title: Determinants of Cancer Screening Disparities Among Asian Americans: A Systematic Review of Public Health Surveys.
abstract: We conducted a systematic analysis of 24 peer-reviewed literary works that examined Asian Americans' breast, cervical, and colon cancer screening, focusing on empirical findings from large-scale public health surveys (i.e., NHIS, CHIS, HINTS, BRFSS). We provide an overview of relevant research in terms of study characteristics, samples, predictor/covariate of cancer screenings, and key findings. Our analysis indicates that Asian Americans' cancer screening rates are lower than for non-Hispanic Whites for all cancer types in four large-scale public health surveys throughout 17 study years. Acculturation and healthcare access were two significant factors in explaining Asian Americans' cancer screening rates. Cancer fatalism and family cancer history emerged as potential factors that may account for more variances. However, the screening disparities between Asian Americans and whites persist even after adjusting all covariates, including SES, acculturation, healthcare access, health status, and health perception/literacy. More individual and cultural factors should be identified to address these disparities.
authors.affiliation: The Department of Communication, University of Maryland, College Park, MD, USA. jun@umd.edu.
authors.forename: Jungmi
authors.identifier: 0000-0002-0720-7122
authors.initials: J
authors.lastname: Jun
authors.affiliation: The Department of Communication, University of Maryland, College Park, MD, USA.
authors.forename: Xiaoli
authors.initials: X
authors.lastname: Nan
mesh_terms: D000069:Acculturation; D001213:Asian / Q000706:statistics & numerical data; D001943:Breast Neoplasms / Q000175:diagnosis; D003110:Colonic Neoplasms / Q000175:diagnosis; D055088:Early Detection of Cancer; D005260:Female; D057220:Health Literacy; D006297:Health Services Accessibility / Q000706:statistics & numerical data; D006304:Health Status; D006801:Humans; D008297:Male; D008403:Mass Screening / Q000706:statistics & numerical data; D002583:Uterine Cervical Neoplasms / Q000175:diagnosis; D044465:White People / Q000706:statistics & numerical data
keywords: Asian American; Cancer screening disparity; Public health surveys; Systematic review