Journal of Community Health

, Volume 39, Issue 2, pp 193–200

Colorectal Cancer Screening Among Korean Americans: A Systematic Review

Review

DOI: 10.1007/s10900-013-9758-x

Cite this article as:
Oh, K.M. & Jacobsen, K.H. J Community Health (2014) 39: 193. doi:10.1007/s10900-013-9758-x

Abstract

The incidence of colorectal cancer (CRC) among Korean Americans (KAs) has increased in recent years, even as the rate in nearly ever other population group in the United States has decreased. Reversing this trend will require improving screening rates, but a variety of sociocultural factors may inhibit this goal. We conducted a systematic review of the published literature on cancer screening among KAs, and identified thirteen eligible studies that examined CRC screening. KAs have CRC screening rates that are significantly lower than the national average. Only about one in four KAs ages 50 and older reports having ever had a fecal ocult blood test (FOBT) and only about 40 % have ever had a sigmoidoscopy or colonoscopy. KA adults are also significantly less likely than the general US population to say they have heard of FOBT, sigmoidoscopy, or colonoscopy. In the KA population, screening rates are higher among adults with higher socioeconomic status, greater acculturation to the United States, more cancer knowledge, more social support, and better access to healthcare services. Improving cultural and financial access to health education and healthcare services may increase CRC screening among KAs and reduce the incidence of the disease.

Keywords

Korean Americans Colorectal cancer Screening 

Copyright information

© Springer Science+Business Media New York 2013

Authors and Affiliations

  1. 1.School of NursingGeorge Mason UniversityFairfaxUSA
  2. 2.Department of Global and Community HealthGeorge Mason UniversityFairfaxUSA

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