Explaining disparities in colorectal cancer screening among five Asian ethnic groups: a population-based study in California
| Autor: | Peiyun Lu, Annette E. Maxwell, Catherine M. Crespi, Cynthia Antonio |
|---|---|
| Rok vydání: | 2010 |
| Předmět: |
Gerontology
Male Cancer Research Multivariate analysis Far East Psychological intervention Ethnic group Eastern Health Services Accessibility California 0302 clinical medicine Health care Medicine Mass Screening 030212 general & internal medicine Reference group Asia Southeastern Cancer Asia Eastern 1. No poverty Health Services Middle Aged lcsh:Neoplasms. Tumors. Oncology. Including cancer and carcinogens Colo-Rectal Cancer 3. Good health Oncology 030220 oncology & carcinogenesis language Public Health and Health Services Marital status Female Colorectal Neoplasms Research Article Asia Vietnamese Oncology and Carcinogenesis Southeastern lcsh:RC254-282 03 medical and health sciences Clinical Research Behavioral and Social Science Genetics Humans Oncology & Carcinogenesis Healthcare Disparities Mass screening Aged business.industry Prevention language.human_language Quality Education Logistic Models Multivariate Analysis Digestive Diseases business Demography |
| Zdroj: | BMC cancer, vol 10, iss 1 BMC Cancer BMC Cancer, Vol 10, Iss 1, p 214 (2010) |
| Popis: | Background Data from the California Health Interview Survey (CHIS) indicate that levels and temporal trends in colorectal cancer (CRC) screening prevalence vary among Asian American groups; however, the reasons for these differences have not been fully investigated. Methods Using CHIS 2001, 2003 and 2005 data, we conducted hierarchical regression analyses progressively controlling for demographic characteristics, English proficiency and access to care in an attempt to identify factors explaining differences in screening prevalence and trends among Chinese, Filipino, Vietnamese, Korean and Japanese Americans (N = 4,188). Results After controlling for differences in gender and age, all Asian subgroups had significantly lower odds of having ever received screening in 2001 than the reference group of Japanese Americans. In addition, Korean Americans were the only subgroup that had a statistically significant decline in screening prevalence from 2001 to 2005 compared to the trend among Japanese Americans. After controlling for differences in education, marital status, employment status and federal poverty level, Korean Americans were the only group that had significantly lower screening prevalence than Japanese Americans in 2001, and their trend to 2005 remained significantly depressed. After controlling for differences in English proficiency and access to care, screening prevalences in 2001 were no longer significantly different among the Asian subgroups, but the trend among Korean Americans from 2001 to 2005 remained significantly depressed. Korean and Vietnamese Americans were less likely than other groups to report a recent doctor recommendation for screening and more likely to cite a lack of health problems as a reason for not obtaining screening. Conclusions Differences in CRC screening trends among Asian ethnic groups are not entirely explained by differences in demographic characteristics, English proficiency and access to care. A better understanding of mutable factors such as rates of doctor recommendation and health beliefs will be crucial for designing culturally appropriate interventions to promote CRC screening. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|