The Role of Physician Recommendation in Colorectal Cancer Screening Receipt Among Immigrant Chinese Americans

Journal of Immigrant and Minority Health
Volume 20, Issue 6, 2018, Pages 1483-1489

The Role of Physician Recommendation in Colorectal Cancer Screening Receipt Among Immigrant Chinese Americans (Article)

Jih J.* , Nguyen M.P. , Ly I. , Tsoh J.Y. , Le G.M. , Woo K. , Chan E. , Gildengorin G. , Stewart S.L. , Burke A. , Pasick R. , McPhee S.J. , Nguyen T.T.

^a Asian American Research Center on Health, San Francisco, CA, United States, Division of General Internal Medicine, University of California, San Francisco, San Francisco, CA, United States, Division of General Internal Medicine, University of California, San Francisco, 1545 Divisadero Street, P.O. Box 0320, San Francisco, CA 94115, United States
^b Asian American Research Center on Health, San Francisco, CA, United States
^c Asian American Research Center on Health, San Francisco, CA, United States
^d Asian American Research Center on Health, San Francisco, CA, United States, Department of Psychiatry, University of California, San Francisco, San Francisco, CA, United States
^e Asian American Research Center on Health, San Francisco, CA, United States, Division of General Internal Medicine, Zuckerberg San Francisco General Hospital/University of California, San Francisco, San Francisco, CA, United States
^f NICOS Chinese Health Coalition, San Francisco, CA, United States
^g NICOS Chinese Health Coalition, San Francisco, CA, United States
^h Division of General Internal Medicine, University of California, San Francisco, San Francisco, CA, United States
ⁱ Division of Biostatistics, University of California, Davis, Davis, CA, United States
^j Asian American Research Center on Health, San Francisco, CA, United States, Department of Health Education, San Francisco State University, San Francisco, CA, United States
^k Asian American Research Center on Health, San Francisco, CA, United States, Division of General Internal Medicine, University of California, San Francisco, San Francisco, CA, United States
^l Asian American Research Center on Health, San Francisco, CA, United States, Division of General Internal Medicine, University of California, San Francisco, San Francisco, CA, United States
^m Asian American Research Center on Health, San Francisco, CA, United States, Division of General Internal Medicine, University of California, San Francisco, San Francisco, CA, United States

Abstract

Chinese Americans have low colorectal cancer (CRC) screening rates. It is unclear whether physicians should offer all CRC screening modalities (fecal occult blood test [FOBT], sigmoidoscopy, colonoscopy) to Chinese Americans to increase screening. Seven hundred and twenty-five Chinese Americans were asked in a survey if their physician had ever recommended CRC screening and to self-report receipt and type of CRC screening. Participants whose physician had recommended all CRC screening modalities were significantly more likely to report ever having screening (adjusted odds ratio 4.29, 95% CI 1.26–14.68) and being up-to-date (4.06, 95% CI 2.13–7.74) than those who reported that their physician only recommended FOBT. Participants who received a recommendation of only one type of screening did not report a significant difference in ever having or being up-to-date for screening. A potential strategy to increase CRC screening among Chinese Americans is for clinicians to recommend all available CRC screening modalities to each patient. © 2017, Springer Science+Business Media, LLC, part of Springer Nature.

Author Keywords

Physician recommendation Chinese americans disparities Colorectal cancer screening

Index Keywords

Physician's Role China human epidemiology middle aged colorectal tumor early cancer diagnosis Aged Colorectal Neoplasms occult blood Early Detection of Cancer ethnology procedures United States Humans migrant psychology Asian Americans colonoscopy male Acculturation Emigrants and Immigrants Asian American Socioeconomic Factors female socioeconomics cultural factor physician attitude age sex factor Sex Factors Age Factors patient attitude Patient Acceptance of Health Care Health Services Accessibility health care delivery

Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-85034647501&doi=10.1007%2fs10903-017-0679-0&partnerID=40&md5=6d96902727162ffb6da722b6ca81ad88

DOI: 10.1007/s10903-017-0679-0

ISSN: 15571912

Cited by: 1

Original Language: English