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Access to Health Care, Beliefs, and Behaviors about Colorectal Cancer Screening among Korean Americans
BACKGROUND: Colorectal cancer (CRC) is one of the most common cancers among Korean Americans (KAs) and their CRC screening rates are low. To raise the rates of CRC screening among KAs, it is necessary to improve our understanding of factors that influence their CRC screening behaviors. This study ex...
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
West Asia Organization for Cancer Prevention
2018
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6165655/ https://www.ncbi.nlm.nih.gov/pubmed/30051703 http://dx.doi.org/10.22034/APJCP.2018.19.7.2021 |
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author | Lee, Shin Young Lee, Eunice E |
author_facet | Lee, Shin Young Lee, Eunice E |
author_sort | Lee, Shin Young |
collection | PubMed |
description | BACKGROUND: Colorectal cancer (CRC) is one of the most common cancers among Korean Americans (KAs) and their CRC screening rates are low. To raise the rates of CRC screening among KAs, it is necessary to improve our understanding of factors that influence their CRC screening behaviors. This study examined socio-demographics, access to health care, health and cultural beliefs, and behaviors about the fecal occult blood test (FOBT) for CRC screening among KAs aged 50 and older. METHODS: Based on the health belief model, the cultural assessment model for health, and the Powe fatalism model, this study measured socio-demographics (age, gender, years in the U.S., marital status, education, employment, income, and acculturation), health care access (health insurance, having a regular doctor, physician recommendation, and trust in doctor), health beliefs (susceptibility, severity, benefits, barriers, and self-efficacy), and cultural beliefs (physical space, health temporal orientation, personal control, and fatalism) and FOBT. A cross-sectional survey (n=202) was conducted. Data analysis was conducted using descriptive analysis, Pearson correlation, and multivariate logistic regression. RESULTS: This study found that physician recommendation was the strongest factor in lifetime FOBT utilization in KAs. The results also revealed a positive association among health temporal orientation, health fatalism, and lifetime FOBT among KAs, while previous research found a negative association between fatalism and cancer screening. Years in the U.S., employment, and having a regular doctor were significantly associated with having had a FOBT in the previous year. CONCLUSION: Study results suggested the need for public education programs to increase physician recommendation among KAs. Furthermore, the positive relationships among health temporal orientation, health fatalism, and FOBT utilization in KAs suggests that KAs have a desire to maintain health and find cancer early despite their fatalistic view on health. |
format | Online Article Text |
id | pubmed-6165655 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | West Asia Organization for Cancer Prevention |
record_format | MEDLINE/PubMed |
spelling | pubmed-61656552018-10-04 Access to Health Care, Beliefs, and Behaviors about Colorectal Cancer Screening among Korean Americans Lee, Shin Young Lee, Eunice E Asian Pac J Cancer Prev Research Article BACKGROUND: Colorectal cancer (CRC) is one of the most common cancers among Korean Americans (KAs) and their CRC screening rates are low. To raise the rates of CRC screening among KAs, it is necessary to improve our understanding of factors that influence their CRC screening behaviors. This study examined socio-demographics, access to health care, health and cultural beliefs, and behaviors about the fecal occult blood test (FOBT) for CRC screening among KAs aged 50 and older. METHODS: Based on the health belief model, the cultural assessment model for health, and the Powe fatalism model, this study measured socio-demographics (age, gender, years in the U.S., marital status, education, employment, income, and acculturation), health care access (health insurance, having a regular doctor, physician recommendation, and trust in doctor), health beliefs (susceptibility, severity, benefits, barriers, and self-efficacy), and cultural beliefs (physical space, health temporal orientation, personal control, and fatalism) and FOBT. A cross-sectional survey (n=202) was conducted. Data analysis was conducted using descriptive analysis, Pearson correlation, and multivariate logistic regression. RESULTS: This study found that physician recommendation was the strongest factor in lifetime FOBT utilization in KAs. The results also revealed a positive association among health temporal orientation, health fatalism, and lifetime FOBT among KAs, while previous research found a negative association between fatalism and cancer screening. Years in the U.S., employment, and having a regular doctor were significantly associated with having had a FOBT in the previous year. CONCLUSION: Study results suggested the need for public education programs to increase physician recommendation among KAs. Furthermore, the positive relationships among health temporal orientation, health fatalism, and FOBT utilization in KAs suggests that KAs have a desire to maintain health and find cancer early despite their fatalistic view on health. West Asia Organization for Cancer Prevention 2018 /pmc/articles/PMC6165655/ /pubmed/30051703 http://dx.doi.org/10.22034/APJCP.2018.19.7.2021 Text en Copyright: © Asian Pacific Journal of Cancer Prevention http://creativecommons.org/licenses/BY-SA/4.0 This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License |
spellingShingle | Research Article Lee, Shin Young Lee, Eunice E Access to Health Care, Beliefs, and Behaviors about Colorectal Cancer Screening among Korean Americans |
title | Access to Health Care, Beliefs, and Behaviors about Colorectal Cancer Screening among Korean Americans |
title_full | Access to Health Care, Beliefs, and Behaviors about Colorectal Cancer Screening among Korean Americans |
title_fullStr | Access to Health Care, Beliefs, and Behaviors about Colorectal Cancer Screening among Korean Americans |
title_full_unstemmed | Access to Health Care, Beliefs, and Behaviors about Colorectal Cancer Screening among Korean Americans |
title_short | Access to Health Care, Beliefs, and Behaviors about Colorectal Cancer Screening among Korean Americans |
title_sort | access to health care, beliefs, and behaviors about colorectal cancer screening among korean americans |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6165655/ https://www.ncbi.nlm.nih.gov/pubmed/30051703 http://dx.doi.org/10.22034/APJCP.2018.19.7.2021 |
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