Dr. Kimlin Tam Ashing is professor and director of the Center of Community Alliance for Research and Education at City of Hope. She received her doctorate in clinical psychology from the University of Colorado-Boulder. Previous to her appointment at City of Hope, she spent 12 years conducting research at the University of California-Los Angeles advancing theoretical and methodological approaches as behavioral scientist and psycho-oncologist. She is active in several cancer related organizations; she serves on the Executive council of Los Angeles American Cancer Society (ACS) and The Intercultural Council on Cancer (ICC).
Dr. Ashing is the notable leader in examining cancer disparities, quality of life and survivorship, and her published over 25 articles and book chapters. Her work in this area is significant and innovative and guides much of the cross-cultural research. Currently, she is developing and implementing community participatory interventions to reduce the risk and burden of chronic illness, in particular cancer. Dr. Ashing examines relevant historical and cultural contexts as it relates to providing culturally competent health care. She proposes that the understanding of ethnic, social, economic and political status can inform the health care system and improve health outcomes. Her scholarship and life work is to understand and investigate how culture, ethnicity, ecological and systemic context influence health and mental health outcomes.
Currently, she is developing and implementing community participatory interventions to reduce the risk and burden of chronic illness, in particular cancer. She is a community-minded researcher who is guided by a bio-psychosocial and eco-cultural paradigm. Therefore, her research focus on assessing and understanding the influence of the biological (e.g., disease characteristics), psychological (e.g., personal characteristics), social (e.g., familial, support networks) and ecological (e.g., cultural; and micro-level e.g., work, employment; and macro-systemic e.g., health care) factors on health outcomes. Her studies are multicultural and include diverse ethnic groups, including African Americans, Afro-Caribbean Americans, Latino Americans, Chinese Americans, Japanese Americans, Filipino Americans, Korean Americans and European Americans.
Her current papers report the findings of two, population-based health outcomes studies with samples that include: Asian American (n=277), African American (n=186), Latino American (n=470) and European American (n=452) breast and cervical cancer survivors in the U.S. (N=1385). These studies examined health related quality of life, psychosocial functioning, work and functional issues, access and quality of care as well as methodological, conceptual and measurements factors relevant to multicultural, multilingual and cross cultural research. Her current studies are behavioral trials designed to reduce the psychosocial burden of cancer among diverse survivor populations.
As a woman of color raised in a multicultural (Chinese and Afro-Caribbean) and multilingual home, and the youngest of eight siblings; she recognized the salience of culture and context very early in my life. As the daughter of two former cancer survivors and a psychologist, she is compassionate and passionate about her work to reduce health disparities and enhance health outcomes for underserved communities. Her studies are seminal to advancing: 1) Our knowledge and understanding about female cancers and the impact of cancer on women and their families among diverse populations; 2) Methodologies and measurement relevant to health related quality of life (QOL) research; 3) Methodologies and application of behavioral intervention to improve QOL outcomes; 4) Methodologies and strategies to increase ethnic minority participation in research; and 5) Initiatives and behavioral intervention to reduce health disparities and increase health equity. Dr. Ashing is the mother of three children, and lives in beautiful Altadena, California.
1. Ashing-Giwa K, & Ganz P. Understanding the Experience of Breast Cancer in African-American Women. Psychosocial Oncology 1997;15 (2):19-35.
2. Wyatt G, Desmond K, Ganz P, Rowland J, Ashing-Giwa K, & Meyerowitz B. Sexual Functioning and Intimacy in African-American and White Breast Cancer Survivors. Women’s Health: Research on Gender, Behavior & Policy 1998;4(4):385-405.
3. Ashing-Giwa K. Examining the Socio-cultural Relevance of Breast Cancer Screening Models for African-American women. Women & Health 1999;28(4):53-71.
4. Ashing-Giwa K, Ganz P, & Petersen L. Quality of Life in African American and White Long- term Breast Cancer Survivors. CANCER 1999;85(2):418-426.
5. Ashing-Giwa K, The Recruitment and Retention of African American Women into Cancer Control Studies. JNMA 1999;91(5):255-260.
6. Ashing-Giwa K. Quality of Life and Psychosocial Outcomes in Long- term Breast Cancer Survivors: A Study of African American Women. Psychosocial Oncology 1999;17(3/4):47-62.
7. Ashing-Giwa K, & Ganz P. The Effect of Timed Incentives on Subject Participation in a Study of Long-term Breast Cancer Survivors: Are There Ethnic Differences? JNMA 2000;92(11):528-532.
8. Durvasula R, & Ashing-Giwa K. The Relevance of Theoretical Models of HIV Prevention and Intervention: Lessons Learned from African American Women. Psychol Foundations 2002;4(2):70-79.
9. Ashing-Giwa K, Kagawa-Singer M, Padilla G, Tejero J. Understanding Breast Cancer among Asian Women: A Qualitative Study. Psycho-Oncology 2003;12(1):38-58, 2003.
10. Ashing-Giwa K, Padilla G, Tejero J, Kraemer J, Wright K, Coscarelli A, et al. Understanding the Breast Cancer Experience of Women: A Qualitative Study of African American, Asian American, Latina and Caucasian Survivors. Psycho-Oncology 2004;13:408-428.
11. Ashing-Giwa K, Padilla G, Tejero J, Kim J. Breast Cancer Survivorship in a Multiethnic Sample: Challenges in Recruitment and Measurement. Cancer 2004; 101: 450-465.
12. Ashing-Giwa K, Kagawa-Singer M, Padilla V, Tejero J, et al. The Impact of Cervical Cancer and Dysplasia: a Qualitative, Multiethnic Study. Psycho-Oncology 2004;13:709-728.
13. Ashing-Giwa K. Can a Culturally Responsive Model for Research Design Bring Us Closer to Addressing Participation Disparities? Ethnicity & Disease 2005;15(1):130-137.
14. Ashing-Giwa K. The Contextual Model of HRQoL: A Paradigm for Expanding the HRQoL Framework. Quality of Life Research 2005; 14:297–307.
15. Ashing-Giwa K. Infusing Culture into Oncology Research on Quality of Life. Oncology Nursing Forum 2006; 33(1):31-36.
16. Ashing-Giwa K, Padilla V, Bohorquez D, Tejero J, Garcia M. Understanding the Breast Cancer Experience of Latina Women. Journal of Psychosocial Oncology 2006; 24(3): 19-52.
17. Ashing-Giwa K, Kagawa-Singer M, Padilla G, Tejero J. Cervical Cancer among Latinas: A Qualitative Study. Psychosocial Oncology 2006; 24(4); 53-88.
18. Kim J, Ashing-Giwa K, Kagawa-Singer M, Tejero J. Breast Cancer among Asian Americans: is Acculturation Related to Health-related Quality of Life? Oncology Nursing Forum 2006; 33:6: E90-9.
19. Palos R, Ashing-Giwa K. The Importance of Community and Culture in the Comprehensive Management of Pain. The Pain Practitioner. 2007: 17(2): 10-19
20. Ashing-Giwa K, Tejero J, Kim J, Padilla G. Predictive Models of HRQOL in a Population-based, Multiethnic Sample of Women with Breast Carcinoma. Quality of Life Research. 2007; 16(3):413-428. .
21. Ashing-Giwa K, Kim J, Tejero J. Measuring Quality of Life among Cervical Cancer Survivors: Preliminary Assessment of Instrumentation Validity in a Cross-Cultural Study. Quality of Life Research 2008; 17 (1).
22. Ashing-Giwa K & Lim JW. Examining the Impact of Socio-Economic Status and Socio-Ecologic Stress on Physical and Mental Health Quality of Life among Breast Cancer Survivors. Oncology Nursing Forum 2008: 36(1): 79-88
23. Ashing-Giwa K & Lim JW. Predicting Health-related Quality of Life: Testing the Contextual Model using Structural Equation Modeling. Applied Research in Quality of Life. 2008: 3(3): 215-230
24. Ashing-Giwa K. Enhancing physical well-being and overall quality of life among underserved Latina- American cervical cancer survivors: feasibility study. Journal of Cancer Survivorship 2008: 2(3): 215-223.
25. Ashing-Giwa K, Tejero J, Kim J, Padilla G, Kagawa-Singer M, Tucker M, Lim JW. Cervical Cancer Survivorship in a Population Based Sample. Gynecological Oncology. 2009: 112(2). 358-364
26. Lim JW, Patricia G, Wang M, Ashing-Giwa K. Understanding the cultural health belief model influencing health behaviors and health-related quality of life between Latina and Asian-American breast cancer survivors. Supportive Care in Cancer. 2009: 19(9): 1137-44.
27. Ashing-Giwa K & Lim JW: Exploring the association between functional strain and emotional well-being among a population-based sample of breast cancer survivors. Psycho-Oncology. 2010: 19(2): 150-159
28. Kagawa-Singer, M., Padilla G.V., Ashing-Giwa, K. Health-Related Quality of Life and Culture: Seminars in Oncology Nursing 2010: 26(1): 59-67
29. Ashing-Giwa K, Lim JW, & Gonzalez P: Exploring the Relationship between Physical well-being and Healthy Lifestyle Changes among European- and Latina-American Breast and Cervical Cancer Survivors. Psycho-Oncology. 2010: 19: 1161-70.
30. Ashing-Giwa K, Gonzalez P, Lim JW, Cathie Chung, Benjamin Paz, George Somlo, & Mark T. Wakabayashi: Diagnostic and Therapeutic Delays Among a Multiethnic Sample of Breast and Cervical Cancer Survivors. Cancer. 2010: 116(13):3195-3204
31. Ashing-Giwa K, Lim JW, Tang J: Surviving cervical cancer: does health related quality of life influence survival? Gynecologic Oncology. 2010 Jul; 118(1):35-42.
32. Ashing-Giwa K & Lim JW. Predicting Physical Quality of Life among a Multiethnic Sample of Breast Cancer Survivors. Quality of Life Research. 2010:19:789-802
33. Ashing-Giwa K, Lim JW : Examining Emotional Outcomes Among a Multi-Ethnic Cohort of Breast Cancer Survivors. Oncology Nursing Forum. 2011 :38(3), 1-10.
34. Ashing-Giwa K & Lim JW: Health-related Quality of Life Outcomes among Cervical Cancer Survivors: Examining Ethnic and Linguistic Differences. Cancer Epidemiology. 2011 (35), 194-201
35. Lim JW & Ashing-Giwa K: Examining the Effect of Minority Status and Neighborhood Characteristics on Cervical Cancer Survival Outcomes. Gynecologic Oncology. 2011, 121 (1), 87-93
36. Tsai T, Kagawa-Singer M, Morisky D, Ashing-Giwa K. Acculturation in the Adaptation of Chinese-American Women to Breast Cancer: A mixed method approach. Journal of Clinical Nursing. 2011, 20, 3383–3393.
37. Ferrer R, Beckman L, Ashing-Giwa K. The impact of cultural characteristics on colorectal cancer screening adherence among Filipinos in the United States: a pilot study. Psycho-oncology. 2011, 8 (20): 862-870
38. Lopez-Class M, Angulo-Duarte J, Graves K, & Ashing-Giwa K. A contextual approach to understanding breast cancer survivorship among Latinas. Psycho‐Oncology. 2012, 21:115-124
39. Lim JW & Ashing-Giwa K: Cultural Health Beliefs and Health Behaviors in Asian-American Breast Cancer Survivors: A Focus on Korean-Americans through a Mixed-Method Approach. Oncology Nursing Forum, 2012, 39 (4), 388-397
40. Wang J, Adams I, Huang E, Ashing-Giwa K, Gomez S, Allen L. Physical Distress and Cancer Care Experiences Among Chinese-American and Non-Hispanic White Breast Cancer Survivors. Gynecologic Oncology, 2012, 124 (3), 383-388
41. Akmal Y, Lee W, Mailey B. Ashing-Giwa K, et al. Racial and Ethnic Disparities in Outcomes with Radiation Therapy for Rectal Adenocarcinoma. International Journal of Colorectal Disease. 2012, 27 (6), 737-749.
42. Wu X, Somlo G, Ashing-Giwa K, Wang S et al., De novo sequencing of circulating miRNAs identifies novel markers predicting clinical outcome of locally advanced breast cancer. Journal Translational Medicine, 2012, 2012, 10:42 doi:10.1186/1479-5876-10-42
43. Ashing-Giwa K, et al. Peer Based Models of Supportive Care: The Impact of Peer Support Groups in African American Breast cancer Survivors. Oncology Nursing Forum. 2012, 39 (6), 585-591
44. Ashing-Giwa K. Recruitment and Retention of African- and Latina American Breast Cancer Survivors into Behavioral Clinical Trials. Oncology Nursing Forum. 2012, 39(5), E434-442.
45. Ashing-Giwa K, Lam C, Xie B. Assessing Health-Related Quality of Life of Chinese-American Breast Cancer Survivors: A Measurement Validation Study. Psycho-oncology. 2012 doi: 10.1002/pon.3030
46. Lim J; Ashing-Giwa K. Is Family Functioning and Communication Associated with health related Quality of Life for Chinese- and Korean-American Breast Cancer Survivors. Quality of Life Research. 2012, DOI: 10.1007/s11136-012-0247
47. Ashing-Giwa K, Rosales M, Lai L, Weitzel JN. (2013). Depressive Symptomatology among Latina Breast Cancer Survivors. Psycho-Oncology, 22(4): 845-53
48. Ashing-Giwa K. & Rosales, M. A Cross-Cultural Validation of Patient Reported Outcomes Measures: A Study of Breast Cancers Survivors. Quality of Life Research. 2012, Published online ahead of print; DOI 10.1007/s11136-012-0140-8.
49. Ashing-Giwa K, Rosales, M.(2013). Examining Patient Reported Evaluation of Therapeutic Care Delay Among Latina- and European-American Cervical Cancer Survivors. Gynecologic Oncology. 128 (2), 160-165. PMCID:NA
50. Ragin C, Ashing-Giwa K. HPV knowledge and Screening in African American and Afro-Caribbean. Infectious Diseases in Obstetrics and Gynecology. In Press
51. Ashing-Giwa, K; Tapp, C; Brown, S.; Smith, J; Fulcher, G; Mitchell, E; Santifer, R.H; McDowell, K; Martin, V; Betts-Turner, B; Carter, D.; Adkins-Jackson, P; & Rosales, M. "Are Survivorship Care Plans Responsive to African American Breast Cancer Survivors?": Voices of Survivors and Advocates, Journal of Cancer Survivorship. 2013(7):283-291
52. Blackman, E; Ashing, K; & Ragin,C Multi-center Study of Human Papillomavirus and the Human Papillomavirus Vaccine: Knowledge and Attitudes Among People of African Descent. In Press
53. Rosales M, & Ashing K, Napoles A. Quality of Cancer Follow-up Care: A Focus on Latina Breast Cancer Survivors. Journal of Cancer Survivorship. In Press PMCID: Not applicable
54. Ashing-Giwa, K. & Rosales, M. A Telephonic-Based Trial to Reduce Depressive Symptoms among Latina Breast Cancer Survivors. In Press. Psycho-Oncology.
55. Ashing, K., M. Rosales, et al. "Developing a Treatment Summary and Survivorship Care Plan Responsive to Spanish Language Preferred Latina Breast Cancer Survivors". In Press
56. Ashing, K., S. Brown, et al. "Developing a Treatment Summary and Survivorship Care Plan Responsive to African-American Breast Cancer Survivors." In Press