title: Colorectal Cancer Screening Compliance among Asian and Pacific Islander Americans.
abstract: Colorectal cancer (CRC) screening prevalence remains low among Asians and Pacific Islanders. This study examined disparities and predictors of CRC screening compliance in adults age 50-75 years in Asians and Pacific Islanders in Hawai'i. Hawai'i Behavioral Risk Factor Surveillance System (BRFSS) data for 2011-2014 were analyzed. CRC screening status was dichotomized. Logistic regression was used to examine ethnic differences in and predictors of CRC screening status. Filipinos (OR 0.56), Chinese (OR 0.70), and Hawaiians (OR 0.75) were significantly less likely than whites to be CRC compliant. Higher education and income, employment, regular health provider, and routine checkups were important predictors of CRC compliance. Findings confirm lower CRC screening compliance in three of the four largest Asian and Pacific Islander groups in Hawai'i and that CRC screening compliance is influenced by several factors. Culturally tailored education and navigation services may be effective in reducing these disparities.
authors.affiliation: University of Hawai'i at Mānoa, Office of Public Health Studies, 1960 East-West Road, Biomed, D-204, 96822, Honolulu, Hawai'i, USA. jermy@hawaii.edu.
authors.forename: Jermy-Leigh B
authors.initials: JB
authors.lastname: Domingo
authors.affiliation: University of Hawai'i John A. Burns School of Medicine, Office of Biostatistics & Quantitative Health Sciences, Honolulu, Hawai'i, USA.
authors.forename: John J
authors.initials: JJ
authors.lastname: Chen
authors.affiliation: University of Hawai'i at Mānoa, Office of Public Health Studies, 1960 East-West Road, Biomed, D-204, 96822, Honolulu, Hawai'i, USA.
authors.forename: Kathryn L
authors.initials: KL
authors.lastname: Braun
mesh_terms: D000368:Aged; D001213:Asian; D015179:Colorectal Neoplasms / Q000175:diagnosis*; D055088:Early Detection of Cancer; D005260:Female; D006254:Hawaii; D054624:Health Status Disparities; D006801:Humans; D016015:Logistic Models; D008297:Male; D008875:Middle Aged; D044468:Native Hawaiian or Pacific Islander; D010342:Patient Acceptance of Health Care; D010349:Patient Compliance; D015995:Prevalence; D011795:Surveys and Questionnaires
keywords: Asian American; CRC screening and early detection; Filipino; Health disparities; Pacific Islander