Colorectal cancer among Koreans living in South Korea versus California: incidence, mortality, and screening rates.
Colorectal cancer among Koreans living in South Korea versus California: incidence, mortality, and screening rates.
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DOI：
10.1080/13557858.2013.801404
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发表时间：
2014-08
影响因子：
3.1
通讯作者：
Maxwell AE
中科院分区：
文献类型：
--
作者：
Ryu SY;Crespi CM;Maxwell AE
这项研究比较了1999-2009年间韩国韩国人和加州韩裔美国人和非西班牙裔白人的结直肠癌(CRC)发病率和死亡率的趋势，并研究了这两个韩国人的CRC筛查率和CRC筛查的社会人口学相关性。韩国韩裔和加利福尼亚州韩裔美国人和非西班牙裔白人1999-2009年的年龄标准化CRC发病率和死亡率是从癌症统计的年度报告中获得的，并使用连接点回归进行建模。使用2009年韩国国家健康和营养检查调查和加州健康访谈调查的数据，我们估计并比较了CRC筛查率和测试方式。我们使用多元Logistic回归来检验两个韩国人群中根据指南完成结直肠癌筛查的社会人口学相关因素。韩国人的CRC发病率和死亡率在1999-2009年间有所增加，但在本世纪头十年后期有所放缓。在加利福尼亚州，韩裔美国女性的CRC发病率上升，但非西班牙裔白人的发病率下降。大约37%的韩国人和60%的韩裔美国人报告说，根据2009年的指导方针，他们完成了结直肠癌筛查。在韩国人中，已婚状态、较高收入和私人医疗保险与CRC筛查相关，并对其他因素进行了调整。在韩裔美国人中，拥有医疗保险与CRC筛查有关。尽管韩国和美国的结直肠癌筛查指南几乎相同，而且与韩国人相比，韩裔美国人的筛查率要高得多，但在结直肠癌统计方面，这两个群体仍然存在差异。因此，在两国人口中促进结直肠癌一级和二级预防的努力在两国都至关重要。
This study compared trends in colorectal cancer (CRC) incidence and mortality rates among Koreans in South Korea and Korean Americans and non-Hispanic whites in California between 1999 and 2009, and examined CRC screening rates and socio-demographic correlates of CRC screening in the two Korean populations. Age-standardized CRC incidence and mortality rates of Koreans in South Korea and Korean Americans and non-Hispanic whites in California for the years 1999–2009 were obtained from annual reports of cancer statistics and modeled using joinpoint regression. Using 2009 data from the Korean National Health and Nutrition Examination Survey and the California Health Interview Survey, we estimated and compared CRC screening rates and test modalities. We used multiple logistic regression to examine socio-demographic correlates of completion of CRC screening according to the guidelines among the two Korean populations. CRC incidence and mortality rates among South Koreans increased during 1999–2009 but more slowly during the late 2000s. In California, CRC incidence increased among Korean American females but decreased among non-Hispanic whites. About 37% of South Koreans and 60% of Korean Americans reported completion of CRC screening according to guidelines in 2009. Among South Koreans, married status, higher income and private health insurance were associated with CRC screening, adjusting for other factors. Among Korean Americans, having health insurance was associated with CRC screening. Despite almost identical CRC screening guidelines in South Korea and the US and substantially higher screening rates among Korean Americans as compared to South Koreans, disparities remain in both populations with respect to CRC statistics. Thus, efforts to promote primary and secondary prevention of CRC in both Korean populations are critically important in both countries.
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影响因子：
3.8
作者：
Maxwell AE;Crespi CM;Antonio CM;Lu P
通讯作者：
Lu P
DOI：
10.1097/coc.0b013e3182439068
发表时间：
2013-04-01
影响因子：
2.6
作者：
Homayoon, Babak;Shahidi, Neal C.;Cheung, Winson Y.
通讯作者：
Cheung, Winson Y.
影响因子：
3.1
作者：
Lee, Hee Yun;Lundquist, Melissa;Townsend, Aloen
通讯作者：
Townsend, Aloen
影响因子：
6.2
作者：
Kandula, Namratha R.;Wen, Ming;Lauderdale, Diane S.
通讯作者：
Lauderdale, Diane S.
影响因子：
6.2
作者：
Edwards, Brenda K.;Ward, Elizabeth;Kohler, Betsy A.;Eheman, Christie;Zauber, Ann G.;Anderson, Robert N.;Jemal, Ahmedin;Schymura, Maria J.;Lansdorp-Vogelaar, Iris;Seeff, Laura C.;van Ballegooijen, Marjolein;Goede, S. Luuk;Ries, Lynn A. G.
通讯作者：
Ries, Lynn A. G.