Impact of Asian Ethnicity on Colorectal Cancer Screening A Population-Based Analysis
Impact of Asian Ethnicity on Colorectal Cancer Screening A Population-Based Analysis
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DOI：
10.1097/coc.0b013e3182439068
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发表时间：
2013-04-01
影响因子：
2.6
通讯作者：
Cheung, Winson Y.
中科院分区：
文献类型：
--
作者：
Homayoon, Babak;Shahidi, Neal C.;Cheung, Winson Y.
目的：尽管研究表明，非洲裔美国人和西班牙裔美国人接受的结直肠癌筛查（CRCS）比白人少，但很少有研究关注亚洲人的CRCS。本研究的目的是比较亚洲人和白人之间的CRCS和CRCS.Methods的临床预测评估：从2007年加州健康访谈调查，我们确定了所有亚洲和白色受访者谁是合格的CRCS。进行逻辑回归以评估CRCS的差异。我们使用分层和交互分析，以检查是否修改保险状态，出生地，或语言技能，而控制其他混杂因素之间的关联种族和CRCS。结果：亚洲人和白人的基线特征相似。只有58%的亚洲人和66%的白人报告接受了最新的CRCS（P < 0.01）。在多变量分析中，拜访医生超过5次产生了最新筛查的最高几率。与白人相比，亚洲人接受最新筛查的几率降低。分层分析表明，这种差异主要存在于投保，但不是在未投保，它是不修改的出生地或英语语言proficiency.Conclusions：尽管它的能力，以降低死亡率，CRCS是次优在我们的美国人口为基础的队列的亚洲人相比，白人。对于中国人和韩国人来说，造成这一问题的一个因素可能是缺乏对CRCS的认识，而越南人的问题根源似乎与医疗保健的获得有关。
Objectives: Although research shows that African Americans and Hispanics frequently receive less colorectal cancer screening (CRCS) than whites, few studies have focused on CRCS among Asians. The aims of this study were to compare CRCS between Asians and whites and to evaluate for clinical predictors of CRCS.Methods: From the 2007 California Health Interview Survey, we identified all Asian and white respondents who were eligible for CRCS. Logistic regression was performed to evaluate for differences in CRCS. We used stratified and interaction analyses to examine whether associations between race and CRCS were modified by insurance status, birthplace, or language skills, while controlling for other confounders.Results: Baseline characteristics were similar between Asians and whites. Only 58% of Asians and 66% of whites reported undergoing up-to-date CRCS (P < 0.01). In multivariate analyses, visiting a physician more than 5 times produced the highest odds of being up-to-date with screening. When compared with whites, Asians had decreased odds of being up-to-date with screening. Stratified analyses showed that this disparity existed mainly in the insured, but not in the uninsured, and it was not modified by place of birth or English language proficiency.Conclusions: Despite its ability to reduce mortality, CRCS is suboptimal in our US population-based cohort of Asians when compared with whites. A contributing factor to this problem for the Chinese and Koreans may be a lack of awareness regarding CRCS, whereas the source of the problem in the Vietnamese seems to be related to healthcare access.