203026 Child sexual abuse education and prevention campaign via bilingual (English & Chinese) children storybook for children ages 5-8

Monday, November 9, 2009

Angela Sun, PhD, MPH , Chinese Community Health Resource Center, San Francisco, CA
Joyce Chen, MS , Chinese Community Health Resource Center, San Francisco, CA
Diana L. Wong, Psy D, MFT , Chinatown Child Development Center, San Francisco, CA 94108, CA
Edward Chow, MD , Medical Director, Chinese Community Health Plan, Executive Director, Chinese Community Health Care Association, San Francisco, CA
  
Background/Significance

In San Francisco, 6.9% of child abuse cases were sexual abuse (6.3% statewide) and 14.6% of child abuse reported were Asian/Pacific Islander (3.9% statewide). Data indicated that 44% of the alleged offender to child victim was a relative or parent. The number of unreported cases is far greater, due to fear of incident disclosure, difficulties associated with case validation, cultural shame, and stigma associated with the violence.

Objective/Purpose

1) To raise awareness and prevent child sexual abuse; 2) Empowerment of children; 3) Facilitation and encouragement communication/education; 4) Provide culturally and linguistically competent material; and 5) Assessment the awareness and perception of child sexual abuse.

Methods

Utilizing a bilingual storybook on child sexual abuse prevention, the campaign conducted 4 focus groups among a convenient sample of 16 children and 30 adult participants from the target population. The campaign targets children ages 5-8, parent(s) and provider(s) of children ages 5-8, and Chinese monolingual community members.

Results

Children and adult participants were comfortable to discuss the subject on child sexual abuse. The perception of the topic was discussed. Gender differences were displayed, while male adult participants displayed sympathy toward the male perpetrator and female adult participants did not. Adult participants identified challenges/barriers such as cultural stigma, lack of in-language educational information and communication/education within/among the target population.

Discussion/Conclusions

The results of the focus group provided insight for the campaign in addressing this serious violence among the target population.

Learning Objectives:
By the end of the session, participants will be able to identify method(s) to: 1) Raise awareness and prevent child sexual abuse; 2) Empower children; 3) Facilitate and encourage communication/education; 4) Provide culturally and linguistically competent educational materials; and 5) Assess the awareness and perception of child sexual among the target population.

Keywords: Child/Adolescent Mental Health, Violence Prevention

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: NAME: ANGELA SUN, PhD-(c), MPH POSITION TITLE : Executive Director EDUCATION/TRAINING (Begin with baccalaureate or other initial professional education, such as nursing, and include postdoctoral training.) INSTITUTION, LOCATION, FIELD OF STUDY AND DEGREE: Walden University, Minneapolis, Minnesota, Public health, PhD-(c)2009; San Jose State University, San Jose, CA, Public Health, MPH 1987; San Francisco State University, San Francisco, CA, Dietectics, BS 1984 Positions: 1989 – 1995 Program Coordinator, Chinese Community Health Resource Center, San Francisco, CA 1995 – 2006 Director, Chinese Community Health Resource Center, San Francisco, CA 2001 – Present Program Director, Education Department, Chinese Hospital, San Francisco 2006 – Present Executive Director, Chinese Community Health Resource Center, Chinese Hospital, San Francisco, CA Honors and Awards: • Developed the nation’s first cancer support group (“I Can Cope”) in the Chinese Community, recognized by and received award from the National Office of the American Cancer Society, 1994. • Wellness Excellence Awards from Health Net, 1996 and 1997. • Chinese Community Volunteer of the Year Award, American Cancer Society, San Francisco Unit, 1996. • Community Leadership Award from the American Health Plan Association, 2000. • Special Recognition Award, Regional Council of the California West Bay Region, American Cancer Society, 2000. • Special Recognition from the National Youth Leadership Forum, 2001. • Featured in the American Cancer Society Annual Report, 2001. • Developed nation’s first bilingual website tailored for Chinese community, recognized and received Innovation in Multi-Cultural Healthcare Award by the National Committee for Quality Assurance, 2006. • Received NCQA in Recognizing Innovation in Multicultural Health Award, 2007. Memberships: 1990-1997 Member, Chinese Community Education Council, San Francisco, CA 1991-Present Member, Chinese Community Respiratory Disease Task Force, San Francisco, CA 1995-2003 Member, Chinese Community Cancer Advisory Committee, San Francisco, CA 1997-2006 Officer, Executive Committee of the Asian Alliance against Domestic Violence 1998-2000 Board of Directors, American Cancer Society, San Francisco Unit 1999-2001 Member, Community Advisory Committee, San Francisco Health Plan 1999-2004 Member, American Cancer Society, Regional Council of the California West Bay Region 2000-2003 Member of the Chinese & Asian American Pacific Islander Outreach Team, American Cancer Society 2000-Present Member, Grants Committee, The Susan G. Komen Breast Cancer for the Cure, SF 2001-2002 Secretary, American Cancer Society, San Francisco Unit 2002-Present Community Director, Chinese Council of the Asian American Network for Cancer Awareness, Research and Training. AANCART 2003-2005 Board of Directors, American Cancer Society, Chinese Unit 2003-2005 Member, The Susan G. Komen Breast Cancer Foundation, National Asian American and Pacific Islander Advisory Council 2006-Present Chair, the Asian Alliance against Asian Domestic Violence Selected Presentations: • Angela Sun, MPH, Yvonne Liang, MS, RD, Edward A. Chow, MD. Chinese Community Cancer Information Center – Meeting a Pressing Need of the Community. The 9th. International Conference on Health Problems Related to the Chinese in North American, Los Angeles, 1998. • Angela Sun, MPH, Evaon Wong-Kim, PhD. Cancer Attitude: A Community Approach to Health Education. Midyear Scientific Meeting, Society for Public Health Education, Seattle, Washington, May 2001. • Angela Sun, MPH, Edward A. Chow, MD. Women’s Health Day: Meeting the Needs of the Chinese Community. The 11th International Conference on Health Problems Related to the Chinese in North America, New York, 2002. • Angela Sun, MPH. A Model Community Program For Bilingual and Culturally Sensitive Health Education. American Public Health Association 131st Annual Meeting and Exposition, San Francisco, 2003. • Angela Sun, MPH, Evaon Wong-Kim, PhD, Sarah Stearman, MPH, and Edward A. Chow, MD. Quality of Life and Cultural Influences: Comparison Study of Chinese Women Diagnosed With Breast Cancer. AANCART Academy Conference, Sacramento, 2004. • Angela Sun, MPH, Evaon Wong-Kim, PhD, Sarah Stearman, MPH, and Edward A. Chow, MD. Increasing Access To Health Education Materials For Chinese With Limited English Proficiency Via The Internet. The 12th Conference on Health Care of the Chinese in North America, San Francisco, 2004. • Angela Sun, MPH, Jian Q.Zhang, RN, MS, FNP, and Edward A. Chow, MD. Breast Health Media Campaign: An Effective Way to Impact the San Francisco Chinese Community. International Symposium on Breast Cancer, Tianjin, China, 2005. • Angela Sun, MPH, Joyce Chen, MS, Edward A. Chow, MD. Educating the Community on Breast Health via the Chinese Media. Intercultural Cancer Council. Washington DC, 2008. Publications (peer-reviewed): • Wong-Kim, E., Sun, A., DeMattos, M.C. Assessing cancer beliefs in a Chinese immigrant community, Cancer Control, Sep/Oct, 2003, 10(5):22-28. • Wong-Kim E, Sun A, Merighi J, Chow E. Understanding quality-of-life issues in Chinese women with breast cancer: A qualitative investigation. Cancer Control, December 2005. • Sun, A., Zhang, J., Tsoh, J., Wong-Kim, E., Chow, E. The effectiveness in utilizing Chinese media to promote breast health among Chinese women. Journal of Health Communication, 12:157-171, 2007. • Edrington, J., Dodd, M., Wong, C., Padilla, G., Paul, S., Sun, A., & Miaskowski, C. Barriers to Pain Management in a Community Sample of Chinese American Patients with Cancer. Journal of Pain and Symptom Management. In press, 2008. Research Support • Sun, Angela (PI) 10/2008 – 10/2009 Online Peer Counseling/ Teen Health Website Verizon Wireless HopeLine Award $ 15,000 The purpose of this project was to allow teens to chat with each other and to receive and post advice from their peers. To ensure the appropriateness of posted advice, a Mental Health Specialist will screen all postings prior to made available on the website. • Sun, Angela (PI) 1/2008 – 12/2008 Teen Dating Violence Prevention Public Service Announcement Internet Campaign Verizon Wireless HopeLine Award $ 18,700 The purpose of this project was to raise awareness of Teen Dating Violence among Asian American teens. The PSA will be promoted through teen-preferred websites such as YouTube, facebook, MySpace, and other online ‘social networks’. • Sun, Angela (PI) 1/2008 – 12/2008 End of Life Care Campaign Chinese Community Health Care Association (CCHCA) $ 15,000 The California HealthCare Foundation $ 30,000 The purpose of this project was to raise awareness of End of Life care issues focusing on Hospice via comprehensive bilingual (English & Chinese) educational DVD and booklet targeting the Chinese immigrant community. • Sun, Angela (PI) 7/2007 – 6/2008 Recruitment and Screening Mammography for Underserved Chinese Women in San Francisco Susan G. Komen for the Cure $59,700 The goal of this campaign was to recruit eligible women to have mammograms via the Chinese ethnic radio and field recruitments. • Sun, Angela (PI) 1/2007 – 12/2007 Diabetes Self Management: A Cultural Approach (DSMCA) Chinese Community Health Care Association (CCHCA) $ 10,150 The program was aimed to provide cultural sensitive, linguistically appropriate support group to provide educational information, opportunity for support, and provide access resources for monolingual Chinese Diabetic patients. Aim: To assess the effectiveness of the DSMCA program on the understanding and management of diabetes in diabetics (type I or II), and to improve management of diabetes as indicated by a decrease in participants’ HbA1c after participation in the program. • Sun, Angela (Fellow) 10/2006 – 10/2008 Community Academic Research Training Alliance (CARTA) $ 45,000 To engage academicians and community providers in how to create successful research partnerships that can inform science, practice and policy in behavioral intervention research. • Sun, Angela (Community Director- San Francisco Site) 1/1/2005 – 12/31/2009 Asian American Network for Cancer Awareness, Research and Training (AANCART) $ 154,000 • Sun, Angela (PI) 1/1/04-12/31/05 Preschool Project-Breast Health Education Susan G. Komen for the Cure $ 26,500 This project utilized an innovative approach by promoting Breast Health Education through Young Children’s Theatrical Performance among Chinese American Women (N=167). Aim: (1) To assess the efficacy of theatrical preschool performance as a tool in promoting breast health to Chinese American women; (2) To examine the associating factors pf participants’ knowledge and the reported attention paid to the breast health message with each potential correlating variables. • Sun, Angela (PI) 1/2004 – 12/2004 Media Campaign Against Elder Abuse Chinese Community Health Care Association, San Francisco $10,000 The goal of the campaign was to end elder abuse in the Chinese community by providing a channel for victims to seek help and warn perpetrators about their criminal behavior. • Sun, Angela (PI) 9/2002- 9/2003 Quality of Life in Chinese Patients with Breast Cancer The National Cancer Institute $ 73,839 This qualitative study was used to explore how Chinese women define quality of life, identify Chinese breast cancer patients’ beliefs regarding cancer, life expectancy, and discussion of advance directives and how these beliefs related to patient s’ quality of life. Aim: To document the perception and belief related to breast cancer among 30 Chinese breast cancer patients via in-language (Mandarin and Cantonese), face to face interviews. • Sun, Angela (PI) 1/2002 – 12/2002 Assessment of Perception on Domestic Violence in the Chinese Culture Chinese Community Health Care Association, San Francisco $10,000 The goal of the project was to assess the awareness and cultural perception of domestic violence in San Francisco Chinese Community. Face-to-face interviews will be conducted with 500 randomly selected Chinese. Aim: To assess participants’ knowledge on and perception of family violence via 588 self-administrated questionnaires. • Sun, Angela (PI) 1/2000 – 12/2000 Breast Cancer Awareness Media Campaign San Francisco Bay Area Affiliate, Susan G. Komen for the Cure $50,000 This project aimed to raise awareness of the American Cancer Society breast health guidelines among monolingual Chinese living in the San Francisco Bay Area. Public service announcements were broadcast through Chinese media in a 6-month breast health media campaign. Aim: To evaluate the effectiveness of the campaign, face-to-face interviews were conducted with 700 randomly selected women. Results were presented at the AANCART Cancer Control Academy, Oakland, 2001 and the American Public Health Association 130th Annual Meeting, 2002. • Sun, Angela (PI) 1/1998 – 12/1998 Cancer Attitude Survey among Chinese Living in San Francisco Chinese Community Health Care Association, San Francisco $10,000 The major goal of this project was to assess attitudes toward cancer among Chinese living in San Francisco. Aim: To document participants’ attitude toward cancer via 400 telephone survey interviews among randomly selected Chinese adult. Results were presented at annual conferences of the International Conference on Health Problems Related to the Chinese in North America, Society for Public Health Education, and American Public Health Association.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.

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