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

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Abstract

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.

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Authors and Affiliations

  1. The Chinese Health, Aging and Policy Program, Rush Institute for Healthy Aging, Rush University Medical Center, Chicago, IL, USA

    Ailian Hei & XinQi Dong

  2. Department of Obstetrics and Gynecology, Northwestern University, Feinberg School of Medicine, Chicago, IL, USA

    Melissa A. Simon

  3. Institute for Health, Health Care Policy and Aging Research, Rutgers University, The State University of New Jersey, New Brunswick, NJ, USA

    XinQi Dong

Authors
  1. Ailian Hei
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  2. Melissa A. Simon
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  3. XinQi Dong
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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.

Corresponding author

Correspondence to XinQi Dong.

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The authors declare that they have no competing interests.

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Hei, A., Simon, M.A. & Dong, X. Association Between Neighborhood Cohesion and Cancer Screening Utilization in Chinese American Older Adults. J Immigrant Minority Health 21, 830–836 (2019). https://doi.org/10.1007/s10903-018-0783-9

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