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Asian American women in California: a pooled analysis of predictors for breast and cervical cancer screening

American journal of public health (1971), 2015-02, Vol.105 (2), p.e98-e109 [Peer Reviewed Journal]

Copyright American Public Health Association Feb 2015 ;American Public Health Association 2015 2015 ;ISSN: 0090-0036 ;EISSN: 1541-0048 ;DOI: 10.2105/AJPH.2014.302250 ;PMID: 25521898 ;CODEN: AJPHDS

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Title:
Asian American women in California: a pooled analysis of predictors for breast and cervical cancer screening
Author: Chawla, Neetu ; Breen, Nancy ; Liu, Benmei ; Lee, Richard ; Kagawa-Singer, Marjorie
Subjects: Acculturation ; Adult ; Age Factors ; Aged ; Asian Americans ; Asian Americans - statistics & numerical data ; Asians ; Breast cancer ; Breast Neoplasms - prevention & control ; California - epidemiology ; Cancer ; Cervical cancer ; China - ethnology ; Community Health ; Early Detection of Cancer - statistics & numerical data ; Education ; Female ; Health care access ; Health Care Surveys ; Health maintenance organizations ; Health Policy ; HMOs ; Humans ; Japan - ethnology ; Mammography ; Mammography - statistics & numerical data ; Medical screening ; Middle Aged ; Minority & ethnic groups ; Mortality ; Noncitizens ; Online Research and Practice ; Pap smear ; Papanicolaou Test - statistics & numerical data ; Population ; Poverty ; Race ; Republic of Korea - ethnology ; Screening ; Sociodemographics ; Studies ; Trends ; Uterine Cervical Neoplasms - prevention & control ; Variables ; Women's Health ; Womens health ; Young Adult
Is Part Of: American journal of public health (1971), 2015-02, Vol.105 (2), p.e98-e109
Description: We examined patterns of cervical and breast cancer screening among Asian American women in California and assessed their screening trends over time. We pooled weighted data from 5 cycles of the California Health Interview Survey (2001, 2003, 2005, 2007, 2009) to examine breast and cervical cancer screening trends and predictors among 6 Asian nationalities. We calculated descriptive statistics, bivariate associations, multivariate logistic regressions, predictive margins, and 95% confidence intervals. Multivariate analyses indicated that Papanicolaou test rates did not significantly change over time (77.9% in 2001 vs 81.2% in 2007), but mammography receipt increased among Asian American women overall (75.6% in 2001 vs 81.8% in 2009). Length of time in the United States was associated with increased breast and cervical cancer screening among all nationalities. Sociodemographic and health care access factors had varied effects, with education and insurance coverage significantly predicting screening for certain groups. Overall, we observed striking variation by nationality. Our results underscore the need for intervention and policy efforts that are targeted to specific Asian nationalities, recent immigrants, and individuals without health care access to increase screening rates among Asian women in California.
Publisher: United States: American Public Health Association
Language: English
Identifier: ISSN: 0090-0036
EISSN: 1541-0048
DOI: 10.2105/AJPH.2014.302250
PMID: 25521898
CODEN: AJPHDS
Source: ProQuest One Psychology
MEDLINE
PubMed Central
ProQuest Central

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Asian American women in California: a pooled analysis of predictors for breast and cervical cancer screening

Copyright American Public Health Association Feb 2015 ;American Public Health Association 2015 2015 ;ISSN: 0090-0036 ;EISSN: 1541-0048 ;DOI: 10.2105/AJPH.2014.302250 ;PMID: 25521898 ;CODEN: AJPHDS

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