A5085621033- Global Cancer Incidence and Screening
- Colorectal Cancer Screening and Detection
- Health Literacy and Information Accessibility
- Cancer Risks and Factors
- Social Media in Health Education
- Glioma Diagnosis and Treatment
- Palliative Care and End-of-Life Issues
- Cervical Cancer and HPV Research
- Smoking Behavior and Cessation
- Patient-Provider Communication in Healthcare
- Lung Cancer Treatments and Mutations
- Breast Cancer Treatment Studies
- Patient Safety and Medication Errors
- Hedgehog Signaling Pathway Studies
- Medical Malpractice and Liability Issues
- Chromatin Remodeling and Cancer
- Clinical Reasoning and Diagnostic Skills
- Food Security and Health in Diverse Populations
- Ethics in Clinical Research
- Healthcare Policy and Management
- Social Media and Politics
- Obesity, Physical Activity, Diet
- Head and Neck Cancer Studies
- Mobile Health and mHealth Applications
- Migration, Health and Trauma
San Francisco General Hospital
2016-2021
University of California, San Francisco
2009-2020
General Department of Preventive Medicine
2019
Center for Asian American Media
2013-2017
Cancer Prevention Institute of California
2002-2015
Stanford University
2002-2014
Stanford Cancer Institute
2014
San Francisco State University
2014
University of California, Davis
2014
University of California, Berkeley
2007-2008
BACKGROUND Although overall survival for invasive breast carcinoma remains high, black women experience poorer than whites. Less is known about the of Hispanics and Asians, who may share clinical socioeconomic risk factors similar to blacks. To better understand racial/ethnic patterns, we investigated effect status (SES) disease stage on differences in a large population-based cohort. METHODS Using data from Surveillance, Epidemiology, End Results program (SEER), identified 10,414 white, 940...
We conducted qualitative interviews with breast cancer survivors to identify themes related institutional, personally mediated, and internalized discrimination in the medical setting.We 7 focus groups 23 one-on-one a multiethnic sample of randomly selected from population-based registry covering Greater San Francisco Bay Area, California.Participants reported experiencing different forms class, race, language. Among African Americans, participants personal or group discrepancy-perceiving...
Background Engaging diverse populations in biomedical research, including biospecimen donation, remains a national challenge. This study examined factors associated with an invitation to participate intent research the future, and participation donation among diverse, multilingual, community‐based sample across 3 distinct geographic areas. Methods Three National Cancer Institute–designated cancer centers engaged community partnerships develop implement population health assessments, reaching...
Objectives: In this study, we assessed complete switching away from cigarette smoking among adult smokers who purchased a JUUL Starter Kit (JSK). Methods: Adult (age ≥ 21) established (smoked 100 lifetime cigarettes) JSK in 2018 were invited to online surveys 1, 2, 3, 6, 9 and 12 months after initial purchase. Point prevalence of (no past 30-day smoking) was at each follow-up. Repeated measures logistic regression models evaluated associations sociodemographic factors, baseline...
The US population has experienced dramatic increases in racial/ethnic diversity over the last several decades, particularly with immigration from Latin America and Asia.1–5 Research that uses race ethnicity data provides an important foundation for designing programs to reduce health disparities.6 Birthplace, which serves as indicator of migrant status, can be used further identify subpopulations targeted disease control provide more specific information on patterns. The Surveillance,...
Abstract BACKGROUND. To the authors' knowledge, no previous U.S. study has examined time trends in incidence rate of liver cancer high‐risk Asian/Pacific Islander population. In this study, were evaluated Chinese, Filipino, Japanese, Korean, and Vietnamese men women Greater San Francisco Bay Area California between 1990 2004. METHODS. Populations at risk estimated by using cohort‐component demographic method. Annual percentage changes (APCs) age‐adjusted rates primary among Asians/Pacific...
In order to address health disparities, it is important understand how vulnerable individuals seek information. This study used an adapted version of the Health Information National Trends Survey (HINTS) administered in English, Spanish, and Chinese describe behaviors preferences a diverse group urban residents.
Abstract Nearly 600,000 persons have immigrated to the United States from Vietnam since end of War. Despite rapid growth U.S. Vietnamese population, little is known about cancer incidence in this migrant group. Using population‐based data Surveillance, Epidemiology and End Results program, California Cancer Registry International Agency for Research on Cancer, we compared rates (1988–1992) residents Ha Noi, (1991–1993); non‐Hispanic whites were included serve as reference rates. Lung breast...
Few studies have examined the effect of breast implants after mastectomy on long-term survival in cancer patients, despite growing public health concern over potential adverse effects. We analyzed data from Surveillance, Epidemiology and End Results Breast Implant Surveillance Study conducted San Francisco–Oakland, Seattle–Puget Sound, Iowa. This population-based, retrospective cohort included women younger than 65 years when diagnosed with early or unstaged first primary between 1983 1989,...
Abstract Background Males have a higher incidence of medulloblastoma (MB) than females, but the effect gender on survival is unclear. Studies yielded conflicting results, possibly due to small sample sizes or differences in how researchers defined MB. We aimed determine MB using large data set and strict criteria for defining Procedure A 1,226 subjects (763 males 463 females) was identified from 1973 2002, Surveillance Epidemiology End Results (SEER‐9) registry. strictly exclude...
Focusing on primary cancer prevention can reduce its incidence. Changing health behaviors is critical to prevention. Modifiable risk factors include lifestyle related vaccination, physical activity, weight control and maintenance, alcohol consumption, tobacco use. These habits are often formed in young adulthood, a life stage which currently intersects with the growing population of digital natives whose childhood occurred internet era. Social media communication medium reach this natives....
Advance care planning (ACP) is a process whereby patients prepare for medical decision-making. The traditional objective of ACP has focused on the completion advance directives. We have developed new paradigm preparing and their loved ones communication informed To operationalize this ACP, we created an interactive, patient-centered website called PREPARE ( www.prepareforyourcare.org ) designed diverse older adults. This randomized controlled trial with blinded outcome assessment to...
Objectives. To evaluate the efficacy of an in-language intervention 2 lectures plus printed materials versus alone on knowledge and adherence to nutrition physical activity guidelines among older Chinese Americans in San Francisco, California. Methods. From August 2010 September 2013, we randomized 756 aged 50 75 years either print (n = 361) or 357). Clusters were participants recruited by each lay health worker. Intervention outcomes changes recommended vegetable intake, fruit level those...
Introduction Advance care planning (ACP) is a process that allows patients to identify their goals for medical care. Traditionally, ACP has focused on completing advance directives; however, we have expanded the paradigm also prepare communicate wishes and make informed decisions. To this end, created an website called PREPARE ( http://www.prepareforyourcare.org ) diverse English-speaking Spanish-speaking older adults decision-making. Here, describe study protocol randomised controlled...
Introduction Cervical cancer prevention is possible through use of the HPV vaccine and Pap tests, yet remains underutilized. Methods We obtained publicly-available Twitter data from 2014 using three sampling strategies (top-ranked, simple random sample, topic model) based on key words related to cervical prevention. conducted a content analysis 100 tweets each samples examined extent which narratives frequency themes differed across samples. Results Advocacy-related constituted most...
Earlier studies have reported changes in the incidence of medulloblastoma (MB) but conflicted, likely because small sample size or misclassification MB with primitive neuroectodermal tumor (PNET). The and PNET from 1985 to 2002 was determined Central Brain Tumor Registry United States, a large population-based cancer registry, using strict histologic site codes. No statistically significant change observed over last 2 decades, there an increase combined.
Background Studies estimate that the number of cancer survivors will double by 2050 due to improvements in diagnostic accuracy and treatment efficacy. Despite growing population survivors, there is a paucity research regarding how these individuals experience transition from active long-term surveillance. While has explored this more organized venues, such as support groups for paper explores discourses surrounding survivorship on social media, paying particular attention who identify...
The study of disease patterns in immigrant populations has become an increasingly important public health activity the United States. For example, 2000, 28.4 million foreign-born individuals resided States, representing 10.4% population.1 The population-based Surveillance, Epidemiology, and End Results (SEER) program represents resource for cancer incidence outcomes minority racial/ethnic populations. Information on birthplace, indicator migrant status, is routinely collected by SEER...