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Colon Cancer Rates Among Asian Americans: A 2017-2021 Epidemiological Analysis.

Candice Do1, Wei-Chen Lee2, Christopher Huy D Doan1

  • 1John Sealy School of Medicine, University of Texas Medical Branch, Galveston, TX 77555, USA.

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|January 8, 2025
PubMed
Summary
This summary is machine-generated.

Colon cancer (CC) rates among Asian Americans (AAs) surged five-fold from 2017 to 2021. Factors like language barriers and insurance access influenced prevalence, highlighting the need for targeted prevention strategies.

Keywords:
Asian Americancolon cancerdisparitiessocial determinants of health

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Area of Science:

  • Public Health
  • Epidemiology
  • Cancer Research

Background:

  • Colon cancer (CC) poses a significant public health challenge.
  • Asian Americans (AAs) are a growing demographic in the U.S.
  • Understanding CC prevalence within this population is crucial.

Purpose of the Study:

  • To examine the prevalence and trends of colon cancer among Asian Americans in the United States.
  • To identify state-level disparities and county-level risk factors associated with CC in AAs.
  • To investigate the relationship between socioeconomic factors, language, insurance, and CC rates.

Main Methods:

  • Utilized merged data from the 2017-2021 Medical Expenditure Panel Survey and County Health Ranking.
  • Calculated age-adjusted CC rates and analyzed state-level prevalence.
  • Conducted regression analyses to identify county-level risk factors for CC.

Main Results:

  • CC age-adjusted rates among AAs increased five-fold from 2017 (155/100,000) to 2021 (753/100,000).
  • Highest CC prevalence observed in Arkansas, Rhode Island, and New Hampshire.
  • Not speaking other languages and having insurance were linked to higher CC rates; higher socioeconomic advantage correlated with lower CC prevalence, potentially due to increased screening.

Conclusions:

  • Urgent need for early prevention strategies to combat rising CC rates in the Asian American population.
  • Geographic and socioeconomic factors require further investigation to understand CC risk disparities.
  • Addressing barriers related to language and insurance access is critical for effective CC prevention and screening.