The Role of Physician Recommendation in Colorectal Cancer Screening Receipt Among Immigrant Chinese Americans

Jane Jih; Minh P. Nguyen; Irene Ly; Janice Y Tsoh; Gem M. Le; Kent Woo; Elaine Chan; Ginny Gildengorin; Susan L. Stewart; Adam Burke; Rena Pasick; Stephen J. McPhee; Tung T. Nguyen

doi:10.1007/s10903-017-0679-0

The Role of Physician Recommendation in Colorectal Cancer Screening Receipt Among Immigrant Chinese Americans

Jane Jih, Minh P. Nguyen, Irene Ly, Janice Y Tsoh, Gem M. Le, Kent Woo, Elaine Chan, Ginny Gildengorin, Susan L. Stewart, Adam Burke, Rena Pasick, Stephen J. McPhee, Tung T. Nguyen

Public Health Sciences

Research output: Contribution to journal › Article › peer-review

2 Scopus citations

Abstract

Chinese Americans have low colorectal cancer (CRC) screening rates. It is unclear whether physicians should offer all CRC screening modalities (fecal occult blood test [FOBT], sigmoidoscopy, colonoscopy) to Chinese Americans to increase screening. Seven hundred and twenty-five Chinese Americans were asked in a survey if their physician had ever recommended CRC screening and to self-report receipt and type of CRC screening. Participants whose physician had recommended all CRC screening modalities were significantly more likely to report ever having screening (adjusted odds ratio 4.29, 95% CI 1.26–14.68) and being up-to-date (4.06, 95% CI 2.13–7.74) than those who reported that their physician only recommended FOBT. Participants who received a recommendation of only one type of screening did not report a significant difference in ever having or being up-to-date for screening. A potential strategy to increase CRC screening among Chinese Americans is for clinicians to recommend all available CRC screening modalities to each patient.

Original language	English (US)
Pages (from-to)	1-7
Number of pages	7
Journal	Journal of Immigrant and Minority Health
DOIs	https://doi.org/10.1007/s10903-017-0679-0
State	Accepted/In press - Nov 22 2017

Keywords

Chinese Americans
Colorectal cancer screening
Disparities
Physician recommendation

ASJC Scopus subject areas

Epidemiology
Public Health, Environmental and Occupational Health

Access to Document

10.1007/s10903-017-0679-0

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Cite this

Jih, J., Nguyen, M. P., Ly, I., Tsoh, J. Y., Le, G. M., Woo, K., Chan, E., Gildengorin, G., Stewart, S. L., Burke, A., Pasick, R., McPhee, S. J., & Nguyen, T. T. (Accepted/In press). The Role of Physician Recommendation in Colorectal Cancer Screening Receipt Among Immigrant Chinese Americans. Journal of Immigrant and Minority Health, 1-7. https://doi.org/10.1007/s10903-017-0679-0

The Role of Physician Recommendation in Colorectal Cancer Screening Receipt Among Immigrant Chinese Americans. / Jih, Jane; Nguyen, Minh P.; Ly, Irene; Tsoh, Janice Y; Le, Gem M.; Woo, Kent; Chan, Elaine; Gildengorin, Ginny; Stewart, Susan L.; Burke, Adam; Pasick, Rena; McPhee, Stephen J.; Nguyen, Tung T.

In: Journal of Immigrant and Minority Health, 22.11.2017, p. 1-7.

Research output: Contribution to journal › Article › peer-review

Jih, Jane ; Nguyen, Minh P. ; Ly, Irene ; Tsoh, Janice Y ; Le, Gem M. ; Woo, Kent ; Chan, Elaine ; Gildengorin, Ginny ; Stewart, Susan L. ; Burke, Adam ; Pasick, Rena ; McPhee, Stephen J. ; Nguyen, Tung T. / The Role of Physician Recommendation in Colorectal Cancer Screening Receipt Among Immigrant Chinese Americans. In: Journal of Immigrant and Minority Health. 2017 ; pp. 1-7.

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abstract = "Chinese Americans have low colorectal cancer (CRC) screening rates. It is unclear whether physicians should offer all CRC screening modalities (fecal occult blood test [FOBT], sigmoidoscopy, colonoscopy) to Chinese Americans to increase screening. Seven hundred and twenty-five Chinese Americans were asked in a survey if their physician had ever recommended CRC screening and to self-report receipt and type of CRC screening. Participants whose physician had recommended all CRC screening modalities were significantly more likely to report ever having screening (adjusted odds ratio 4.29, 95% CI 1.26–14.68) and being up-to-date (4.06, 95% CI 2.13–7.74) than those who reported that their physician only recommended FOBT. Participants who received a recommendation of only one type of screening did not report a significant difference in ever having or being up-to-date for screening. A potential strategy to increase CRC screening among Chinese Americans is for clinicians to recommend all available CRC screening modalities to each patient.",

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