Won Jin Seok, Ji Yoon Young, Hirschi Melissa
School of Social Work, The University of Memphis, 226 McCord Hall. Memphis, TN 38152.
Department of Social Work, Colorado State University Pueblo, 2200 Bonforte Boulevard, Pueblo, CO 81001.
J Hum Behav Soc Environ. 2024;34(5):710-724. doi: 10.1080/10911359.2023.2271546. Epub 2023 Nov 6.
Korean Americans have consistently reported the underutilization of colorectal cancer (CRC) screening, despite their high rates of CRC incidence and mortality. Research has indicated suboptimal CRC knowledge in Korean Americans as one of the main barriers to their recommended CRC screening. Also, research has shown the potential of online health information seeking (OHIS) to improving cancer knowledge and the gender-based differences in the link between OHIS and cancer knowledge. Thus, this study aimed to examine the association between OHIS and CRC knowledge and the moderating effect of gender in this association among Korean Americans. A cross-sectional survey with purposive sampling was conducted of 421 Korean Americans aged 50 to 75 years in the Southeastern U.S. Three-step hierarchical multiple regression analyses were performed to investigate if three blocks of variables-Block 1: control variables (sociodemographics and health-related information), Block 2: independent variables (OHIS and gender), and Block 3: an (OHIS × gender) interaction term-significantly reduce unexplained variance in CRC knowledge. The analyses showed that the final model fits best accounting for 29.3% of the variance in CRC knowledge. Also, the analyses showed that OHIS was positively associated with CRC knowledge and gender moderated the association between OHIS and CRC knowledge. The findings close the knowledge gap existing in the body of literature on the connection of OHIS to CRC knowledge in Korean Americans. Findings also extend the understanding of gender-specific approaches leveraging OHIS for CRC prevention education among Korean Americans.
韩裔美国人一直报告称，尽管他们的结直肠癌（CRC）发病率和死亡率很高，但结直肠癌筛查的利用率却很低。研究表明，韩裔美国人对结直肠癌的了解不够充分是他们接受推荐的结直肠癌筛查的主要障碍之一。此外，研究还显示了在线健康信息搜索（OHIS）在提高癌症知识方面的潜力，以及OHIS与癌症知识之间联系的性别差异。因此，本研究旨在探讨OHIS与结直肠癌知识之间的关联，以及性别在韩裔美国人中的这种关联中的调节作用。在美国东南部对421名年龄在50至75岁之间的韩裔美国人进行了一项目的抽样的横断面调查。进行了三步分层多元回归分析，以研究三个变量块——第1块：控制变量（社会人口统计学和健康相关信息）、第2块：自变量（OHIS和性别）以及第3块：一个（OHIS×性别）交互项——是否能显著减少结直肠癌知识中无法解释的方差。分析表明，最终模型拟合效果最佳，解释了结直肠癌知识中方差的29.3%。此外，分析表明OHIS与结直肠癌知识呈正相关，性别调节了OHIS与结直肠癌知识之间的关联。这些发现填补了韩裔美国人中关于OHIS与结直肠癌知识联系的文献中存在的知识空白。研究结果还扩展了对利用OHIS进行韩裔美国人结直肠癌预防教育的性别特定方法的理解。
