Building relationships and cultivating trust and respect: a multi-level comparison of cultural tailoring processes by community health workers addressing breast and cervical cancer screening needs in a Cambodian and a Laotian community in California
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BACKGROUND LITERATURE REVIEW
Surface and Deep Structures of Cultural Tailoring
THEORETICAL AND CONCEPTUAL FRAMEWORK
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AAPI American and Pacific appointment Asian American assessed barriers breast and cervical breast cancer Cambodian American Cambodian and Laotian Cambodian community Cambodian women cervical cancer screening clinical breast clinical breast exam community health workers community members community-based survey concepts cultural competence cultural sensitivity cultural tailoring deep structure aspects domains ecological effective ethnic factors findings health behavior health education health insurance health promotion Helping Conceptual Model Hmong identified important included Indicates statistically significant individual influence interpersonal interpretation intervention interviews Kagawa-Singer language Laotian CHWs Laotian communities Laotian women lay health advisors Lay Helping Conceptual mammogram mammography Nguyen outreach logs Pacific Islander Pap smear participants PATH for Women patient population providers relationships respondents roles screening exams significant Chi-Square tests SKlP TO QUESTlON social networks social support specific SPEClFY statistically significant Chi-Square strategies target woman Women project