title: Asian American women in California: a pooled analysis of predictors for breast and cervical cancer screening.
abstract: OBJECTIVE
  We examined patterns of cervical and breast cancer screening among Asian American women in California and assessed their screening trends over time.
  
  
  METHODS
  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.
  
  
  RESULTS
  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.
  
  
  CONCLUSIONS
  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.
authors.affiliation: Neetu Chawla is with Outcomes Research Branch, Applied Research Program, Division of Cancer Control and Population Sciences, National Cancer Institute, Rockville, MD. Nancy Breen is with Health Services and Economics Branch, Applied Research Program, Division of Cancer Control and Population Sciences, National Cancer Institute. Benmei Liu is with Statistical Methodology and Applications Branch, Surveillance Research Program, Division of Cancer Control and Population Sciences, National Cancer Institute. Richard Lee is with Information Management Services, Inc, Calverton, MD. Marjorie Kagawa-Singer is with UCLA School of Public Health and Asian American Studies Department, Los Angeles, CA.
authors.forename: Neetu
authors.initials: N
authors.lastname: Chawla
authors.forename: Nancy
authors.initials: N
authors.lastname: Breen
authors.forename: Benmei
authors.initials: B
authors.lastname: Liu
authors.forename: Richard
authors.initials: R
authors.lastname: Lee
authors.forename: Marjorie
authors.initials: M
authors.lastname: Kagawa-Singer
mesh_terms: D000328:Adult; D000367:Age Factors; D000368:Aged; D001213:Asian / Q000706:statistics & numerical data*; D001943:Breast Neoplasms / Q000517:prevention & control*; D002140:California / Q000453:epidemiology; D002681:China / Q000208:ethnology; D055088:Early Detection of Cancer / Q000706:statistics & numerical data*; D005260:Female; D019538:Health Care Surveys; D006801:Humans; D007564:Japan / Q000208:ethnology; D008327:Mammography / Q000706:statistics & numerical data; D008875:Middle Aged; D065006:Papanicolaou Test / Q000706:statistics & numerical data; D056910:Republic of Korea / Q000208:ethnology; D002583:Uterine Cervical Neoplasms / Q000517:prevention & control*; D055815:Young Adult