Cancer Screening Practices of Asian American Physicians in New York City
- 115 Downloads
Cancer screening rates are lower among Asian Americans than the general USA population. While prior studies examined characteristics of Asian American patients as predictors of cancer screening, few investigated their health care providers. Asian American primary care physicians practicing in New York City were surveyed by questionnaire regarding their demographics, practice characteristics, and cancer screening of their Asian American patients. Of the 117 eligible respondents, 96% recommended mammograms to their Asian patients 50+ years of age and 70% to patients 40–49-year-old. Only 30% of respondents use both age and onset of sexual activity to determine when to recommend Pap smears. For colorectal cancer screening, the rates of performing fecal occult blood testing or recommending colonoscopy or sigmoidoscopy were 77% and 74%. About 70% recommend screening for hepatitis B. Gender and ethnicity of the physician were found to be significant predictors for cancer screening practice.
KeywordsAsian Asian American Cancer Prevention Screening Physician
- 1.Ries L, Eisner M, Kosary C, Hankey B, Miller B, Clegg L, Mariotto A, Fay M, Feuer E. Edwards Be. SEER cancer statistics review, 1975–2000. Bethesda: National Cancer Institute; 2003.Google Scholar
- 2.American Cancer Society. Cancer facts and figures 2004. Atlanta: 2004; p. 28.Google Scholar
- 7.Thorpe L, Mostashari F, Feldman G, Karpati A, Cobb L, Helgerson D, Frieden T. Cancer screening in New York city: we can do much better. NYC Vital Signs 2003;2:1–4.Google Scholar
- 8.U.S. Census Bureau. American community profile estimates. Available at: http://www.census.gov/acs/www/Products/Profiles/Single/2002/ACS/Tabular/160/16000US06440001.htm Accessed May 1, 2004.
- 9.U.S. Census Bureau. The foreign-born population in the United States: 2002. Available at: http://www.census.gov/prod/2003pubs/p20-539.pdf Accessed May 11, 2004.
- 13.American Academy of Family Physicians. Summary of policy recommendations for periodic health examinations, Revision 5.6. Available at: http://www.aafp.org/exam.xml Accessed November 3, 2004.
- 14.National Cancer Institute. NCI statement on mammography. Bethesda: U.S. National Institutes of Health; 2002.Google Scholar
- 16.U.S. Preventive Services Task Force. Guide to clinical preventive services. 3rd ed. Periodic updates. Available at: http://www.ahcpr.gov/clinic/gcpspu.htm
- 21.Gotzsche PC, Nielsen M. Screening for breast cancer with mammography. Cochrane Database Syst Rev 2006: CD001877.Google Scholar
- 22.American College of Obstetricians and Gynecologists. Guidelines for women’s health care. 2nd ed. Washington DC: ACOG; 2002.Google Scholar
- 25.WHO Department of Communicable Disease Surveillance and Response. Hepatitis B. Available at: http://www.who.int/csr/disease/hepatitis/HepatitisB_whocdscsrlyo2002_2.pdf Accessed May 3, 2005.
- 26.Centers for Disease Control and Prevention. Incidence of acute hepatitis B—United States, 1990–2002. MMWR Morb Mortal Wkly Rep 2004;52:1252–4.Google Scholar
- 29.Asian American Network for Cancer Awareness Research and Training. AANCART: Resources. Available at: http://www.aancart.org/Resources.htm
- 31.Fields CV. Closing the health divide: what government can do to eliminate health disparities among communities of color in New York city. New York: Manhattan Borough President’s Office; 2004.Google Scholar