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
Original Paper

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.

Keywords

Colorectal cancer screening Chinese Americans Physician recommendation Disparities 

Notes

Acknowledgements

This study was funded by the National Institutes of Health/National Cancer Institute (Grant No. 1R01CA138778). Additional support was provided by grant U54 CA153499 funded by the National Cancer Institute’s Center to Reduce Cancer Health Disparities. The funder had no role in study design, data collection, and analysis and preparation of the manuscript.

References

  1. 1.
    Siegel R, Desantis C, Jemal A. Colorectal cancer statistics, 2014. CA Cancer J Clin. 2014;64(2):104–17.CrossRefPubMedGoogle Scholar
  2. 2.
    Hwang H. Colorectal cancer screening among Asian Americans. Asian Pac J Cancer Prev. 2013;14(7):4025–32.CrossRefPubMedGoogle Scholar
  3. 3.
    Maxwell AE, Crespi CM, Antonio CM, Lu P. Explaining disparities in colorectal cancer screening among five Asian ethnic groups: a population-based study in California. BMC Cancer. 2010;10:214.CrossRefPubMedPubMedCentralGoogle Scholar
  4. 4.
    Homayoon B, Shahidi NC, Cheung WY. Impact of asian ethnicity on colorectal cancer screening: a population-based analysis. J Clin Oncol. 2013;36(2):167–73.CrossRefGoogle Scholar
  5. 5.
    Wong ST, Gildengorin G, Nguyen T, Mock J. Disparities in colorectal cancer screening rates among Asian Americans and non-Latino whites. Cancer. 2005;104(S12):2940–7.CrossRefPubMedPubMedCentralGoogle Scholar
  6. 6.
    Centers for Disease C Prevention. Cancer screening—United States, 2010. Morb Mortal Wkly Rep. 2012;61(3):41–5.Google Scholar
  7. 7.
    Lee HY, Lundquist M, Ju E, Luo X, Townsend A. Colorectal cancer screening disparities in Asian Americans and Pacific Islanders: which groups are most vulnerable? Ethn Health. 2011;16(6):501–18.CrossRefPubMedGoogle Scholar
  8. 8.
    Yi M, Xu J, Lui P, Chang GJ, Du XL, Hu CY, Song Y, He J, Ren Y, Wei Y, Yang J, Hunt KK, Li X. Comparative analysis of lifestyle factors, screening test use, and clinicopathologic features in association with survival among Asian Americans with colorectal cancer. Br J Cancer. 2013;108(7):1508–14.CrossRefPubMedPubMedCentralGoogle Scholar
  9. 9.
    Jung MY, Holt CL, Ng D, et al. The Chinese and Korean American immigrant experience: a mixed-methods examination of facilitators and barriers of colorectal cancer screening. Ethn Health 2017;25:1–20.CrossRefGoogle Scholar
  10. 10.
    Domingo J-B, Chen JJ, Braun KL. Colorectal Cancer Screening Compliance among Asian and Pacific Islander Americans. J Immigr Minor Health 2017. https://doi.org/10.1007/s10903-017-0576-6.PubMedGoogle Scholar
  11. 11.
    Sentell TL, Tsoh JY, Davis T, Davis J, Braun KL. Low health literacy and cancer screening among Chinese Americans in California: a cross-sectional analysis. BMJ Open. 2015;5(1):e006104.CrossRefPubMedPubMedCentralGoogle Scholar
  12. 12.
    Jih J, Vittinghoff E, Fernandez A. Patient-physician language concordance and use of preventive care services among limited English proficient Latinos and Asians. Public Health Rep. 2015;130(2):134–42.CrossRefPubMedPubMedCentralGoogle Scholar
  13. 13.
    Goel MS, Wee CC, McCarthy EP, Davis RB, Ngo-Metzger Q, Phillips RS. Racial and ethnic disparities in cancer screening: the importance of foreign birth as a barrier to care. J Gen Intern Med. 2003;18(12):1028–35.CrossRefPubMedPubMedCentralGoogle Scholar
  14. 14.
    Jerant AF, Fenton JJ, Franks P. Determinants of racial/ethnic colorectal cancer screening disparities. Arch Intern Med. 2008;168(12):1317–24.CrossRefPubMedGoogle Scholar
  15. 15.
    Liss DT, Baker DW. Understanding current racial/ethnic disparities in colorectal cancer screening in the United States: the contribution of socioeconomic status and access to care. Am J Prev Med. 2014;46(3):228–36.CrossRefPubMedGoogle Scholar
  16. 16.
    Brawarsky P, Brooks DR, Mucci LA, Wood PA. Effect of physician recommendation and patient adherence on rates of colorectal cancer testing. Cancer Detect Prev. 2004;28(4):260–8.CrossRefPubMedGoogle Scholar
  17. 17.
    Laiyemo AO, Adebogun AO, Doubeni CA, et al. Influence of provider discussion and specific recommendation on colorectal cancer screening uptake among U.S. adults. Prev Med. 2014;67:1–5.CrossRefPubMedPubMedCentralGoogle Scholar
  18. 18.
    Teng EJ, Friedman LC, Green CE. Determinants of colorectal cancer screening behavior among Chinese Americans. Psychooncology. 2006;15(5):374–81.CrossRefPubMedGoogle Scholar
  19. 19.
    Wang JH, Liang W, Chen MY, et al. The influence of culture and cancer worry on colon cancer screening among older Chinese-American women. Ethn Dis. 2006;16(2):404–11.PubMedPubMedCentralGoogle Scholar
  20. 20.
    U.S. Preventive Services Task Force Screening for colorectal cancer: U.S. Preventive Services Task Force recommendation statement. Ann Intern Med. 2008;149(9):627–37.CrossRefGoogle Scholar
  21. 21.
    Hawley ST, McQueen A, Bartholomew LK, et al. Preferences for colorectal cancer screening tests and screening test use in a large multispecialty primary care practice. Cancer. 2012;118(10):2726–34.CrossRefPubMedGoogle Scholar
  22. 22.
    Andersen RM. Revisiting the behavioral model and access to medical care: does it matter? J Health Soc Behav. 1995;36(1):1–10.CrossRefPubMedGoogle Scholar
  23. 23.
    Idler EL, Benyamini Y. Self-rated health and mortality: a review of twenty-seven community studies. J Health Soc Behav. 1997;38(1):21–37.CrossRefPubMedGoogle Scholar
  24. 24.
    Jylha M. What is self-rated health and why does it predict mortality? Towards a unified conceptual model. Soc Sci Med. 2009;69(3):307–16.CrossRefPubMedGoogle Scholar
  25. 25.
    Miglioretti DL, Heagerty PJ. Marginal modeling of nonnested multilevel data using standard software. Am J Epidemiol. 2007;165(4):453–63.CrossRefPubMedGoogle Scholar
  26. 26.
    Klabunde CN, Schenck AP, Davis WW. Barriers to colorectal cancer screening among Medicare consumers. Am J Prev Med. 2006;30(4):313–9.CrossRefPubMedGoogle Scholar
  27. 27.
    Honda K. Factors associated with colorectal cancer screening among the US urban Japanese population. Am J Public Health. 2004;94(5):815–22.CrossRefPubMedPubMedCentralGoogle Scholar
  28. 28.
    Inadomi JM, Vijan S, Janz NK, Fagerlin A, Thomas JP, Lin YV, Munoz R, Lau C, Somsouk M, El-Nachef N, Hayward RA. Adherence to colorectal cancer screening: a randomized clinical trial of competing strategies. Arch Intern Med. 2012;172(7):575–82.CrossRefPubMedPubMedCentralGoogle Scholar
  29. 29.
    Gupta S, Halm EA, Rockey DC, Hammons M, Koch M, Carter E, Valdez L, Tong L, Ahn C, Kashner M, Argenbright K, Tiro J, Geng Z, Pruitt S, Skinner CS. Comparative effectiveness of fecal immunochemical test outreach, colonoscopy outreach, and usual care for boosting colorectal cancer screening among the underserved: a randomized clinical trial. JAMA Intern Med. 2013;173(18):1725–32.PubMedPubMedCentralGoogle Scholar
  30. 30.
    Beydoun HA, Beydoun MA. Predictors of colorectal cancer screening behaviors among average-risk older adults in the United States. Cancer Causes Control. 2008;19(4):339–59.CrossRefPubMedGoogle Scholar
  31. 31.
    Wong MC, Lam AT, Li DK, Lau JT, Griffiths SM, Sung JJ. Factors associated with practice of colorectal cancer screening among primary care physicians in a Chinese population: a cross-sectional study. Cancer Epidemiol. 2009;33(3–4):201–6.CrossRefPubMedGoogle Scholar
  32. 32.
    Lofters AK, Ng R, Lobb R. Primary care physician characteristics associated with cancer screening: a retrospective cohort study in Ontario, Canada. Cancer Med. 2015;4(2):212–23.CrossRefPubMedGoogle Scholar
  33. 33.
    McPhee SJ, Bird JA, Davis T, Ha NT, Jenkins CN, Le B. Barriers to breast and cervical cancer screening among Vietnamese-American women. Am J Prev Med. 1997;13(3):205–13.PubMedGoogle Scholar
  34. 34.
    Lee MM, Lee F, Stewart S, McPhee S. Cancer screening practices among primary care physicians serving Chinese Americans in San Francisco. West J Med. 1999;170(3):148–55.PubMedPubMedCentralGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2017

Authors and Affiliations

  • Jane Jih
    • 1
    • 2
    • 8
  • Minh P. Nguyen
    • 1
  • Irene Ly
    • 1
  • Janice Y. Tsoh
    • 1
    • 3
  • Gem M. Le
    • 1
    • 4
  • Kent Woo
    • 5
  • Elaine Chan
    • 5
  • Ginny Gildengorin
    • 2
  • Susan L. Stewart
    • 6
  • Adam Burke
    • 1
    • 7
  • Rena Pasick
    • 1
    • 2
  • Stephen J. McPhee
    • 1
    • 2
  • Tung T. Nguyen
    • 1
    • 2
  1. 1.Asian American Research Center on HealthSan FranciscoUSA
  2. 2.Division of General Internal MedicineUniversity of California, San FranciscoSan FranciscoUSA
  3. 3.Department of PsychiatryUniversity of California, San FranciscoSan FranciscoUSA
  4. 4.Division of General Internal MedicineZuckerberg San Francisco General Hospital/University of California, San FranciscoSan FranciscoUSA
  5. 5.NICOS Chinese Health CoalitionSan FranciscoUSA
  6. 6.Division of BiostatisticsUniversity of California, DavisDavisUSA
  7. 7.Department of Health EducationSan Francisco State UniversitySan FranciscoUSA
  8. 8.Division of General Internal MedicineUniversity of California, San FranciscoSan FranciscoUSA

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