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J Immigr Minor Health. 2019 Aug;21(4):830-836. doi: 10.1007/s10903-018-0783-9.

Association Between Neighborhood Cohesion and Cancer Screening Utilization in Chinese American Older Adults.

Author information

1
The Chinese Health, Aging and Policy Program, Rush Institute for Healthy Aging, Rush University Medical Center, Chicago, IL, USA.
2
Department of Obstetrics and Gynecology, Northwestern University, Feinberg School of Medicine, Chicago, IL, USA.
3
The Chinese Health, Aging and Policy Program, Rush Institute for Healthy Aging, Rush University Medical Center, Chicago, IL, USA. xinqi.dong@rutgers.edu.
4
Institute for Health, Health Care Policy and Aging Research, Rutgers University, The State University of New Jersey, New Brunswick, NJ, USA. xinqi.dong@rutgers.edu.

Abstract

This study aims to examine the association between neighborhood cohesion and cancer screening utilization in a community-dwelling Chinese American older population. Data were drawn from the Population Study of Chinese Elderly including 3159 Chinese American older adults aged 60 and above in the greater Chicago area. Cancer screening utilization was assessed by asking whether participants had undergone colon, breast, cervical, or prostate cancer screening. Neighborhood cohesion was measured through six questions. Logistic regression analysis showed that greater neighborhood cohesion was associated with higher likelihood of utilizing a mammogram (OR 1.32, 95% CI 1.14-1.52), a Pap test (OR 1.22, 95% CI 1.06-1.41), but not of a blood stool test (OR 1.10, 95% CI 0.98-1.23), a colonoscopy (OR 1.05, 95% CI 0.94-1.17), and a PSA test (OR 1.13, 95% CI 0.95-1.34). This study suggests positive associations between neighborhood cohesion and breast and cervical cancer screening utilization among a Chinese American older population.

KEYWORDS:

Association; Cancer screening; Chinese American; Neighborhood cohesion; Older adults

PMID:
29980880
DOI:
10.1007/s10903-018-0783-9

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