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Showing content from https://pubmed.ncbi.nlm.nih.gov/19273482/ below:

Trends in colorectal cancer screening utilization among ethnic groups in California: are we closing the gap?

Affiliations

• ¹ Division of Cancer Prevention and Control Research, School of Public Health/Jonsson Comprehensive Cancer Center, University of California, Los Angeles, 650 Charles Young Dr. South, Room A2-125, CHS, Los Angeles, CA 90095-6900, USA. amaxwell@ucla.edu

• PMID: 19273482
• PMCID: PMC2745842
• DOI: 10.1158/1055-9965.EPI-08-0608

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Annette E Maxwell et al. Cancer Epidemiol Biomarkers Prev. 2009 Mar.

• ¹ Division of Cancer Prevention and Control Research, School of Public Health/Jonsson Comprehensive Cancer Center, University of California, Los Angeles, 650 Charles Young Dr. South, Room A2-125, CHS, Los Angeles, CA 90095-6900, USA. amaxwell@ucla.edu

• PMID: 19273482
• PMCID: PMC2745842
• DOI: 10.1158/1055-9965.EPI-08-0608

Item in Clipboard

Background: Given the low prevalence of and racial/ethnic disparities in colorectal cancer screening, it is important to monitor whether prevalence and disparities are increasing or decreasing over time.

Methods: We estimated the prevalence of colorectal cancer screening by year (2001, 2003, and 2005), modality (endoscopy, fecal occult blood test, either), and recency (ever had, up-to-date) for the California population as a whole, major racial/ethnic groups (White, Black, Latino, Asian), and selected Asian subgroups (Chinese, Filipino, Japanese, Korean, Vietnamese) using data from the California Health Interview Survey. All prevalence estimates were age- and gender-standardized.

Results: From 2001 to 2005, prevalence of up-to-date screening increased significantly among Whites and Latinos but not among Blacks and Asian Americans. Screening prevalence varied substantially among Asian subgroups, with Korean, Filipino, and Vietnamese Americans having the lowest prevalence. Korean Americans were the only group in the analysis with a significant decline in screening prevalence from 2001 to 2005. The gap between the highest and the lowest up-to-date screening prevalence using any screening modality, exhibited by Japanese and Korean Americans, increased from 18% in 2001 to 30% in 2005.

Conclusions: Findings suggest that we need to intensify efforts to increase colorectal cancer screening, especially among Korean Americans but also among Filipinos, Vietnamese, and Latinos.

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Estimated age- and gender-standardized proportions…

Estimated age- and gender-standardized proportions of California residents aged 50 or older who…

Estimated age- and gender-standardized proportions of California residents aged 50 or older who have ever received CRC screening

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  Maxwell AE, Crespi CM, Antonio CM, Lu P. Maxwell AE, et al. BMC Cancer. 2010 May 19;10:214. doi: 10.1186/1471-2407-10-214. BMC Cancer. 2010. PMID: 20482868 Free PMC article.

• Going against the tide: increasing incidence of colorectal cancer among Koreans, Filipinos, and South Asians in California, 1988-2007.

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• Implementation of an evidence-based intervention to promote colorectal cancer screening in community organizations: a cluster randomized trial.

  Maxwell AE, Danao LL, Cayetano RT, Crespi CM, Bastani R. Maxwell AE, et al. Transl Behav Med. 2016 Jun;6(2):295-305. doi: 10.1007/s13142-015-0349-5. Transl Behav Med. 2016. PMID: 27282431 Free PMC article. Clinical Trial.

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