American Journal of Public Health
Volume 105, Issue 2, 2015, Pages e98-e109

Asian American women in California: A pooled analysis of predictors for breast and cervical cancer screening (Article)

Chawla N.* , Breen N. , Liu B. , Lee R. , Kagawa-Singer M.
  • a Outcomes Research Branch, Division of Cancer Control and Population Sciences, National Cancer Institute, 9609 Medical Center Dr, Rockville, MD 20850, United States
  • b Health Services and Economics Branch, Division of Cancer Control and Population Sciences, National Cancer Institute, United States
  • c Statistical Methodology and Applications Branch, Division of Cancer Control and Population Sciences, National Cancer Institute, United States
  • d Information Management Services, Inc, Calverton, MD, United States
  • e UCLA School of Public Health, Asian American Studies Department, Los Angeles, CA, United States

Abstract

Objectives. We examined patterns of cervical and breast cancer screening among Asian American women in California and assessed their screening trends over time. Methods. We pooled weighted data from 5 cycles of the California Health Interview Survey (2001, 2003, 2005, 2007, 2009) to examine breast and cervical cancer screening trends and predictors among 6 Asian nationalities. We calculated descriptive statistics, bivariate associations, multivariate logistic regressions, predictive margins, and 95% confidence intervals. Results. Multivariate analyses indicated that Papanicolaou test rates did not significantly change over time (77.9% in 2001 vs 81.2% in 2007), but mammography receipt increased among Asian American women overall (75.6% in 2001 vs 81.8% in 2009). Length of time in the United States was associated with increased breast and cervical cancer screening among all nationalities. Sociodemographic and health care access factors had varied effects, with education and insurance coverage significantly predicting screening for certain groups. Overall, we observed striking variation by nationality. Conclusions. Our results underscore the need for intervention and policy efforts that are targeted to specific Asian nationalities, recent immigrants, and individuals without health care access to increase screening rates among Asian women in California.

Author Keywords

[No Keywords available]

Index Keywords

China South Korea Republic of Korea health care survey Health Care Surveys human epidemiology middle aged statistics and numerical data Aged Early Detection of Cancer ethnology United States Young Adult Humans Breast Neoplasms Mammography California Asian Americans Japan Asian American female adult age Age Factors Uterine Cervical Neoplasms Papanicolaou Test early diagnosis
Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-84921829366&doi=10.2105%2fAJPH.2014.302250&partnerID=40&md5=618a5d094be9a79d991b77bbc12d0976
DOI: 10.2105/AJPH.2014.302250
ISSN: 00900036
Cited by: 34
Original Language: English