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Showing content from http://www.ncbi.nlm.nih.gov/pubmed/25521898 below:

Asian American women in California: a pooled analysis of predictors for breast and cervical cancer screening

. 2015 Feb;105(2):e98-e109. doi: 10.2105/AJPH.2014.302250. Asian American women in California: a pooled analysis of predictors for breast and cervical cancer screening

Affiliations

Affiliation

¹ Neetu Chawla is with Outcomes Research Branch, Applied Research Program, Division of Cancer Control and Population Sciences, National Cancer Institute, Rockville, MD. Nancy Breen is with Health Services and Economics Branch, Applied Research Program, Division of Cancer Control and Population Sciences, National Cancer Institute. Benmei Liu is with Statistical Methodology and Applications Branch, Surveillance Research Program, Division of Cancer Control and Population Sciences, National Cancer Institute. Richard Lee is with Information Management Services, Inc, Calverton, MD. Marjorie Kagawa-Singer is with UCLA School of Public Health and Asian American Studies Department, Los Angeles, CA.

PMID: 25521898
PMCID: PMC4318316
DOI: 10.2105/AJPH.2014.302250

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Asian American women in California: a pooled analysis of predictors for breast and cervical cancer screening

Neetu Chawla et al. Am J Public Health. 2015 Feb.

. 2015 Feb;105(2):e98-e109. doi: 10.2105/AJPH.2014.302250. Affiliation

¹ Neetu Chawla is with Outcomes Research Branch, Applied Research Program, Division of Cancer Control and Population Sciences, National Cancer Institute, Rockville, MD. Nancy Breen is with Health Services and Economics Branch, Applied Research Program, Division of Cancer Control and Population Sciences, National Cancer Institute. Benmei Liu is with Statistical Methodology and Applications Branch, Surveillance Research Program, Division of Cancer Control and Population Sciences, National Cancer Institute. Richard Lee is with Information Management Services, Inc, Calverton, MD. Marjorie Kagawa-Singer is with UCLA School of Public Health and Asian American Studies Department, Los Angeles, CA.

PMID: 25521898
PMCID: PMC4318316
DOI: 10.2105/AJPH.2014.302250

Item in Clipboard

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.

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