Format

Send to

Choose Destination
J Immigr Minor Health. 2018 Dec;20(6):1483-1489. doi: 10.1007/s10903-017-0679-0.

The Role of Physician Recommendation in Colorectal Cancer Screening Receipt Among Immigrant Chinese Americans.

Author information

1
Asian American Research Center on Health, San Francisco, CA, USA. jane.jih@ucsf.edu.
2
Division of General Internal Medicine, University of California, San Francisco, San Francisco, CA, USA. jane.jih@ucsf.edu.
3
Division of General Internal Medicine, University of California, San Francisco, 1545 Divisadero Street, P.O. Box 0320, San Francisco, CA, 94115, USA. jane.jih@ucsf.edu.
4
Asian American Research Center on Health, San Francisco, CA, USA.
5
Department of Psychiatry, University of California, San Francisco, San Francisco, CA, USA.
6
Division of General Internal Medicine, Zuckerberg San Francisco General Hospital/University of California, San Francisco, San Francisco, CA, USA.
7
NICOS Chinese Health Coalition, San Francisco, CA, USA.
8
Division of General Internal Medicine, University of California, San Francisco, San Francisco, CA, USA.
9
Division of Biostatistics, University of California, Davis, Davis, CA, USA.
10
Department of Health Education, San Francisco State University, San Francisco, CA, USA.

Abstract

Chinese Americans have low colorectal cancer (CRC) screening rates. It is unclear whether physicians should offer all CRC screening modalities (fecal occult blood test [FOBT], sigmoidoscopy, colonoscopy) to Chinese Americans to increase screening. Seven hundred and twenty-five Chinese Americans were asked in a survey if their physician had ever recommended CRC screening and to self-report receipt and type of CRC screening. Participants whose physician had recommended all CRC screening modalities were significantly more likely to report ever having screening (adjusted odds ratio 4.29, 95% CI 1.26-14.68) and being up-to-date (4.06, 95% CI 2.13-7.74) than those who reported that their physician only recommended FOBT. Participants who received a recommendation of only one type of screening did not report a significant difference in ever having or being up-to-date for screening. A potential strategy to increase CRC screening among Chinese Americans is for clinicians to recommend all available CRC screening modalities to each patient.

KEYWORDS:

Chinese Americans; Colorectal cancer screening; Disparities; Physician recommendation

PMID:
29168060
PMCID:
PMC6322537
[Available on 2019-12-01]
DOI:
10.1007/s10903-017-0679-0

Supplemental Content

Full text links

Icon for Springer
Loading ...
Support Center