Explaining disparities in colorectal cancer screening among five Asian ethnic groups: a population-based study in California.
Explaining disparities in colorectal cancer screening among five Asian ethnic groups: a population-based study in California.
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DOI：
10.1186/1471-2407-10-214
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发表时间：
2010-05-19
期刊：
影响因子：
3.8
通讯作者：
Lu P
中科院分区：
文献类型：
--
作者：
Maxwell AE;Crespi CM;Antonio CM;Lu P
来自加州健康访谈调查（CHIS）的数据表明，亚裔美国人群体中结直肠癌（CRC）筛查患病率的水平和时间趋势各不相同;然而，这些差异的原因尚未得到充分研究。使用CHIS 2001年、2003年和2005年的数据，我们进行了分层回归分析，逐步控制人口统计学特征、英语水平和获得护理的机会，试图找出解释中国人、菲律宾人、越南人、韩国人和日裔美国人（N = 4，188）筛查患病率和趋势差异的因素。在控制了性别和年龄的差异后，所有亚裔亚组在2001年接受筛查的几率明显低于参考组日裔美国人。此外，与日裔美国人的趋势相比，韩裔美国人是2001年至2005年筛查患病率在统计学上显著下降的唯一亚组。在控制了教育、婚姻状况、就业状况和联邦贫困水平的差异后，2001年，韩裔美国人是唯一一个筛查患病率明显低于日裔美国人的群体，他们到2005年的趋势仍然明显低迷。在控制了英语水平和获得护理的差异后，2001年的筛查患病率在亚洲亚组之间不再有显著差异，但2001年至2005年韩裔美国人的趋势仍然显着低迷。与其他群体相比，韩国和越南裔美国人不太可能报告最近的医生建议进行筛查，更有可能将缺乏健康问题作为不进行筛查的原因。亚洲种族之间CRC筛查趋势的差异并不能完全由人口统计学特征、英语水平和获得护理的差异来解释。更好地了解可变因素，如医生推荐率和健康信念，将是至关重要的设计文化上适当的干预措施，以促进CRC筛查。
Data from the California Health Interview Survey (CHIS) indicate that levels and temporal trends in colorectal cancer (CRC) screening prevalence vary among Asian American groups; however, the reasons for these differences have not been fully investigated. Using CHIS 2001, 2003 and 2005 data, we conducted hierarchical regression analyses progressively controlling for demographic characteristics, English proficiency and access to care in an attempt to identify factors explaining differences in screening prevalence and trends among Chinese, Filipino, Vietnamese, Korean and Japanese Americans (N = 4,188). After controlling for differences in gender and age, all Asian subgroups had significantly lower odds of having ever received screening in 2001 than the reference group of Japanese Americans. In addition, Korean Americans were the only subgroup that had a statistically significant decline in screening prevalence from 2001 to 2005 compared to the trend among Japanese Americans. After controlling for differences in education, marital status, employment status and federal poverty level, Korean Americans were the only group that had significantly lower screening prevalence than Japanese Americans in 2001, and their trend to 2005 remained significantly depressed. After controlling for differences in English proficiency and access to care, screening prevalences in 2001 were no longer significantly different among the Asian subgroups, but the trend among Korean Americans from 2001 to 2005 remained significantly depressed. Korean and Vietnamese Americans were less likely than other groups to report a recent doctor recommendation for screening and more likely to cite a lack of health problems as a reason for not obtaining screening. Differences in CRC screening trends among Asian ethnic groups are not entirely explained by differences in demographic characteristics, English proficiency and access to care. A better understanding of mutable factors such as rates of doctor recommendation and health beliefs will be crucial for designing culturally appropriate interventions to promote CRC screening.
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影响因子：
1.6
作者：
Maxwell, AE;Bastani, R;Warda, US
通讯作者：
Warda, US
DOI：
10.1158/1055-9965.epi-07-2800
发表时间：
2008-08
期刊：
Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology
影响因子：
--
作者：
Maxwell AE;Danao LL;Crespi CM;Antonio C;Garcia GM;Bastani R
通讯作者：
Bastani R
影响因子：
254.7
作者：
McCracken, Melissa;Olsen, Miho;Ward, Elizabeth
通讯作者：
Ward, Elizabeth
影响因子：
1.9
作者：
Jo, Angela M.;Maxwell, Annette E.;Bastani, Roshan
通讯作者：
Bastani, Roshan
影响因子：
5
作者：
ANDERSEN, RM
通讯作者：
ANDERSEN, RM