Colorectal Cancer Screening among Underserved Korean Americans in Los Angeles County
- First Online:
- 277 Downloads
Use of colorectal cancer screening is extremely low among Korean Americans. The objective of this study was to gather information on predictors, facilitators, barriers, and intervention preferences with respect to colorectal cancer screening that may inform the development of future interventions for underserved Korean Americans.
We developed a questionnaire guided by the Health Behavior Framework and administered it to a convenience sample of 151 Korean Americans aged 40–70 recruited through a community based organization in Los Angeles.
In our sample in which 60% of the subjects did not have health insurance, only 17% reported having received a stool blood test within the past year or sigmoidoscopy or colonoscopy within the past 5 years. Having received a physician recommendation was significantly associated and having symptoms of the disease was marginally associated with the outcome variable. Although 64% of respondents reported having a primary care physician, only 29% received a screening recommendation from a physician. Barriers to colorectal cancer screening were lack of health insurance and inability to afford testing, not knowing where to go for testing, language barrier, and fear of being a burden to the family. Intervention preferences included educational seminars, media campaigns, and print materials.
Our findings point to the need for a multi-faceted approach that includes educational seminars at community venues, a media campaign, and physician education to increase colorectal cancer screening in this underinsured Korean American population.
KeywordsColorectal cancer Cancer screening Korean Americans Medically underinsured Medically indigent
- 1.US Department of Commerce Bureau of Commerce. Statistical Brief: United States, November 2000.Google Scholar
- 7.California cancer facts & figures: American Cancer Society; 2002.Google Scholar
- 8.California cancer facts and figures: American Cancer Society; 2005.Google Scholar
- 9.California cancer facts & figures: American Cancer Society; 2006.Google Scholar
- 10.Colorectal cancer test use among persons aged > or = 50 years–United States, 2001. MMWR Morb Mortal Wkly Rep 2003;52(10):193–6.Google Scholar
- 11.From the Centers for Disease Control and Prevention. Trends in screening for colorectal cancer–United States, 1997 and 1999. JAMA 2001;285(12):1570–1.Google Scholar
- 19.Becker M, Maiman L. The health belief model: origins and correlates in psychological theory. Health Educ Monogr 1974;2:336–53.Google Scholar
- 21.Fishbein M, Ajzen I. Belief, attitude, intention and behavior: An introduction to theory and research. Reading, MA: Addison-Wesley; 1975.Google Scholar
- 22.Green L, Kreuter M, Deeds S, Partridge K. Health education planning: a diagnostic approach. Palo Alto, CA: Mayfield Publishing Co.; 1980.Google Scholar
- 30.AskCHIS. Available: http://www.chis.ucla.edu/main/. Accessed November 2006.
- 42.Min PG. Korean immigrants in Los Angeles. ISSR working papers in the Social Sciences 1998;5:1–17.Google Scholar
- 46.Yu MY, Wu TY. Factors influencing mammography screening of Chinese American women. J Obstet Gynecol Neonatal Nurs 2005;34(3):386–94.Google Scholar