Knowledge, beliefs, attitudes, barriers, and acculturation associated with colorectal cancer screening among Chinese Americans.

摘要

Colorectal cancer is the third most common diagnosed cancer in the United States, accounting for approximately 10% of cancer deaths overall. Reductions in mortality can be accomplished by identifying and removing pre-malignant lesions or diagnosing cancers at curable stages by mass screening, but screening rates are relatively low. There are few studies regarding participation in screening and factors associated with participation in Chinese Americans, yet this population is at risk both in terms of mortality and low participation in endoscopic screening. This cross-sectional study comprising 291 participants, conducted in a general medical clinic in Chinatown, New York City, investigated various demographic, social-economic, and cognitive factors in relation to colorectal cancer screening documented in medical records. In multivariate analysis, health insurance coverage (OR = 0.02, P 0.001), perceived susceptibility of CRC (OR = 1.2, P 0.001), and perceived physician recommendation of (OR = 2.5, P = 0.001) were associated with sigmoidoscopy or colonoscopy screening. Health insurance coverage (OR = 0.02, P = 0.001), perceived susceptibility (OR = 1.4, P 0.001), and family support (OR = 2.4, P 0.001) were associated with completion of a three-sample fecal occult blood test. No published reports were identified describing rigorously designed studies in outpatient settings to increase participation in colorectal cancer screening among Chinese Americans.