Caroline A. Thompson|Scarlett Lin Gomez|Albert S. Chan|John K. Chan|Sean R. McClellan|Sukyung Chung|Cliff Olson|Vani Nimbal|Latha Palaniappan
Patient and Provider Characteristics Associated with Colorectal, Breast, and Cervical Cancer Screening among Asian Americans
Palo Alto Institute|Cancer Prevention Institute of California|Stanford University|Palo Alto Institute|Sutter Health|Palo Alto Institute|Palo Alto Institute|Palo Alto Institute|Palo Alto Institute|Palo Alto Institute
abstract background routinely recommended screening breast cervical colorectal cancers significantly reduce mortality types cancer yet screening underutilized among asians surveys rely selfreport often underpowered analysis asian ethnicities electronic health records ehr include validated opposed recallbased rates cancer screening article seek better understand cancer screening patterns population insured asian americans methods calculated rates compliance cervical breast colorectal cancer screening among asians ehr population compared nonhispanic whites performed multivariable modeling evaluate potential predictors provider patientlevel screening completion among asian patients results aggregation asian subgroups masked heterogeneity screening rates asian indians native hawaiians pacific islanders lowest rates screening sample well nonhispanic whites multivariable analyses screening completion negatively associated patientphysician language discordance mammography 081 95 confidence interval ci 071092 colorectal cancer screening 079 ci 072087 positively associated patientprovider gender concordance mammography 116 ci 100134 cervical cancer screening 166 ci 151182 addition patient enrollment online health services increased mammography 132 ci 120146 cervical cancer screening 131 ci 124137 conclusions language genderconcordant primary care providers culturally tailored online health resources may help improve preventive cancer screening asian patient populations impact study demonstrates use ehr data inform investigations primary prevention practices within healthcare delivery setting see articles cebp focus section cancer asian pacific islander populations cancer epidemiol biomarkers prev 2311 220817 2014 aacr