title: Colorectal Cancer Screening Among Foreign-born South Asians in the Metropolitan New York/New Jersey Region.
abstract: The goal of this study was to examine colorectal cancer (CRC) screening practices and factors associated with CRC screening among foreign-born South Asians living in the metropolitan New York-New Jersey area. Two hundred and eight men and women recruited from community settings in the New York and New Jersey metropolitan area completed a questionnaire that included demographics, CRC screening practices, health care access and practices, attitudes about the health care system, primary care physician support for CRC screening, cultural factors, and attitudes about CRC screening and CRC worry. Almost a third of the sample had not heard of any of CRC screening tests. Approximately 62 % of the sample had never had a CRC screening test and approximately 69 % of the sample was not currently on schedule with regard to CRC screening. When the relative contribution of significant correlates were evaluated, participants who had lived in the US for a longer time, who endorsed more CRC screening benefits, and who endorsed fewer CRC screening barriers were significantly more likely to have had CRC screening in the past. Participants who were more likely to use English in their daily life, who endorsed more CRC screening benefits, and endorsed fewer CRC screening barriers were more likely to be on schedule with regard to CRC screening. In conclusion, awareness of CRC screening and uptake of screening was low in this population of foreign-born South Asians. Interventions to promote CRC screening may benefit from targeting this subgroup of Asian Americans.
authors.affiliation: Rutgers Cancer Institute of New Jersey, 195 Little Albany Street, New Brunswick, NJ, 08903, USA. Sharon.manne@rutgers.edu.
authors.forename: Sharon
authors.initials: S
authors.lastname: Manne
authors.affiliation: Robert Wood Johnson School of Medicine, New Brunswick, NJ, USA.
authors.forename: Michael B
authors.initials: MB
authors.lastname: Steinberg
authors.affiliation: School of Public Health, Rutgers University, New Brunswick, NJ, USA.
authors.forename: Cristine
authors.initials: C
authors.lastname: Delnevo
authors.affiliation: Rutgers Cancer Institute of New Jersey, 195 Little Albany Street, New Brunswick, NJ, 08903, USA.
authors.forename: Rajiv
authors.initials: R
authors.lastname: Ulpe
authors.affiliation: Fox Chase Cancer Center, Philadelphia, PA, USA.
authors.forename: Kristen
authors.initials: K
authors.lastname: Sorice
mesh_terms: D000069:Acculturation; D000368:Aged; D001211:Asia, Western / Q000208:ethnology; D001213:Asian / Q000706:statistics & numerical data*; D001364:Awareness; D015179:Colorectal Neoplasms / Q000175:diagnosis* / Q000208:ethnology; D055088:Early Detection of Cancer / Q000706:statistics & numerical data*; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006297:Health Services Accessibility; D006801:Humans; D007802:Language; D008297:Male; D008875:Middle Aged; D009515:New Jersey / Q000453:epidemiology; D009518:New York / Q000453:epidemiology; D010342:Patient Acceptance of Health Care / Q000208:ethnology*; D012959:Socioeconomic Factors
keywords: Acculturation; Attitudes about cancer screening; Colorectal cancer screening; South Asians