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Factors Influencing Colorectal Cancer Screening Among Thais in the U.S
Eunice Lee1, Bulaporn Natipagon-Shah2, Samantha Sangsanoi-Terkchareon3
1School of Nursing, University of California, Los Angeles, 700 Tiverton Ave., #-4-258, Los Angeles, CA, 90095, USA.
Journal of Community Health
|October 21, 2018
Summary
Colorectal cancer (CRC) screening adherence was low among Thai adults in California. Regular checkups, longer US residency, education, and self-efficacy predicted higher CRC screening rates.
Area of Science:
- Public Health
- Cancer Epidemiology
- Health Disparities
Background:
- Colorectal cancer (CRC) screening uptake remains suboptimal in many ethnic minority populations.
- Understanding factors influencing CRC screening adherence among specific communities, like Thai adults in the U.S., is crucial for targeted interventions.
Purpose of the Study:
- To examine the prevalence of CRC screening adherence among Thai adults aged 50-75 in Southern California.
- To identify sociodemographic, behavioral, and psychosocial factors associated with CRC screening adherence in this population.
Main Methods:
- A cross-sectional survey was conducted with 121 married Thai adults residing in Southern California.
- Data were collected on CRC screening methods (fecal occult blood test, sigmoidoscopy, colonoscopy), healthcare utilization, demographics, and self-efficacy.
- Multivariable logistic regression analysis was used to identify predictors of screening adherence.
Main Results:
- Overall, 55% of participants met CRC screening adherence criteria.
- Significant predictors of adherence included having had regular checkups within the past 2 years (OR 16.01), older age (OR 1.08), longer duration of U.S. residency (≥15 years, OR 6.65), some college education (OR 3.74), and higher self-efficacy (OR 1.88).
Conclusions:
- Targeted interventions are needed to improve CRC screening rates among Thai adults in the U.S.
- Enhancing awareness about the importance of preventive screening, especially among asymptomatic individuals, may increase adherence.
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