Cancer screening, reproductive history, socioeconomic status, and anticipated cancer-related behavior among Hmong adults.
In the United States, breast, cervical, colorectal and prostate cancer screening rates are low or non-existent in the Hmong population compared to non-Hispanic Whites. No Hmong adults report ever participating in prostate (male only) and colorectal cancer screening. US-born Hmong women, those living in the US 20 years, and those 39 years old are more likely to be screened for breast and cervical cancer than other women. The Hmong, in general, are a young population (median age = 34 years) with low socioeconomic status. As a function of these characteristics, 52% of Hmong women reported having their first child at 15-19 years old and continued to bear children until 40-54 years old. The combination of young age at first pregnancy and multiparity probably protects Hmong women from breast cancer but elevates cervical cancer risk.
Yang
Richard C
RC
Public Health Institute, Cancer Registry of Central California, 1320 E. Shaw Avenue, Suite 160, Fresno, CA 93710, USA. ryang@phifresno.org
Mills
Paul K
PK
Dodge
Jennifer L
JL
D000293:Adolescent; D000328:Adult; D000367:Age Factors; D001213:Asian / Q000706:statistics & numerical data; D001294:Attitude to Health / Q000208:ethnology*; D003113:Colonoscopy / Q000706:statistics & numerical data; D015179:Colorectal Neoplasms / Q000208:ethnology / Q000517:prevention & control*; D003466:Cultural Characteristics; D004641:Emigration and Immigration / Q000706:statistics & numerical data*; D005260:Female; D005833:Genital Neoplasms, Female / Q000208:ethnology / Q000517:prevention & control*; D015438:Health Behavior / Q000208:ethnology; D006306:Health Surveys; D006801:Humans; D015994:Incidence; D008297:Male; D008327:Mammography / Q000706:statistics & numerical data; D008403:Mass Screening / Q000592:standards* / Q000639:trends; D008875:Middle Aged; D011471:Prostatic Neoplasms / Q000453:epidemiology / Q000517:prevention & control*; D017584:Reproductive History; D012737:Sex Factors; D012959:Socioeconomic Factors; D011795:Surveys and Questionnaires; D014481:United States / Q000453:epidemiology