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

Research output: Contribution to journalArticlepeer-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 languageEnglish (US)
Pages (from-to)1-7
Number of pages7
JournalJournal of Immigrant and Minority Health
DOIs
StateAccepted/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

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