomach cancer patients in U.S. only have
5 year survival rate of 26.9% (compared to
67% survival rate in S. Korea), due to late
detection
METHODS
Advisory CommitteePreliminary Research
Stomach Cancer Conference
& Survey
Community Education &
Advocacy
20 diverse
members Doctors
Researcher
behavioral
health
agencies
government
agencies
patient
advocates
Primary (interviews) Asian American patients
and physicians are
concerned about stomach
cancer
Secondary ACS: cancer incidence and
mortality by site, ethnicity,
and stage of detection
S. Korean research on
impact of mass screening
on survival rate
Early Detection: Provider & Patient
Education
Advocacy: Screening Guidelines
Prevention: Food and
Substances,
Symptoms
120 participants 55% Asian Pacific
Americans, 30%
Caucasian
Americans, 10%
Hispanic
Americans, 5%
African Americans
110 pre-surveys
81 post-surveys
RESULT Participants 2.5 times more likely to take action
after intervention
Even When Upper Endoscopy Is Approved by Health Insurance, It
Would Be as a Diagnostic Procedure, Subject to Copays and
Deductibles.
Makes Patient Education Around Early Detection More Complex
(Can’t Simply Say “Get Screened” After Certain Age)
Next Steps: Focus Patient Education on Prevention, Integrate
Early Detection Efforts with Colorectal Cancer Screening
RESULT Key Barrier: Upper Endoscopy is Not Covered
as a Preventative Screening Procedure – Even for Racial
or Ethnic Groups Who Are at High Risk
RESULT Prevention Education Following Conference &
Survey (Salt, Vitamin B, Alcohol & Tobacco Use)
ACKNOWLEDGEMENTS
Early Detection of Stomach Cancer Colorectal Cancer Screening
Prevention of Stomach Cancer (Substance Use & Nutrition)
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