School of Public Health

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The collections in this community comprise faculty research works, as well as graduate theses and dissertations.

Note: Prior to July 1, 2007, the School of Public Health was named the College of Health & Human Performance.

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Author: search.filters.author.Jung, Mary

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    Self-reported discrimination among Asian Americans: An examination of its measurement and relationship with health-related quality of life
    (2019) Jung, Mary; Lee, Sunmin; Epidemiology and Biostatistics; Digital Repository at the University of Maryland; University of Maryland (College Park, Md.)
    Labeled as a “model minority,” Asian Americans have often been excluded from the dialogue on discrimination. Previous studies frequently used discrimination measures that were initially developed for African Americans and lack items related to language and nativity. Although discrimination adversely affects mental and physical health, its relationship to health-related quality of life (HRQOL) has been understudied in this population. This dissertation evaluated self-reported discrimination among Asian Americans by examining its measurement and relationship with HRQOL. Manuscript 1 assessed the psychometric properties of everyday (ERDS) and major racial discrimination scales (MRDS) that were developed for Asian Americans. In a sample of 569 Asian American immigrant adults, reliability was excellent for ERDS but moderate for MRDS (Cronbach’s α=0.94 and 0.60). The latter is likely low given that MRDS is an inventory of events. For construct validity, weak positive linear correlations with perceived stress and depressive symptoms were observed (r=0.22 and 0.28 for ERDS and r=0.11 and 0.14 for MRDS; p<0.001). Factor analysis confirmed the unidimensionality of both measures. Manuscript 2 cross-sectionally examined the association between the racial discrimination measures from Manuscript 1 and HRQOL among 524 foreign-born Asian American adults. Multivariable logistic regression and negative binomial regression were performed to examine self-rated health (poor vs. good) and days of poor physical health, mental health, and activity limitation. ERDS (IRR range: 1.04-1.08) and MRDS scores (IRR range: 1.19-1.61) were significantly and positively associated with worse HRQOL for all measures, except for self-rated health. Manuscript 3 examined discrimination trajectories and assessed their relationship with self-rated health in a longitudinal, multi-ethnic sample of 2,004 middle-aged women in the Study of Women’s Health Across the Nation (SWAN). Group-based trajectory analysis identified three distinct discrimination groups. The “high and decreasing” but not “moderate and decreasing” group was significantly associated with poor self-rated health compared to the “low and decreasing” group (OR=1.61; 95% CI: 1.12-2.31). This dissertation provides insight into discrimination measures and their relationships with HRQOL among Asian Americans. Proper measurement and health impact assessment of discrimination in this population can contribute to better monitoring and provide improved accountability and support for interventions and public policies.
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    The Association between Cultural Views of Cancer and Colorectal Cancer Screening Behavior among Asian Americans in the Washington, D.C. Metropolitan Area
    (2013) Jung, Mary; Lee, Sunmin; Epidemiology and Biostatistics; Digital Repository at the University of Maryland; University of Maryland (College Park, Md.)
    Objective: To evaluate the association between Asian cultural views of cancer and colorectal cancer screening behavior among Asian Americans in the Washington, D.C. metropolitan area. Methods: A cross-sectional examination was conducted of 858 Chinese, Korean, and Vietnamese adults. Logistic regression was used to investigate the relationship between Asian cultural views (using 16-items from a previously developed scale) and colorectal cancer screening (self-reported yes/no). Results: When examining 10-point increases in continuous cultural views scores, a 12% (OR=0.88; 95% CI:0.82-0.97) and 7% (OR=0.93; 95% CI:0.87-1.00) decreased likelihood that an individual received screening were observed for herb use and self-care scores respectively. When examining categorical cultural views scores (Asian, Neutral, and Western), herb use and self-care were significantly associated with screening and showed a gradient effect after adjusting for age. Conclusion: Findings suggest that culturally appropriate interventions that address specific cultural views of cancer can potentially increase colorectal cancer screening among Asian Americans.