The Role of Physician Recommendation in Colorectal Cancer Screening Receipt Among Immigrant Chinese Americans
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.
KeywordsColorectal cancer screening Chinese Americans Physician recommendation Disparities
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.
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