{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,20]],"date-time":"2026-09-20T08:00:56Z","timestamp":1789891256944,"version":"4.0.1"},"reference-count":25,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,9,18]],"date-time":"2026-09-18T00:00:00Z","timestamp":1789689600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,9,18]],"date-time":"2026-09-18T00:00:00Z","timestamp":1789689600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/100029380","name":"Korean American Community Foundation","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100029380","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Health Promotion Practice"],"abstract":"<jats:p>\n                    Gastric cancer remains a major prevention gap in the United States, disproportionately affecting immigrants from high-incidence regions. Although\n                    <jats:italic toggle=\"yes\">Helicobacter pylori<\/jats:italic>\n                    is the leading modifiable risk factor for non-cardia gastric cancer, systematic and equitable pathways for testing, treatment, and eradication confirmation are lacking, and evidence on downstream implementation outside hospital settings remains limited. These findings suggest that community-based\n                    <jats:italic toggle=\"yes\">H. pylori<\/jats:italic>\n                    screening paired with sustained navigation is feasible, and that the principal losses in gastric cancer prevention occur downstream rather than at risk identification or therapeutic efficacy. Approaches that explicitly address multistep, time-lagged care delivery are essential for translating\n                    <jats:italic toggle=\"yes\">H. pylori<\/jats:italic>\n                    eradication into population-level gastric cancer prevention in high-risk immigrant communities. We conducted a pragmatic, descriptive implementation evaluation of a culturally and linguistically tailored, community-anchored\n                    <jats:italic toggle=\"yes\">H. pylori<\/jats:italic>\n                    screening and navigation program, with outcomes assessed over a 6-month follow-up period in partnership with community and faith-based organizations serving Korean American populations. The workflow included multilingual outreach, a brief survey, on-site urea breath testing, privacy-protective result disclosure, and active navigation to support clinical evaluation, treatment completion, and post-treatment assessment. Among 323 participants screened, 58 (18.0%) had active\n                    <jats:italic toggle=\"yes\">H. pylori<\/jats:italic>\n                    infection, and all (100%) were successfully contacted for confidential result disclosure. Within 6 months, 31 (53.4%) completed clinical evaluation, 15 (25.9%) completed eradication therapy, and nine (15.5%) completed post-treatment retesting; eradication was confirmed in eight of nine retested participants (88.9%). Attrition occurred across the care cascade and primarily reflected structural and logistical barriers rather than treatment failure.\n                  <\/jats:p>","DOI":"10.1177\/15248399261484613","type":"journal-article","created":{"date-parts":[[2026,9,18]],"date-time":"2026-09-18T07:26:20Z","timestamp":1789716380000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Implementation of Community-Based\n                    <i>Helicobacter pylori<\/i>\n                    Screening and Navigation in High-Risk Immigrant Communities"],"prefix":"10.1177","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7213-2761","authenticated-orcid":false,"given":"Chul S.","family":"Hyun","sequence":"first","affiliation":[{"name":"Yale School of Medicine, New Haven, CT, USA"},{"name":"Yale School of Public Health, New Haven, CT, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ala","family":"Roh","sequence":"additional","affiliation":[{"name":"Korean Community Services of Metropolitan New York, Bayside, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"You Jeong","family":"Lee","sequence":"additional","affiliation":[{"name":"Korean Community Services of Metropolitan New York, Bayside, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sara Soonsik","family":"Kim","sequence":"additional","affiliation":[{"name":"Korean Community Services of Metropolitan New York, Bayside, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,9,18]]},"reference":[{"key":"e_1_3_3_2_1","unstructured":"Asaka M. Sepulveda A. R. Sugiyama T. Graham D. Y. (2001). Gastric cancer. In Mobley H. L. T. Mendz G. L. Hazell S. L. (Eds.) Helicobacter pylori: Physiology and genetics. ASM Press. https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK2445\/"},{"key":"e_1_3_3_3_1","doi-asserted-by":"crossref","unstructured":"Beaton D. E. Bombardier C. Guillemin F. Ferraz M. B. (2000). Guidelines for the process of cross-cultural adaptation of self-report measures. Spine 25(24) 3186\u20133191. https:\/\/doi.org\/10.1097\/00007632-200012150-00014","DOI":"10.1097\/00007632-200012150-00014"},{"key":"e_1_3_3_4_1","doi-asserted-by":"crossref","unstructured":"Chey W. D. Howden C. W. Moss S. F. Morgan D. R. Greer K. B. Grover S. Shah S. C. (2024). ACG clinical guideline: Treatment of Helicobacter pylori infection. The American Journal of Gastroenterology 119(9) 1730\u20131753. https:\/\/doi.org\/10.14309\/ajg.0000000000002968","DOI":"10.14309\/ajg.0000000000002968"},{"key":"e_1_3_3_5_1","unstructured":"Chu J. Wilson J. (2025). Stomach cancer prevention and early detection act [Proposed legislation]. U.S. House of Representatives. https:\/\/chu.house.gov\/sites\/evo-subsites\/chu.house.gov\/files\/evo-media-document\/chu_021_xml-signed.pdf"},{"key":"e_1_3_3_6_1","doi-asserted-by":"crossref","unstructured":"Crankshaw S. Butt J. Gierisch J. M. Barrett N. J. Mervin-Blake S. Oeffinger K. Patierno S. Worthy V. Godbee R. Epplein M. (2020). The Durham Initiative for Stomach Health (DISH): A pilot community-based Helicobacter pylori education and screening study. BMC Gastroenterology 20 Article 261. https:\/\/doi.org\/10.1186\/s12876-020-01405-w","DOI":"10.1186\/s12876-020-01405-w"},{"key":"e_1_3_3_7_1","doi-asserted-by":"crossref","unstructured":"GBD US Health Disparities Collaborators. (2023). The burden of stomach cancer mortality by county race and ethnicity in the USA 2000\u20132019: A systematic analysis of health disparities. 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Gastric cancer disparities in the United States: Overcoming the barriers. International Journal of Clinical Medicine 15(1) 1\u201315. https:\/\/doi.org\/10.4236\/ijcm.2024.151002","DOI":"10.4236\/ijcm.2024.151002"},{"key":"e_1_3_3_11_1","doi-asserted-by":"crossref","unstructured":"Hyun C. Kim S. Hyun S. McMenamin J. (2024). Community-based hepatitis B campaign in Asian Americans. International Journal of Clinical Medicine 15(9) 389\u2013412. https:\/\/doi.org\/10.4236\/ijcm.2024.159025","DOI":"10.4236\/ijcm.2024.159025"},{"key":"e_1_3_3_12_1","doi-asserted-by":"crossref","unstructured":"Hyun C. Kim S. Kang S. Y. Jung S. Lee S. (2016). Chronic hepatitis B in Korean Americans: Decreased prevalence and poor linkage to care. BMC Infectious Diseases 16 415. https:\/\/doi.org\/10.1186\/s12879-016-1732-7","DOI":"10.1186\/s12879-016-1732-7"},{"key":"e_1_3_3_13_1","doi-asserted-by":"crossref","unstructured":"Hyun C. Ko O. Kim S. McMenamin J. (2019). Long-term outcome of a community-based hepatitis B awareness campaign: Eight-year follow-up on linkage to care (LTC) in HBV-infected individuals. BMC Infectious Diseases 19(1) 638. https:\/\/doi.org\/10.1186\/s12879-019-4283-x","DOI":"10.1186\/s12879-019-4283-x"},{"key":"e_1_3_3_14_1","doi-asserted-by":"crossref","unstructured":"Hyun C. Oh S. S. Wu L. Moy R. H. Shin J. I. (2025). Rethinking gastric cancer prevention through an immigrant health lens. Nature Reviews Gastroenterology & Hepatology 22 600\u2013601. https:\/\/doi.org\/10.1038\/s41575-025-01098-0","DOI":"10.1038\/s41575-025-01098-0"},{"key":"e_1_3_3_15_1","doi-asserted-by":"crossref","unstructured":"Hyun C. Wang R. Kim Y. S. Hong S. H. Shin J. S. Sundar R. Kunz P. (2025). Gastric adenocarcinoma in the United States: The toll of late diagnosis and racial and geographic disparities. 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Barriers to community-based eradication of Helicobacter pylori infection. Clinical Gastroenterology and Hepatology 22 2140\u20132142.e1. https:\/\/doi.org\/10.1016\/j.cgh.2024.03.012","DOI":"10.1016\/j.cgh.2024.03.008"},{"key":"e_1_3_3_19_1","doi-asserted-by":"crossref","unstructured":"Lin Y. Kawai S. Sasakabe T. Nagata C. Naito M. Tanaka K. Sugawara Y. Mizoue T. Sawada N. Matsuo K. Kitamura T. Utada M. Ito H. Shimazu T. Kikuchi S. Inoue M. (2021). Effects of Helicobacter pylori eradication on gastric cancer incidence in the Japanese population: A systematic evidence review. Japanese Journal of Clinical Oncology 51(7) 1158\u20131170. https:\/\/doi.org\/10.1093\/jjco\/hyab084","DOI":"10.1093\/jjco\/hyab055"},{"key":"e_1_3_3_20_1","doi-asserted-by":"crossref","unstructured":"Pabla B. S. Shah S. C. Corral J. E. Morgan D. R. (2020). Increased incidence and mortality of gastric cancer in immigrant populations from high- to low-incidence regions: A systematic review and meta-analysis. 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Journal of the American Medical Association 299(2) 211\u2013213. https:\/\/doi.org\/10.1001\/jama.2007.26","DOI":"10.1001\/jama.2007.26"}],"container-title":["Health Promotion Practice"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/15248399261484613","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/15248399261484613","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/15248399261484613","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,20]],"date-time":"2026-09-20T07:19:51Z","timestamp":1789888791000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/15248399261484613"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,9,18]]},"references-count":25,"alternative-id":["10.1177\/15248399261484613"],"URL":"https:\/\/doi.org\/10.1177\/15248399261484613","relation":{},"ISSN":["1524-8399","1552-6372"],"issn-type":[{"value":"1524-8399","type":"print"},{"value":"1552-6372","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,9,18]]},"article-number":"15248399261484613"}}