Cancer Epidemiology Biomarkers and Prevention
Volume 17, Issue 8, 2008, Pages 1963-1967

Disparities in the receipt of fecal occult blood test versus endoscopy among Filipino American immigrants (Article) (Open Access)

Maxwell A.E. , Danao L.L. , Crespi C.M. , Antonio C. , Garcia G.M. , Bastani R.
  • a Division of Cancer Prevention and Control Research, School of Public Health/Jonsson Comprehensive Cancer Center, University of California, Los Angeles, CA, United States, CHS, 650 Charles Young Drive South, Los Angeles, CA 90095-6900, United States
  • b Division of Cancer Prevention and Control Research, School of Public Health/Jonsson Comprehensive Cancer Center, University of California, Los Angeles, CA, United States
  • c Division of Cancer Prevention and Control Research, School of Public Health/Jonsson Comprehensive Cancer Center, University of California, Los Angeles, CA, United States
  • d Division of Cancer Prevention and Control Research, School of Public Health/Jonsson Comprehensive Cancer Center, University of California, Los Angeles, CA, United States
  • e Division of Cancer Prevention and Control Research, School of Public Health/Jonsson Comprehensive Cancer Center, University of California, Los Angeles, CA, United States
  • f Division of Cancer Prevention and Control Research, School of Public Health/Jonsson Comprehensive Cancer Center, University of California, Los Angeles, CA, United States

Abstract

Background: This report examines disparities associated with the type ofcolorectal screening test, fecal occult blood test versus endoscopy, within a particular racial/ethnic group, Filipino American immigrants. Methods: Between July 2005 and October 2006, Filipino Americans aged 50 to 75 years from 31 community organizations in Los Angeles completed a 15-minute survey in English (65%) or Filipino (35%). Results: Of the 487 respondents included in this analysis, 257 (53%) had never received any type of colorectal cancer screening. Among the 230 subjects who had ever received a routine screening test, 78 had fecal occult blood test only (16% of the total sample), and 152 had endoscopy with or without fecal occult blood test (31% of the total sample). After controlling for access to care and key demographic variables in a multivariate analysis, only two characteristics distinguished between respondents who had fecal occult blood test only versus those who had endoscopy: acculturation, assessed by percent lifetime in the United States and language of interview, and income. Conclusions: Our data suggest a two-tier system, fecal occult blood test for less acculturated Filipino Americans with lower income versus endoscopy for Filipino immigrants with higher levels ofacculturation and income. The disparity persists after adjusting for access to care. Instead oftreating minority groups as monolithic, differences within groups need to be examined so that interventions can be appropriately targeted. Copyright © 2008 American Association for Cancer Research.

Author Keywords

[No Keywords available]

Index Keywords

immigrant Filipino demography Endoscopy, Gastrointestinal human middle aged colorectal cancer ethnic group controlled study priority journal Aged cancer screening occult blood gastrointestinal endoscopy intermethod comparison United States Humans Asian Americans male occult blood test female Socioeconomic Factors cultural factor race Article major clinical study adult Emigration and Immigration Healthcare Disparities Philippines
Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-54049148683&doi=10.1158%2f1055-9965.EPI-07-2800&partnerID=40&md5=f89f5f5d35898e34d99b82216c3e4c92
DOI: 10.1158/1055-9965.EPI-07-2800
ISSN: 10559965
Cited by: 24
Original Language: English