Cancer Screening, Knowledge, and Fatalism among Chinese, Korean, and South Asian Residents of New York City.

IF 3.7 3区 医学 Q2 ONCOLOGY Cancer Epidemiology Biomarkers & Prevention Pub Date : 2024-11-01 DOI:10.1158/1055-9965.EPI-24-0399
Isabel I Curro, Chloe A Teasdale, Laura C Wyatt, Victoria Foster, Yousra Yusuf, Sonia Sifuentes, Perla Chebli, Julie A Kranick, Simona C Kwon, Chau Trinh-Shevrin, Madison N LeCroy
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Abstract

Background: Asian New York City residents have the lowest cancer screening uptake across race and ethnicity. Few studies have examined screening differences across Asian ethnic subgroups in New York City.

Methods: Cross-sectional survey data were analyzed using multivariable logistic and multinomial regression analyses. Differences among Chinese, Korean, and South Asian adults in breast, cervical, and colorectal cancer screening uptake; breast and colorectal cancer screening knowledge; and cancer fatalism were examined. Associations between breast and colorectal cancer screening knowledge and their uptake were also assessed along with associations between cancer fatalism and breast, cervical, and colorectal cancer screening uptake.

Results: Korean women reported 0.52 times [95% confidence interval (CI), 0.31-0.89] lower odds of Pap test uptake compared with Chinese women; South Asian adults had 0.43 times (95% CI, 0.24-0.79) lower odds of colorectal cancer screening uptake compared with Chinese adults. Korean adults reported 1.80 times (95% CI, 1.26-2.58) higher odds of knowing the correct age to begin having mammograms compared with Chinese adults; South Asian adults had 0.67 times (95% CI, 0.47-0.96) lower odds of knowing the correct age to begin colorectal cancer screening compared with Chinese adults. Korean adults had 0.37 times (95% CI, 0.27-0.53) lower odds of reporting cancer fatalism compared with Chinese adults.

Conclusions: Low cancer screening uptake among Asian American adults, low screening knowledge, and high cancer fatalism were found. Cancer screening uptake, knowledge, and fatalism varied by ethnic subgroup.

Impact: Findings indicate the need for ethnicity-specific cultural and linguistic tailoring for future cancer screening interventions.

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纽约市华裔、韩裔和南亚裔居民的癌症筛查、知识和致命率。
背景:纽约市亚裔居民的癌症筛查率在所有种族和族裔中最低。很少有研究对纽约市亚裔亚群的筛查差异进行研究:方法:采用多变量逻辑分析和多项式回归分析对横断面调查数据进行了分析。研究了华裔、韩裔和南亚裔成年人在乳腺癌、宫颈癌和结直肠癌(CRC)筛查率、乳腺癌和 CRC 筛查知识以及癌症宿命论方面的差异。此外,还评估了乳腺癌和结直肠癌筛查知识与筛查率之间的关系,以及癌症宿命论与乳腺癌、宫颈癌和结直肠癌筛查率之间的关系:与中国妇女相比,韩国妇女接受巴氏试验的几率要低 0.52(95%CI:0.31,0.89)倍;与中国成年人相比,南亚成年人接受 CRC 筛查的几率要低 0.43(95%CI:0.24,0.79)倍。与中国成年人相比,韩国成年人知道开始进行乳房 X 光检查的正确年龄的几率要高出 1.80(95%CI:1.26,2.58)倍;与中国成年人相比,南亚成年人知道开始进行 CRC 筛查的正确年龄的几率要低 0.67(95%CI:0.47,0.96)倍。与中国成年人相比,韩国成年人报告癌症致命性的几率要低0.37(95%CI:0.27,0.53)倍:结论:研究发现,亚裔美国成年人的癌症筛查率低、筛查知识水平低、癌症致死率高。癌症筛查率、筛查知识和宿命论因种族亚群而异:影响:研究结果表明,未来的癌症筛查干预措施需要针对特定种族的文化和语言进行调整。
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来源期刊
Cancer Epidemiology Biomarkers & Prevention
Cancer Epidemiology Biomarkers & Prevention 医学-公共卫生、环境卫生与职业卫生
CiteScore
6.50
自引率
2.60%
发文量
538
审稿时长
1.6 months
期刊介绍: Cancer Epidemiology, Biomarkers & Prevention publishes original peer-reviewed, population-based research on cancer etiology, prevention, surveillance, and survivorship. The following topics are of special interest: descriptive, analytical, and molecular epidemiology; biomarkers including assay development, validation, and application; chemoprevention and other types of prevention research in the context of descriptive and observational studies; the role of behavioral factors in cancer etiology and prevention; survivorship studies; risk factors; implementation science and cancer care delivery; and the science of cancer health disparities. Besides welcoming manuscripts that address individual subjects in any of the relevant disciplines, CEBP editors encourage the submission of manuscripts with a transdisciplinary approach.
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