Colorectal cancer screening prevalence and predictors among Asian American subgroups using Medical Expenditure Panel Survey National Data.
Colorectal cancer screening prevalence and predictors among Asian American subgroups using Medical Expenditure Panel Survey National Data.
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DOI：
10.1002/cncr.31098
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发表时间：
2018-04-01
期刊：
影响因子：
6.2
通讯作者：
Stewart SL
中科院分区：
文献类型：
--
作者：
Sy AU;Lim E;Ka'opua LS;Kataoka-Yahiro M;Kinoshita Y;Stewart SL
亚裔美国人在社会经济地位、在美居住年限、英语水平、文化背景等方面存在差异，就医行为和医疗服务的获取方式也各不相同。2013年，52%的50岁以上的AA进行了结直肠癌筛查（CRCS），而非西班牙裔白人为61%。我们假设AA种族中CRCS患病率是异质性的，AA亚组中CRCS相关的原因与人口统计学特征、文化适应、医疗保健获得和健康态度相关。2009-2014年的医疗支出小组调查数据比较了白人（N= 28，834），亚洲印度人（N=466），中国人（N=652）和菲律宾人（N=788）的CRCS状态。多元逻辑回归分析种族差异和相关性的CRCS占复杂的抽样设计。白人的筛查率最高（62.3%），其次是菲律宾人（55.0%）、中国人（50.9%）和亚洲印度人（48.6%）。年龄较大，有健康保险和通常的护理提供者预测CRCS在所有种族。不同的人口统计学，卫生保健的访问，和健康态度的预测在每个种族群体内的CRCS相关。这项研究有助于文献的影响，不同的CRCS患病率之间的AA亚组。CRCS的推广应根据特定种族亚群的态度和影响筛查行为的结构性障碍进行调整，以真正满足不同AA人群的健康需求。本研究为不同亚裔美国人亚群中结直肠癌筛查预测因子的文献提供了资料。注意使用有效的，相关的研究设计，绘制跨研究的比较，并检查健康的社会决定因素，建议这些不同的种族筛选推广。
Asian American (AA) ethnic subgroups are diverse in socioeconomic status, years in US, English proficiency, and cultures with different health seeking behaviors and health care access. Fifty two percent of AAs, 50+ years had colorectal cancer screening (CRCS) in 2013, compared with 61% of Non-Hispanic Whites. We hypothesized that CRCS prevalence among AA ethnicities are heterogeneous, and reasons related to CRCS among AA subgroups are associated with demographic characteristics, acculturation, health care access, and health attitudes. Medical Expenditure Panel Survey data for 2009–2014 compared CRCS statusamong Whites (N=28,834), Asian Indian (N=466), Chinese (n=652), and Filipinos (N=788). Multivariate logistic regression examined ethnic differences and correlates of CRCS accounting for complex sampling design. Whites had the highest prevalence of screening (62.3%) followed by Filipino (55.0%), Chinese (50.9%), and Asian Indian (48.6%). Older age, having health insurance and a usual care provider predicted CRCS across all ethnicities. Different demographic, health care access, and health attitude predictors within each ethnic group were related to CRCS. This study contributes to the literature on influences of differential CRCS prevalence among AA subgroups. CRCS promotion should be tailored according to attitudes and structural barriers affecting screening behavior of specific ethnic subgroups to truly serve the health needs of the diverse AA population. Precis for Use in the Table of Contents This study contributes to the literature on predictors of colorectal cancer screening among diverse Asian American ethnic subgroups. Attention to the use of valid, relevant research designs to draw comparisons across studies and to examine the social determinants of health are recommended for screening promotion with these diverse ethnicities.
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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
2009 - 2011年，美国亚裔美国人人口的癌症发病率。
影响因子：
6.4
作者：
Jin H;Pinheiro PS;Xu J;Amei A
通讯作者：
Amei A
DOI：
10.1097/coc.0b013e3182439068
发表时间：
2013-04-01
影响因子：
2.6
作者：
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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：
2.6
作者：
Menon, Usha;Szalacha, Laura;Kue, Jennifer
通讯作者：
Kue, Jennifer