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Cancer Epidemiology, Biomarkers & Prevention
Cancer Epidemiology, Biomarkers & Prevention

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Research Articles

Trends in Colorectal Cancer Screening Utilization among Ethnic Groups in California: Are We Closing the Gap?

Annette E. Maxwell and Catherine M. Crespi
Annette E. Maxwell
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Catherine M. Crespi
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DOI: 10.1158/1055-9965.EPI-08-0608 Published March 2009
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Abstract

Background: Given the low prevalence of and racial/ethnic disparities in colorectal cancer screening, it is important to monitor whether prevalence and disparities are increasing or decreasing over time.

Methods: We estimated the prevalence of colorectal cancer screening by year (2001, 2003, and 2005), modality (endoscopy, fecal occult blood test, either), and recency (ever had, up-to-date) for the California population as a whole, major racial/ethnic groups (White, Black, Latino, Asian), and selected Asian subgroups (Chinese, Filipino, Japanese, Korean, Vietnamese) using data from the California Health Interview Survey. All prevalence estimates were age- and gender-standardized.

Results: From 2001 to 2005, prevalence of up-to-date screening increased significantly among Whites and Latinos but not among Blacks and Asian Americans. Screening prevalence varied substantially among Asian subgroups, with Korean, Filipino, and Vietnamese Americans having the lowest prevalence. Korean Americans were the only group in the analysis with a significant decline in screening prevalence from 2001 to 2005. The gap between the highest and the lowest up-to-date screening prevalence using any screening modality, exhibited by Japanese and Korean Americans, increased from 18% in 2001 to 30% in 2005.

Conclusions: Findings suggest that we need to intensify efforts to increase colorectal cancer screening, especially among Korean Americans but also among Filipinos, Vietnamese, and Latinos. (Cancer Epidemiol Biomarkers Prev 2009;18(3):752–9)

  • colorectal cancer screening
  • ethnic disparities
  • Asian subgroups
  • California Health Interview Survey

Footnotes

  • Grant support: Grant GHN04K from the California Program on Access to Care (CPAC), California Policy Research Center, University of California Office of the President. The views and opinions expressed do not necessarily represent those of The Regents of the University of California, CPAC, its advisory board, or any State or County executive agency represented thereon. A.E. Maxwell was also supported by U01CA114640 and C.M. Crespi by NIH/NCI grant P30 CA 16042.

    • Accepted December 30, 2008.
    • Received July 11, 2008.
    • Revision received December 5, 2008.
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Cancer Epidemiology Biomarkers & Prevention: 18 (3)
March 2009
Volume 18, Issue 3
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Trends in Colorectal Cancer Screening Utilization among Ethnic Groups in California: Are We Closing the Gap?
Annette E. Maxwell and Catherine M. Crespi
Cancer Epidemiol Biomarkers Prev March 1 2009 (18) (3) 752-759; DOI: 10.1158/1055-9965.EPI-08-0608

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Trends in Colorectal Cancer Screening Utilization among Ethnic Groups in California: Are We Closing the Gap?
Annette E. Maxwell and Catherine M. Crespi
Cancer Epidemiol Biomarkers Prev March 1 2009 (18) (3) 752-759; DOI: 10.1158/1055-9965.EPI-08-0608
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