Journal of Immigrant and Minority Health

, Volume 21, Issue 4, pp 830–836 | Cite as

Association Between Neighborhood Cohesion and Cancer Screening Utilization in Chinese American Older Adults

  • Ailian Hei
  • Melissa A. Simon
  • XinQi DongEmail author
Original Paper


This study aims to examine the association between neighborhood cohesion and cancer screening utilization in a community-dwelling Chinese American older population. Data were drawn from the Population Study of Chinese Elderly including 3159 Chinese American older adults aged 60 and above in the greater Chicago area. Cancer screening utilization was assessed by asking whether participants had undergone colon, breast, cervical, or prostate cancer screening. Neighborhood cohesion was measured through six questions. Logistic regression analysis showed that greater neighborhood cohesion was associated with higher likelihood of utilizing a mammogram (OR 1.32, 95% CI 1.14–1.52), a Pap test (OR 1.22, 95% CI 1.06–1.41), but not of a blood stool test (OR 1.10, 95% CI 0.98–1.23), a colonoscopy (OR 1.05, 95% CI 0.94–1.17), and a PSA test (OR 1.13, 95% CI 0.95–1.34). This study suggests positive associations between neighborhood cohesion and breast and cervical cancer screening utilization among a Chinese American older population.


Neighborhood cohesion Cancer screening Association Chinese American Older adults 


Author Contributions

XQD and MAS contributed to the study concept and design, project supervision, data acquisition, data interpretation, and critical revisions of this manuscript. AH contributed to data acquisition, data analysis and interpretation, drafting and critical revisions of this manuscript.

Compliance with Ethical Standards

Conflict of interest

The authors declare that they have no competing interests.


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Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2018

Authors and Affiliations

  1. 1.The Chinese Health, Aging and Policy Program, Rush Institute for Healthy AgingRush University Medical CenterChicagoUSA
  2. 2.Department of Obstetrics and GynecologyNorthwestern University, Feinberg School of MedicineChicagoUSA
  3. 3.Institute for Health, Health Care Policy and Aging ResearchRutgers University, The State University of New JerseyNew BrunswickUSA

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