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 |
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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. |
doi_str_mv | 10.1007/s13187-017-1211-x |
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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.</description><identifier>ISSN: 0885-8195</identifier><identifier>EISSN: 1543-0154</identifier><identifier>DOI: 10.1007/s13187-017-1211-x</identifier><identifier>PMID: 28378200</identifier><language>eng</language><publisher>New York: Springer US</publisher><subject>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</subject><ispartof>Journal of cancer education, 2018-08, Vol.33 (4), p.757-768</ispartof><rights>American Association for Cancer Education 2017</rights><rights>Journal of Cancer Education is a copyright of Springer, (2017). All Rights Reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c372t-2a06ca6ea014e58bf18e6ab08f5b53c87f5164724899e968b672ef4e06b47513</citedby><cites>FETCH-LOGICAL-c372t-2a06ca6ea014e58bf18e6ab08f5b53c87f5164724899e968b672ef4e06b47513</cites><orcidid>0000-0002-0720-7122</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s13187-017-1211-x$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s13187-017-1211-x$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,778,782,27907,27908,41471,42540,51302</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28378200$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Jun, Jungmi</creatorcontrib><creatorcontrib>Nan, Xiaoli</creatorcontrib><title>Determinants of Cancer Screening Disparities Among Asian Americans: A Systematic Review of Public Health Surveys</title><title>Journal of cancer education</title><addtitle>J Canc Educ</addtitle><addtitle>J Cancer Educ</addtitle><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.</description><subject>Acculturation</subject><subject>Asian Americans</subject><subject>Asian Americans - statistics & numerical data</subject><subject>Biomedical and Life Sciences</subject><subject>Biomedicine</subject><subject>Breast Neoplasms - diagnosis</subject><subject>Cancer</subject><subject>Cancer Research</subject><subject>Colonic Neoplasms - diagnosis</subject><subject>Cultural Influences</subject><subject>Early Detection of Cancer</subject><subject>European Continental Ancestry Group - statistics & numerical data</subject><subject>Female</subject><subject>Health Literacy</subject><subject>Health Services Accessibility - statistics & numerical data</subject><subject>Health Status</subject><subject>Humans</subject><subject>Male</subject><subject>Mass Screening - statistics & numerical data</subject><subject>Medical screening</subject><subject>Pharmacology/Toxicology</subject><subject>Public Health</subject><subject>Systematic review</subject><subject>Uterine Cervical Neoplasms - diagnosis</subject><issn>0885-8195</issn><issn>1543-0154</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNp1kU9vEzEQxS0EomnhA3BBlrhwWerx_3CLUmiRKlE1vVteM1tc7XqDvds23x5HKSAh9TSj59-8seYR8g7YJ2DMnBYQYE3DwDTAAZrHF2QBSoqqKPmSLJi1qrGwVEfkuJQ7VmXO1GtyxK0wljO2INsznDAPMfk0FTp2dO1TwEw3ISOmmG7pWSxbn-MUsdDVMFZlVaJPtcccg0_lM13Rza5MOPgpBnqN9xEf9lZXc9tX4QJ9P_2kmznf4668Ia863xd8-1RPyM3XLzfri-by-_m39eqyCcLwqeGe6eA1egYSlW07sKh9y2ynWiWCNZ0CLQ2XdrnEpbatNhw7iUy30igQJ-TjwXabx18zlskNsQTse59wnIsDa6XU9Q6ioh_-Q-_GOaf6OceZ4dqCEKpScKBCHkvJ2LltjoPPOwfM7dNwhzRcTcPt03CPdeb9k_PcDvjj78Sf81eAH4BSn9It5n-rn3f9DVQflLI</recordid><startdate>20180801</startdate><enddate>20180801</enddate><creator>Jun, Jungmi</creator><creator>Nan, Xiaoli</creator><general>Springer US</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>0-V</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88B</scope><scope>88E</scope><scope>88G</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ALSLI</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>CJNVE</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0P</scope><scope>M0S</scope><scope>M1P</scope><scope>M2M</scope><scope>M2O</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>PQEDU</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PSYQQ</scope><scope>Q9U</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-0720-7122</orcidid></search><sort><creationdate>20180801</creationdate><title>Determinants of Cancer Screening Disparities Among Asian Americans: A Systematic Review of Public Health Surveys</title><author>Jun, Jungmi ; Nan, Xiaoli</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c372t-2a06ca6ea014e58bf18e6ab08f5b53c87f5164724899e968b672ef4e06b47513</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Acculturation</topic><topic>Asian Americans</topic><topic>Asian Americans - statistics & numerical data</topic><topic>Biomedical and Life Sciences</topic><topic>Biomedicine</topic><topic>Breast Neoplasms - diagnosis</topic><topic>Cancer</topic><topic>Cancer Research</topic><topic>Colonic Neoplasms - diagnosis</topic><topic>Cultural Influences</topic><topic>Early Detection of Cancer</topic><topic>European Continental Ancestry Group - statistics & numerical data</topic><topic>Female</topic><topic>Health Literacy</topic><topic>Health Services Accessibility - statistics & numerical data</topic><topic>Health Status</topic><topic>Humans</topic><topic>Male</topic><topic>Mass Screening - statistics & numerical data</topic><topic>Medical screening</topic><topic>Pharmacology/Toxicology</topic><topic>Public Health</topic><topic>Systematic review</topic><topic>Uterine Cervical Neoplasms - diagnosis</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Jun, Jungmi</creatorcontrib><creatorcontrib>Nan, Xiaoli</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 Social Sciences Premium Collection</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Education Database (Alumni Edition)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Psychology Database (Alumni)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>Social Science Premium Collection</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Education Collection</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Education Database</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>ProQuest Psychology</collection><collection>Research Library</collection><collection>Research Library (Corporate)</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Education</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>ProQuest One Psychology</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of cancer education</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Jun, Jungmi</au><au>Nan, Xiaoli</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Determinants of Cancer Screening Disparities Among Asian Americans: A Systematic Review of Public Health Surveys</atitle><jtitle>Journal of cancer education</jtitle><stitle>J Canc Educ</stitle><addtitle>J Cancer Educ</addtitle><date>2018-08-01</date><risdate>2018</risdate><volume>33</volume><issue>4</issue><spage>757</spage><epage>768</epage><pages>757-768</pages><issn>0885-8195</issn><eissn>1543-0154</eissn><abstract>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.</abstract><cop>New York</cop><pub>Springer US</pub><pmid>28378200</pmid><doi>10.1007/s13187-017-1211-x</doi><tpages>12</tpages><orcidid>https://orcid.org/0000-0002-0720-7122</orcidid></addata></record> |
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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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