Healthy Colon, Healthy Life (Ruot Lành, Song Khoe): patient and physician factors associated with colorectal cancer screening among Vietnamese Americans in a county medical care system.
OBJECTIVE
To examine factors associated with colorectal cancer (CRC) screening among Vietnamese Americans.


METHODS
Telephone survey of Vietnamese aged 50-79 receiving primary care at participating clinics.


RESULTS
Among 808 participants, 53% were up to date (UTD) with fecal occult blood test (FOBT), 19% were UTD with sigmoidoscopy, 28% were UTD with colonoscopy. Females were more likely to be UTD with FOBT (OR 1.4, 95% CI 1.02, 1.93). Individuals in the U.S. for less than 15 years were less likely than others to be UTD with any CRC screening (OR 0.65, 95% CI 0.44, 0.96). Patients of female physicians were more likely to be UTD with sigmoidoscopy or colonoscopy (OR 1.72, 95% CI 1.15, 2.57). Ethnicity and language concordance were not associated with screening.


CONCLUSIONS
Many Vietnamese people are not receiving CRC screening. Women and patients of female physicians receive more screening.
Walsh
Judith
J
Women's Health Clinical Research Center, University of California, San Francisco, San Francisco, CA 94115, USA.
Nguyen
Tung
T
Nguyen
Lamkieu
L
Pasick
Rena
R
McPhee
Stephen J
SJ
D000367:Age Factors; D000368:Aged; D001213:Asian / Q000706:statistics & numerical data*; D001364:Awareness; D003113:Colonoscopy; D015179:Colorectal Neoplasms / Q000175:diagnosis*; D003153:Community Health Services / Q000706:statistics & numerical data; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D008297:Male; D008403:Mass Screening; D008875:Middle Aged; D017060:Patient Satisfaction; D010361:Patients / Q000706:statistics & numerical data*; D010820:Physicians / Q000706:statistics & numerical data*; D011320:Primary Health Care / Q000706:statistics & numerical data; D012067:Religion; D012737:Sex Factors; D012959:Socioeconomic Factors; D014744:Vietnam / Q000208:ethnology