Asian American and Pacific Islander breast and cervical carcinoma screening rates and Healthy People 2000 objectives

Kagawa‐Singer, Marjorie; Pourat, Nadereh

doi:10.1002/1097-0142(20000801)89:3<696::aid-cncr27>3.0.co;2-7

Cited by 199 publications

(176 citation statements)

References 18 publications

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“…For example, waitlisted Asians, Hispanics, and Pacific Islanders encountered modest delays in accessing a deceased donor transplant because of residence in an area with a high degree of household linguistic isolation. [21][22][23][24][25] It follows that in a complex healthcare setting, linguistic and/or cultural barriers are likely magnified; our results suggest that among some racial ethnic groups, such factors might serve as stronger determinants of waiting times than individual-level clinical factors, on which most transplant centers focus extensive attention. 26 -28 Accordingly, increasing provider awareness and training to better identify patients with limited English proficiency or inadequate health literacy might allow for more efficient use of interpreters and culturally appropriate educational materials to increase transplants in these racial ethnic groups.…”

Section: Discussionmentioning

confidence: 99%

Racial Ethnic Differences in Rates and Determinants of Deceased Donor Kidney Transplantation

Hall

Choi

et al. 2011

Journal of the American Society of Nephrology

104

134

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Contemporary studies have not comprehensively compared waiting times and determinants of deceased donor kidney transplantation across all major racial ethnic groups in the Unites States. Here, we compared relative rates and determinants of waitlisting and deceased donor kidney transplantation among 503,090 nonelderly adults of different racial ethnic groups who initiated hemodialysis between1995 and 2006 with follow-up through 2008. Annual rates of deceased donor transplantation from the time of dialysis initiation were lowest in American Indians/Alaska Natives (2.4%) and blacks (2.8%), intermediate in Pacific Islanders (3.1%) and Hispanics (3.2%), and highest in whites (5.9%) and Asians (6.4%). Lower rates of deceased donor transplantation among most racial ethnic minority groups appeared primarily to reflect differences in time from waitlisting to transplantation, but this was not the result of higher rates of waitlist inactivity or removal from the waitlist. The fraction of the reduced transplant rates attributable to measured factors (e.g., demographic, clinical, socioeconomic, linguistic, and geographic factors) varied from 14% in blacks to 43% in American Indians/Alaska Natives compared with whites. In conclusion, adjusted rates of deceased donor kidney transplantation remain significantly lower among racial ethnic minorities compared with whites; generally, differences in time to waitlisting were not as pronounced as differences in time between waitlisting and transplantation. Determinants of delays in time to transplantation differed substantially by racial ethnic group. Area-based efforts targeted to address racial-and ethnic-specific delays in transplantation may help to reduce overall disparities in deceased donor kidney transplantation in the United States.

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Section: Discussionmentioning

confidence: 99%

Racial Ethnic Differences in Rates and Determinants of Deceased Donor Kidney Transplantation

Hall

Choi

et al. 2011

Journal of the American Society of Nephrology

104

134

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“…Multiple studies in both countries indicate that non-English speakers and immigrants, including Chinese women, are less likely than the general population to obtain these preventive tests [13][14][15][16][17][18][19][20][21][22][23][24]. Because Chinese women constitute a demographic group with potentially greater language and cultural barriers to accessing breast and cervical cancer screening, it is important to identify barriers and facilitators to their participation in screening.…”

Section: Introductionmentioning

confidence: 99%

Cancer preventive screening: A cross-border comparison of United States and Canadian Chinese women

Jackson

Yasui

et al. 2005

Preventive Medicine

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Objective-To compare screening mammography and Pap testing among Chinese women in Seattle, Washington to Vancouver, and British Columbia. Results-Chinese women in Vancouver were younger, more educated and fluent in English. Unadjusted rates of mammography and Pap testing were similar between the two cities. Provider type was consistently associated with screening in both cities; female providers had the highest rates and Chinese male providers the lowest. Adjusted logistic regression analysis demonstrated similar mammography use in the two cities. However, for Pap testing, women in Seattle had higher odds of screening compared to Vancouver. Methods-UsingConclusion-Despite universal health care coverage and baseline characteristics typically associated with greater utilization of preventive screening services, Chinese women in Vancouver did not have higher rates of screening mammography and Pap testing compared to Chinese women in Seattle.

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“…Studies have demonstrated varying breast cancer screening rates among Asian American ethnic groups [10][11][12][13][14][15][16][17][18][19][20][21][22][23]. It has also been postulated that the low utilization of breast cancer screening may be responsible for the higher proportion of Asian American women diagnosed with larger tumors (>1 cm) [24].…”

Section: Introductionmentioning

confidence: 99%

Breast cancer screening: stages of adoption among Cambodian American women

Yasui

Kuniyuki

et al. 2002

Cancer Detection and Prevention

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Background-Little information is available on the breast cancer screening behavior of Cambodian American women.Methods-We identified households from multiple sources using Cambodian surnames and conducted a cross-sectional survey, administered by bilingual and bicultural interviewers. Breast cancer screening stages of adoption were examined based on concepts from the transtheoretical model of behavioral change.Results-Our response rate was 73% (398 women in clinical breast exam (CBE) analysis, and 248 in mammography analysis) with approximately 25% each in the maintenance stage. We found significant associations between screening stage with physician characteristics. Asian American female physician increased the likelihood of being in the maintenance stage (CBE, OR = 10.1, 95% CI 2.8-37.1; mammogram, OR = 74.7,), compared to Asian American male physician with precontemplation/contemplation stage as our referent outcome.Conclusion-Results from this study support the need to promote regular breast cancer screening among Cambodian American women.

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Asian American and Pacific Islander breast and cervical carcinoma screening rates and Healthy People 2000 objectives

Cited by 199 publications

References 18 publications

Racial Ethnic Differences in Rates and Determinants of Deceased Donor Kidney Transplantation

Racial Ethnic Differences in Rates and Determinants of Deceased Donor Kidney Transplantation

Cancer preventive screening: A cross-border comparison of United States and Canadian Chinese women

Breast cancer screening: stages of adoption among Cambodian American women

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