Colorectal cancer screening prevalence and predictors among Asian American subgroups using Medical Expenditure Panel Survey National Data. Issue Volume 124:Issue S7(2018) (26th March 2018)

• Record Type: Journal Article
• Authors: Sy, Angela U.; Lim, Eunjung; Ka'opua, Lana Sue; Kataoka‐Yahiro, Merle; Kinoshita, Yumiko; Stewart, Susan L.
• Is Part Of: Cancer. Volume 124:Issue S7(2018)
• Page Start: 1543
• Page End: 1551
• Publication Date: 2018-03-26
• Subjects: colorectal cancer screening -- Asian Americans -- Filipino -- Chinese -- Asian Indians; Cancer -- Periodicals; Cancer -- Cytopathology -- Periodicals; 616.99405
• DOI: 10.1002/cncr.31098
• Languages: English
• ISSNs: 0008-543X

Abstract

Abstract : BACKGROUND: Asian American (AA) ethnic subgroups are diverse in socio‐economic status, years in the United States, English proficiency, and cultures with different health seeking behaviors and health care access. Fifty‐two percent of AAs age ≥50 years had colorectal cancer screening (CRCS) in 2013, compared with 61% of non‐Hispanic whites. We hypothesized that CRCS prevalence among AA ethnicities is heterogeneous and that the reasons related to CRCS among AA subgroups are associated with demographic characteristics, acculturation, health care access, and health attitudes. METHODS: Medical Expenditure Panel Survey data for 2009‐2014 compared CRCS status among whites (n = 28, 834), Asian Indians (n = 466), Chinese (n = 652), and Filipinos (n = 788). Multivariate logistic regression examined ethnic differences and correlates of CRCS accounting for complex sampling design. RESULTS: Whites had the highest prevalence of screening (62.3%), followed by Filipinos (55.0%), Chinese (50.9%), and Asian Indians (48.6%). Older age, having health insurance, and having a usual care provider predicted CRCS across all ethnicities. Different demographic, health care access, and health attitude predictors within each ethnic group were related to CRCS. CONCLUSION: This study contributes to the literature on influences of differential CRCS prevalence among AA subgroups. CRCS promotion should be tailored according to attitudes and structural barriers affecting screening behavior of specific ethnic subgroups to truly serve the health needs of the diverse AA population. Cancer 2018;124:1543‐51. © 2018 American Cancer Society . Abstract : This study contributes to the literature on predictors of colorectal cancer screening among diverse Asian American ethnic subgroups. Attention to the use of valid, relevant research designs to draw comparisons across studies and to examine the social determinants of health are recommended for screening promotion with these diverse ethnicities.