Determinants of Cancer Screening Disparities Among Asian Americans: A Systematic Review of Public Health Surveys

We conducted a systematic analysis of 24 peer-reviewed literary works that examined Asian Americans’ breast, cervical, and colon cancer screening, focusing on empirical findings from large-scale public health surveys (i.e., NHIS, CHIS, HINTS, BRFSS). We provide an overview of relevant research in te...

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Veröffentlicht in:Journal of cancer education 2018-08, Vol.33 (4), p.757-768
Hauptverfasser: Jun, Jungmi, Nan, Xiaoli
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Nan, Xiaoli
description We conducted a systematic analysis of 24 peer-reviewed literary works that examined Asian Americans’ breast, cervical, and colon cancer screening, focusing on empirical findings from large-scale public health surveys (i.e., NHIS, CHIS, HINTS, BRFSS). We provide an overview of relevant research in terms of study characteristics, samples, predictor/covariate of cancer screenings, and key findings. Our analysis indicates that Asian Americans’ cancer screening rates are lower than for non-Hispanic Whites for all cancer types in four large-scale public health surveys throughout 17 study years. Acculturation and healthcare access were two significant factors in explaining Asian Americans’ cancer screening rates. Cancer fatalism and family cancer history emerged as potential factors that may account for more variances. However, the screening disparities between Asian Americans and whites persist even after adjusting all covariates, including SES, acculturation, healthcare access, health status, and health perception/literacy. More individual and cultural factors should be identified to address these disparities.
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source MEDLINE; SpringerLink Journals - AutoHoldings
subjects Acculturation
Asian Americans
Asian Americans - statistics & numerical data
Biomedical and Life Sciences
Biomedicine
Breast Neoplasms - diagnosis
Cancer
Cancer Research
Colonic Neoplasms - diagnosis
Cultural Influences
Early Detection of Cancer
European Continental Ancestry Group - statistics & numerical data
Female
Health Literacy
Health Services Accessibility - statistics & numerical data
Health Status
Humans
Male
Mass Screening - statistics & numerical data
Medical screening
Pharmacology/Toxicology
Public Health
Systematic review
Uterine Cervical Neoplasms - diagnosis
title Determinants of Cancer Screening Disparities Among Asian Americans: A Systematic Review of Public Health Surveys
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