TY - JOUR
T1 - Disparities in colorectal cancer screening among South Asians in New York City
T2 - a cross-sectional study
AU - Wyatt, Laura C.
AU - Patel, Shilpa
AU - Kranick, Julie A.
AU - Raveis, Victoria H.
AU - Ravenell, Joseph E.
AU - Yi, Stella S.
AU - Kwon, Simona C.
AU - Islam, Nadia S.
N1 - Funding Information:
This study was supported by grant number U48DP005008 and U48DP006396-SIP19-005 from the Centers for Disease Control and Prevention, award numbers P60MD000538 and U54MD000538 from the National Institutes of Health National Institute on Minority Health and Health Disparities, award number UL1TR001445 from the National Center for Advancing Translational Sciences, and award number P30CA016087 from the National Cancer Institute.
Publisher Copyright:
© 2021, American Association for Cancer Education.
PY - 2022/10
Y1 - 2022/10
N2 - Despite improvements in colorectal cancer (CRC) screening in New York City (NYC) since the early 2000s, the degree to which disparities persist for specific Asian American subgroups has yet to be fully elucidated. The purpose of this study is to examine disparities in rates of timely colonoscopy screening among five racial/ethnic groups in NYC. We performed a retrospective cross-sectional analysis of combined 2014–2018 NYC Community Health Survey data. Prevalence estimates of timely colonoscopy screening (within the past 10 years) among individuals ≥ 50 years of age were calculated and presented overall (n = 24,288) and by socio-demographic variables. Racial/ethnic categories included White, Black, Hispanic, East Asian, and South Asian. Multivariable models examined socio-demographic and racial/ethnic predictors of timely colonoscopy screening. A trend analysis examined colonoscopy screening by race/ethnicity and year from 2012 to 2018 (n = 33,130). Age-adjusted prevalence of timely colonoscopy screening was lowest among Asian Americans (South Asian 61.1% and East Asian 65.9%) compared to Hispanics (71.3%), Blacks (70.2%), and Whites (68.6%). Adjustment by socio-demographics, including insurance status, further explained disparities for South Asians (adjusted risk ratio [RR] = 0.84, 95% CI = 0.73–0.97) compared to Hispanics; additionally, Whites (adjusted RR=0.88, 95% CI = 0.84–0.92) were less likely to have received a timely colonoscopy compared to Hispanics. Age, health insurance, poverty group, and education were significant predictors in adjusted regression. Results indicate that South Asians have not equally benefited from campaigns to increase colonoscopy screening in NYC. Our findings support the development of targeted, and linguistically and culturally adapted campaigns that facilitate access to health systems and leverage existing community assets and social support systems among South Asian populations.
AB - Despite improvements in colorectal cancer (CRC) screening in New York City (NYC) since the early 2000s, the degree to which disparities persist for specific Asian American subgroups has yet to be fully elucidated. The purpose of this study is to examine disparities in rates of timely colonoscopy screening among five racial/ethnic groups in NYC. We performed a retrospective cross-sectional analysis of combined 2014–2018 NYC Community Health Survey data. Prevalence estimates of timely colonoscopy screening (within the past 10 years) among individuals ≥ 50 years of age were calculated and presented overall (n = 24,288) and by socio-demographic variables. Racial/ethnic categories included White, Black, Hispanic, East Asian, and South Asian. Multivariable models examined socio-demographic and racial/ethnic predictors of timely colonoscopy screening. A trend analysis examined colonoscopy screening by race/ethnicity and year from 2012 to 2018 (n = 33,130). Age-adjusted prevalence of timely colonoscopy screening was lowest among Asian Americans (South Asian 61.1% and East Asian 65.9%) compared to Hispanics (71.3%), Blacks (70.2%), and Whites (68.6%). Adjustment by socio-demographics, including insurance status, further explained disparities for South Asians (adjusted risk ratio [RR] = 0.84, 95% CI = 0.73–0.97) compared to Hispanics; additionally, Whites (adjusted RR=0.88, 95% CI = 0.84–0.92) were less likely to have received a timely colonoscopy compared to Hispanics. Age, health insurance, poverty group, and education were significant predictors in adjusted regression. Results indicate that South Asians have not equally benefited from campaigns to increase colonoscopy screening in NYC. Our findings support the development of targeted, and linguistically and culturally adapted campaigns that facilitate access to health systems and leverage existing community assets and social support systems among South Asian populations.
KW - Asian American
KW - Colonoscopy
KW - Colorectal cancer
KW - Health disparities
KW - South Asian
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U2 - 10.1007/s13187-021-01991-7
DO - 10.1007/s13187-021-01991-7
M3 - Article
C2 - 33723796
AN - SCOPUS:85102804855
SN - 0885-8195
VL - 37
SP - 1510
EP - 1518
JO - Journal of Cancer Education
JF - Journal of Cancer Education
IS - 5
ER -