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Journal of Cancer Education

, Volume 33, Issue 4, pp 757–768 | Cite as

Determinants of Cancer Screening Disparities Among Asian Americans: A Systematic Review of Public Health Surveys

  • Jungmi JunEmail author
  • Xiaoli Nan
Article

Abstract

We conducted a systematic analysis of 24 peer-reviewed literary works that examined Asian Americans’ breast, cervical, and colon cancer screening, focusing on empirical findings from large-scale public health surveys (i.e., NHIS, CHIS, HINTS, BRFSS). We provide an overview of relevant research in terms of study characteristics, samples, predictor/covariate of cancer screenings, and key findings. Our analysis indicates that Asian Americans’ cancer screening rates are lower than for non-Hispanic Whites for all cancer types in four large-scale public health surveys throughout 17 study years. Acculturation and healthcare access were two significant factors in explaining Asian Americans’ cancer screening rates. Cancer fatalism and family cancer history emerged as potential factors that may account for more variances. However, the screening disparities between Asian Americans and whites persist even after adjusting all covariates, including SES, acculturation, healthcare access, health status, and health perception/literacy. More individual and cultural factors should be identified to address these disparities.

Keywords

Asian American Cancer screening disparity Systematic review Public health surveys 

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Copyright information

© American Association for Cancer Education 2017

Authors and Affiliations

  1. 1.The Department of CommunicationUniversity of MarylandCollege ParkUSA

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