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Ethnic differences and predictors of colonoscopy, prostate-specific antigen, and mammography screening participation in the multiethnic cohort
- Source :
- Cancer epidemiology. 38(2)
- Publication Year :
- 2013
-
Abstract
- Given the relation between screening and improved cancer outcomes and the persistence of ethnic disparities in cancer mortality, we explored ethnic differences in colonoscopy, prostate-specific antigen (PSA), and mammography screening in the Multiethnic Cohort Study.Logistic regression was applied to examine the influence of ethnicity as well as demographics, lifestyle factors, comorbidities, family history of cancer, and previous screening history on self-reported screening participation collected in 1999-2002.The analysis included 140,398 participants who identified as white, African American, Native Hawaiian, Japanese American, US born-Latino, or Mexican born-Latino. The screening prevalences overall were mammography: 88% of women, PSA: 45% of men, and colonoscopy: 35% of men and women. All minority groups reported 10-40% lower screening utilization than whites, but Mexican-born Latinos and Native Hawaiian were lowest. Men were nearly twice as likely to have a colonoscopy (OR=1.94, 95% CI=1.89-1.99) as women. A personal screening history, presence of comorbidities, and family history of cancer predicted higher screening utilization across modalities, but to different degrees across ethnic groups.This study confirms previously reported sex differences in colorectal cancer screening and ethnic disparities in screening participation. The findings suggest it may be useful to include personal screening history and family history of cancer into counseling patients about screening participation.
- Subjects :
- Oncology
Male
Cancer Research
medicine.medical_specialty
Native Hawaiian or Other Pacific Islander
Epidemiology
Ethnic group
Colonoscopy
Breast Neoplasms
Hawaii
Article
Cohort Studies
Japan
Internal medicine
Cancer screening
Mexican Americans
medicine
Mammography
Humans
Mass Screening
Mass screening
medicine.diagnostic_test
business.industry
Cancer
Prostatic Neoplasms
Middle Aged
Prostate-Specific Antigen
medicine.disease
United States
Black or African American
Prostate-specific antigen
Female
Kallikreins
business
Colorectal Neoplasms
Cohort study
Subjects
Details
- ISSN :
- 1877783X
- Volume :
- 38
- Issue :
- 2
- Database :
- OpenAIRE
- Journal :
- Cancer epidemiology
- Accession number :
- edsair.doi.dedup.....27760af73975b328b9d5594059ffbc61