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Healthy Colon, Healthy Life (Ruot Lanh, Song Khoe): patient and physician factors associated with colorectal cancer screening among Vietnamese Americans in a county medical care system

TitleHealthy Colon, Healthy Life (Ruot Lanh, Song Khoe): patient and physician factors associated with colorectal cancer screening among Vietnamese Americans in a county medical care system
Publication TypeJournal Article
Year of Publication2009
AuthorsWalsh, J, Nguyen, T, Nguyen, L, Pasick, R, McPhee, SJ
JournalJ Health Care Poor UnderservedJ Health Care Poor Underserved
Volume20
Pagination74-89
Date PublishedFeb
ISBN Number1049-2089 (Print)<br/>1049-2089 (Linking)
Accession Number19202248
KeywordsAge Factors, Aged, Asian Americans/ statistics & numerical data, Awareness, Colonoscopy, Colorectal Neoplasms/ diagnosis, Community Health Services/statistics & numerical data, Female, Health Knowledge, Attitudes, Practice, Humans, Male, Mass Screening, Middle Aged, Patient Satisfaction, Patients/ statistics & numerical data, Physicians/ statistics & numerical data, Primary Health Care/statistics & numerical data, Religion, Sex Factors, Socioeconomic Factors, Vietnam/ethnology
AbstractOBJECTIVE: To examine factors associated with colorectal cancer (CRC) screening among Vietnamese Americans. METHODS: Telephone survey of Vietnamese aged 50-79 receiving primary care at participating clinics. RESULTS: Among 808 participants, 53% were up to date (UTD) with fecal occult blood test (FOBT), 19% were UTD with sigmoidoscopy, 28% were UTD with colonoscopy. Females were more likely to be UTD with FOBT (OR 1.4, 95% CI 1.02, 1.93). Individuals in the U.S. for less than 15 years were less likely than others to be UTD with any CRC screening (OR 0.65, 95% CI 0.44, 0.96). Patients of female physicians were more likely to be UTD with sigmoidoscopy or colonoscopy (OR 1.72, 95% CI 1.15, 2.57). Ethnicity and language concordance were not associated with screening. CONCLUSIONS: Many Vietnamese people are not receiving CRC screening. Women and patients of female physicians receive more screening.