Determinants of cancer screening in Asian-Americans
Purpose Recent data suggest that Asian-Americans (AsAs) are more likely to present with advanced disease when diagnosed with cancer. We sought to determine whether AsAs are under-utilizing recommended cancer screening. Methods Cross-sectional analysis of the 2012 Behavioral Risk Factor Surveillance...
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| Veröffentlicht in: | Cancer causes & control 2016-08, Vol.27 (8), p.989-998 |
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| creator | Trinh, Quoc-Dien Li, Hanhan Meyer, Christian P. Hanske, Julian Choueiri, Toni K. Reznor, Gally Lipsitz, Stuart R. Kibel, Adam S. Han, Paul K. Nguyen, Paul L. Menon, Mani Sammon, Jesse D. |
| description | Purpose
Recent data suggest that Asian-Americans (AsAs) are more likely to present with advanced disease when diagnosed with cancer. We sought to determine whether AsAs are under-utilizing recommended cancer screening.
Methods
Cross-sectional analysis of the 2012 Behavioral Risk Factor Surveillance System comprising of AsAs and non-Hispanic White (NHW) community-dwelling individuals (English and Spanish speaking) eligible for colorectal, breast, cervical, or prostate cancer screening according to the United States Preventive Services Task Force recommendations. Age, education and income level, residence location, marital status, health insurance, regular access to healthcare provider, and screening were extracted. Complex samples logistic regression models quantified the effect of race on odds of undergoing appropriate screening. Data were analyzed in 2015.
Results
Weighted samples of 63.3, 33.3, 47.9, and 30.3 million individuals eligible for colorectal, breast, cervical, and prostate cancer screening identified, respectively. In general, AsAs were more educated, more often married, had higher levels of income, and lived in urban/suburban residencies as compared to NHWs (all
p
|
| doi_str_mv | 10.1007/s10552-016-0776-8 |
| format | Article |
| fullrecord | <record><control><sourceid>jstor_proqu</sourceid><recordid>TN_cdi_proquest_miscellaneous_1811901263</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><jstor_id>48691868</jstor_id><sourcerecordid>48691868</sourcerecordid><originalsourceid>FETCH-LOGICAL-c427t-891dcf445cb60a8232da7a76b84d689e3d065d0f94ba286a0bffcd7fbda22ae43</originalsourceid><addsrcrecordid>eNqNkD1PHDEQhi2UCI6PH0ARtFIaGofx-Ls8QYBISGlCbXm9XrSnWy-x94r8e0wWUJQCUU0xz_uO5iHklME3BqAvCgMpkQJTFLRW1OyRFZOaU40oP5EVWKmpRMEPyGEpGwCQCmGfHKDmFbG4IvwqzjGPQ_JpLs3UN8GnEHNTQo4xDemhGVKzLoNPdD3GPNR1OSafe78t8eRlHpH76--_Lm_p3c-bH5frOxoE6pkay7rQCyFDq8Ab5Nh57bVqjeiUsZF3oGQHvRWtR6M8tH0fOt23nUf0UfAjcr70Pubp9y6W2Y1DCXG79SlOu-KYYcwCQ8U_gIJSggHXFf36H7qZdjnVR_4WMpQWbaXYQoU8lZJj7x7zMPr8xzFwz_LdIt9V-e5ZvjM1c_bSvGvH2L0lXm1XABeg1FV6iPmf0--0fllCmzJP-a1UGGWZUYY_AZwklsY</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1811125929</pqid></control><display><type>article</type><title>Determinants of cancer screening in Asian-Americans</title><source>MEDLINE</source><source>JSTOR Archive Collection A-Z Listing</source><source>SpringerLink Journals - AutoHoldings</source><creator>Trinh, Quoc-Dien ; Li, Hanhan ; Meyer, Christian P. ; Hanske, Julian ; Choueiri, Toni K. ; Reznor, Gally ; Lipsitz, Stuart R. ; Kibel, Adam S. ; Han, Paul K. ; Nguyen, Paul L. ; Menon, Mani ; Sammon, Jesse D.</creator><creatorcontrib>Trinh, Quoc-Dien ; Li, Hanhan ; Meyer, Christian P. ; Hanske, Julian ; Choueiri, Toni K. ; Reznor, Gally ; Lipsitz, Stuart R. ; Kibel, Adam S. ; Han, Paul K. ; Nguyen, Paul L. ; Menon, Mani ; Sammon, Jesse D.</creatorcontrib><description>Purpose
Recent data suggest that Asian-Americans (AsAs) are more likely to present with advanced disease when diagnosed with cancer. We sought to determine whether AsAs are under-utilizing recommended cancer screening.
Methods
Cross-sectional analysis of the 2012 Behavioral Risk Factor Surveillance System comprising of AsAs and non-Hispanic White (NHW) community-dwelling individuals (English and Spanish speaking) eligible for colorectal, breast, cervical, or prostate cancer screening according to the United States Preventive Services Task Force recommendations. Age, education and income level, residence location, marital status, health insurance, regular access to healthcare provider, and screening were extracted. Complex samples logistic regression models quantified the effect of race on odds of undergoing appropriate screening. Data were analyzed in 2015.
Results
Weighted samples of 63.3, 33.3, 47.9, and 30.3 million individuals eligible for colorectal, breast, cervical, and prostate cancer screening identified, respectively. In general, AsAs were more educated, more often married, had higher levels of income, and lived in urban/suburban residencies as compared to NHWs (all
p
< 0.05). In multivariable analyses, AsAs had lower odds of undergoing colorectal (odds ratio [OR] 0.78, 95 % confidence interval [CI] 0.63–0.96), cervical (OR 0.45, 95 % CI 0.36–0.55), and prostate cancer (OR 0.55, 95 % CI 0.39–0.78) screening and similar odds of undergoing breast cancer (OR 1.29, 95 % CI 0.92–1.82) screening as compared to NHWs.
Conclusions
AsAs are less likely to undergo appropriate screening for colorectal, cervical, and prostate cancer. Contributing reasons include limitations in healthcare access, differing cultural beliefs on cancer screening and treatment, and potential physician biases. Interventions such as increasing healthcare access and literacy may improve screening rates.</description><identifier>ISSN: 0957-5243</identifier><identifier>EISSN: 1573-7225</identifier><identifier>DOI: 10.1007/s10552-016-0776-8</identifier><identifier>PMID: 27372292</identifier><identifier>CODEN: CCCNEN</identifier><language>eng</language><publisher>Cham: Springer Science + Business Media</publisher><subject>Adult ; Aged ; Asian Americans ; Behavioral Risk Factor Surveillance System ; Biomedical and Life Sciences ; Biomedicine ; Breast Neoplasms - diagnosis ; Cancer Research ; Colonoscopy ; Colorectal Neoplasms - diagnosis ; Cross-Sectional Studies ; Disease prevention ; Early Detection of Cancer - utilization ; Epidemiology ; Female ; Health Services Accessibility ; Hematology ; Humans ; Inequality ; Male ; Marital status ; Medical screening ; Oncology ; ORIGINAL PAPER ; Prostate cancer ; Prostatic Neoplasms - diagnosis ; Public Health ; Race ; Racial differences ; Social Class ; Task forces ; United States ; Uterine Cervical Neoplasms - diagnosis</subject><ispartof>Cancer causes & control, 2016-08, Vol.27 (8), p.989-998</ispartof><rights>Springer International Publishing Switzerland 2016</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c427t-891dcf445cb60a8232da7a76b84d689e3d065d0f94ba286a0bffcd7fbda22ae43</citedby><cites>FETCH-LOGICAL-c427t-891dcf445cb60a8232da7a76b84d689e3d065d0f94ba286a0bffcd7fbda22ae43</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.jstor.org/stable/pdf/48691868$$EPDF$$P50$$Gjstor$$H</linktopdf><linktohtml>$$Uhttps://www.jstor.org/stable/48691868$$EHTML$$P50$$Gjstor$$H</linktohtml><link.rule.ids>314,780,784,803,27922,27923,41486,42555,51317,58015,58248</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/27372292$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Trinh, Quoc-Dien</creatorcontrib><creatorcontrib>Li, Hanhan</creatorcontrib><creatorcontrib>Meyer, Christian P.</creatorcontrib><creatorcontrib>Hanske, Julian</creatorcontrib><creatorcontrib>Choueiri, Toni K.</creatorcontrib><creatorcontrib>Reznor, Gally</creatorcontrib><creatorcontrib>Lipsitz, Stuart R.</creatorcontrib><creatorcontrib>Kibel, Adam S.</creatorcontrib><creatorcontrib>Han, Paul K.</creatorcontrib><creatorcontrib>Nguyen, Paul L.</creatorcontrib><creatorcontrib>Menon, Mani</creatorcontrib><creatorcontrib>Sammon, Jesse D.</creatorcontrib><title>Determinants of cancer screening in Asian-Americans</title><title>Cancer causes & control</title><addtitle>Cancer Causes Control</addtitle><addtitle>Cancer Causes Control</addtitle><description>Purpose
Recent data suggest that Asian-Americans (AsAs) are more likely to present with advanced disease when diagnosed with cancer. We sought to determine whether AsAs are under-utilizing recommended cancer screening.
Methods
Cross-sectional analysis of the 2012 Behavioral Risk Factor Surveillance System comprising of AsAs and non-Hispanic White (NHW) community-dwelling individuals (English and Spanish speaking) eligible for colorectal, breast, cervical, or prostate cancer screening according to the United States Preventive Services Task Force recommendations. Age, education and income level, residence location, marital status, health insurance, regular access to healthcare provider, and screening were extracted. Complex samples logistic regression models quantified the effect of race on odds of undergoing appropriate screening. Data were analyzed in 2015.
Results
Weighted samples of 63.3, 33.3, 47.9, and 30.3 million individuals eligible for colorectal, breast, cervical, and prostate cancer screening identified, respectively. In general, AsAs were more educated, more often married, had higher levels of income, and lived in urban/suburban residencies as compared to NHWs (all
p
< 0.05). In multivariable analyses, AsAs had lower odds of undergoing colorectal (odds ratio [OR] 0.78, 95 % confidence interval [CI] 0.63–0.96), cervical (OR 0.45, 95 % CI 0.36–0.55), and prostate cancer (OR 0.55, 95 % CI 0.39–0.78) screening and similar odds of undergoing breast cancer (OR 1.29, 95 % CI 0.92–1.82) screening as compared to NHWs.
Conclusions
AsAs are less likely to undergo appropriate screening for colorectal, cervical, and prostate cancer. Contributing reasons include limitations in healthcare access, differing cultural beliefs on cancer screening and treatment, and potential physician biases. Interventions such as increasing healthcare access and literacy may improve screening rates.</description><subject>Adult</subject><subject>Aged</subject><subject>Asian Americans</subject><subject>Behavioral Risk Factor Surveillance System</subject><subject>Biomedical and Life Sciences</subject><subject>Biomedicine</subject><subject>Breast Neoplasms - diagnosis</subject><subject>Cancer Research</subject><subject>Colonoscopy</subject><subject>Colorectal Neoplasms - diagnosis</subject><subject>Cross-Sectional Studies</subject><subject>Disease prevention</subject><subject>Early Detection of Cancer - utilization</subject><subject>Epidemiology</subject><subject>Female</subject><subject>Health Services Accessibility</subject><subject>Hematology</subject><subject>Humans</subject><subject>Inequality</subject><subject>Male</subject><subject>Marital status</subject><subject>Medical screening</subject><subject>Oncology</subject><subject>ORIGINAL PAPER</subject><subject>Prostate cancer</subject><subject>Prostatic Neoplasms - diagnosis</subject><subject>Public Health</subject><subject>Race</subject><subject>Racial differences</subject><subject>Social Class</subject><subject>Task forces</subject><subject>United States</subject><subject>Uterine Cervical Neoplasms - diagnosis</subject><issn>0957-5243</issn><issn>1573-7225</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNqNkD1PHDEQhi2UCI6PH0ARtFIaGofx-Ls8QYBISGlCbXm9XrSnWy-x94r8e0wWUJQCUU0xz_uO5iHklME3BqAvCgMpkQJTFLRW1OyRFZOaU40oP5EVWKmpRMEPyGEpGwCQCmGfHKDmFbG4IvwqzjGPQ_JpLs3UN8GnEHNTQo4xDemhGVKzLoNPdD3GPNR1OSafe78t8eRlHpH76--_Lm_p3c-bH5frOxoE6pkay7rQCyFDq8Ab5Nh57bVqjeiUsZF3oGQHvRWtR6M8tH0fOt23nUf0UfAjcr70Pubp9y6W2Y1DCXG79SlOu-KYYcwCQ8U_gIJSggHXFf36H7qZdjnVR_4WMpQWbaXYQoU8lZJj7x7zMPr8xzFwz_LdIt9V-e5ZvjM1c_bSvGvH2L0lXm1XABeg1FV6iPmf0--0fllCmzJP-a1UGGWZUYY_AZwklsY</recordid><startdate>20160801</startdate><enddate>20160801</enddate><creator>Trinh, Quoc-Dien</creator><creator>Li, Hanhan</creator><creator>Meyer, Christian P.</creator><creator>Hanske, Julian</creator><creator>Choueiri, Toni K.</creator><creator>Reznor, Gally</creator><creator>Lipsitz, Stuart R.</creator><creator>Kibel, Adam S.</creator><creator>Han, Paul K.</creator><creator>Nguyen, Paul L.</creator><creator>Menon, Mani</creator><creator>Sammon, Jesse D.</creator><general>Springer Science + Business Media</general><general>Springer International Publishing</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7TO</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8C1</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>H94</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>7U7</scope><scope>C1K</scope></search><sort><creationdate>20160801</creationdate><title>Determinants of cancer screening in Asian-Americans</title><author>Trinh, Quoc-Dien ; Li, Hanhan ; Meyer, Christian P. ; Hanske, Julian ; Choueiri, Toni K. ; Reznor, Gally ; Lipsitz, Stuart R. ; Kibel, Adam S. ; Han, Paul K. ; Nguyen, Paul L. ; Menon, Mani ; Sammon, Jesse D.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c427t-891dcf445cb60a8232da7a76b84d689e3d065d0f94ba286a0bffcd7fbda22ae43</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Asian Americans</topic><topic>Behavioral Risk Factor Surveillance System</topic><topic>Biomedical and Life Sciences</topic><topic>Biomedicine</topic><topic>Breast Neoplasms - diagnosis</topic><topic>Cancer Research</topic><topic>Colonoscopy</topic><topic>Colorectal Neoplasms - diagnosis</topic><topic>Cross-Sectional Studies</topic><topic>Disease prevention</topic><topic>Early Detection of Cancer - utilization</topic><topic>Epidemiology</topic><topic>Female</topic><topic>Health Services Accessibility</topic><topic>Hematology</topic><topic>Humans</topic><topic>Inequality</topic><topic>Male</topic><topic>Marital status</topic><topic>Medical screening</topic><topic>Oncology</topic><topic>ORIGINAL PAPER</topic><topic>Prostate cancer</topic><topic>Prostatic Neoplasms - diagnosis</topic><topic>Public Health</topic><topic>Race</topic><topic>Racial differences</topic><topic>Social Class</topic><topic>Task forces</topic><topic>United States</topic><topic>Uterine Cervical Neoplasms - diagnosis</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Trinh, Quoc-Dien</creatorcontrib><creatorcontrib>Li, Hanhan</creatorcontrib><creatorcontrib>Meyer, Christian P.</creatorcontrib><creatorcontrib>Hanske, Julian</creatorcontrib><creatorcontrib>Choueiri, Toni K.</creatorcontrib><creatorcontrib>Reznor, Gally</creatorcontrib><creatorcontrib>Lipsitz, Stuart R.</creatorcontrib><creatorcontrib>Kibel, Adam S.</creatorcontrib><creatorcontrib>Han, Paul K.</creatorcontrib><creatorcontrib>Nguyen, Paul L.</creatorcontrib><creatorcontrib>Menon, Mani</creatorcontrib><creatorcontrib>Sammon, Jesse D.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Oncogenes and Growth Factors Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Public Health Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><collection>Toxicology Abstracts</collection><collection>Environmental Sciences and Pollution Management</collection><jtitle>Cancer causes & control</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Trinh, Quoc-Dien</au><au>Li, Hanhan</au><au>Meyer, Christian P.</au><au>Hanske, Julian</au><au>Choueiri, Toni K.</au><au>Reznor, Gally</au><au>Lipsitz, Stuart R.</au><au>Kibel, Adam S.</au><au>Han, Paul K.</au><au>Nguyen, Paul L.</au><au>Menon, Mani</au><au>Sammon, Jesse D.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Determinants of cancer screening in Asian-Americans</atitle><jtitle>Cancer causes & control</jtitle><stitle>Cancer Causes Control</stitle><addtitle>Cancer Causes Control</addtitle><date>2016-08-01</date><risdate>2016</risdate><volume>27</volume><issue>8</issue><spage>989</spage><epage>998</epage><pages>989-998</pages><issn>0957-5243</issn><eissn>1573-7225</eissn><coden>CCCNEN</coden><abstract>Purpose
Recent data suggest that Asian-Americans (AsAs) are more likely to present with advanced disease when diagnosed with cancer. We sought to determine whether AsAs are under-utilizing recommended cancer screening.
Methods
Cross-sectional analysis of the 2012 Behavioral Risk Factor Surveillance System comprising of AsAs and non-Hispanic White (NHW) community-dwelling individuals (English and Spanish speaking) eligible for colorectal, breast, cervical, or prostate cancer screening according to the United States Preventive Services Task Force recommendations. Age, education and income level, residence location, marital status, health insurance, regular access to healthcare provider, and screening were extracted. Complex samples logistic regression models quantified the effect of race on odds of undergoing appropriate screening. Data were analyzed in 2015.
Results
Weighted samples of 63.3, 33.3, 47.9, and 30.3 million individuals eligible for colorectal, breast, cervical, and prostate cancer screening identified, respectively. In general, AsAs were more educated, more often married, had higher levels of income, and lived in urban/suburban residencies as compared to NHWs (all
p
< 0.05). In multivariable analyses, AsAs had lower odds of undergoing colorectal (odds ratio [OR] 0.78, 95 % confidence interval [CI] 0.63–0.96), cervical (OR 0.45, 95 % CI 0.36–0.55), and prostate cancer (OR 0.55, 95 % CI 0.39–0.78) screening and similar odds of undergoing breast cancer (OR 1.29, 95 % CI 0.92–1.82) screening as compared to NHWs.
Conclusions
AsAs are less likely to undergo appropriate screening for colorectal, cervical, and prostate cancer. Contributing reasons include limitations in healthcare access, differing cultural beliefs on cancer screening and treatment, and potential physician biases. Interventions such as increasing healthcare access and literacy may improve screening rates.</abstract><cop>Cham</cop><pub>Springer Science + Business Media</pub><pmid>27372292</pmid><doi>10.1007/s10552-016-0776-8</doi><tpages>10</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0957-5243 |
| ispartof | Cancer causes & control, 2016-08, Vol.27 (8), p.989-998 |
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| source | MEDLINE; JSTOR Archive Collection A-Z Listing; SpringerLink Journals - AutoHoldings |
| subjects | Adult Aged Asian Americans Behavioral Risk Factor Surveillance System Biomedical and Life Sciences Biomedicine Breast Neoplasms - diagnosis Cancer Research Colonoscopy Colorectal Neoplasms - diagnosis Cross-Sectional Studies Disease prevention Early Detection of Cancer - utilization Epidemiology Female Health Services Accessibility Hematology Humans Inequality Male Marital status Medical screening Oncology ORIGINAL PAPER Prostate cancer Prostatic Neoplasms - diagnosis Public Health Race Racial differences Social Class Task forces United States Uterine Cervical Neoplasms - diagnosis |
| title | Determinants of cancer screening in Asian-Americans |
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