ArticleCancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology2014
Patient and provider characteristics associated with colorectal, breast, and cervical cancer screening among Asian Americans.
Article in Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 48 papers, 5 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
48 citing papers in PubMed, 5 syntheses or guidelines pooled it.
- A Systematic Review of Interventions to Promote Cervical Cancer Screening among Immigrant Vietnamese Women.Journal of community health · 2025Pooled it
- Barriers and Facilitators to Colorectal Cancer Screening in South Asian Immigrants: A Systematic Review.Asian Pacific journal of cancer prevention : APJCP · 2023Pooled it
- Cervical Cancer Screening Behaviors Among Asian Indians in the United States: A Systematic Review.Journal of immigrant and minority health · 2022Pooled it
- Electronic Tools to Bridge the Language Gap in Health Care for People Who Have Migrated: Systematic Review.Journal of medical Internet research · 2021Pooled it
- Culturally Tailored Intervention to Promote Mammography Screening Practice Among Chinese American Women: a Systematic Review.Journal of cancer education : the official journal of the American Association for Cancer Education · 2020Pooled it
- Community-Based Cervical Cancer Education: Changes in Knowledge and Beliefs Among Vietnamese American Women.Journal of community health · 2019Trial
- A physician-initiated intervention to increase colorectal cancer screening in Chinese patients.Cancer · 2018Trial
- Direct economic burden of 0.9 million hospitalized cancer patients in Shenzhen, China, 2016-2022.BMC health services research · 2026Article
- Patient-Clinician Sex and Race and/or Ethnicity Concordance and Adherence to Preventive Services Guidelines: MEPS 2018-2020.Journal of general internal medicine · 2026Article
- Adherence to Breast Cancer Screening Guidelines Among Age-Eligible US Women: Findings From NHIS 2021.Cancer medicine · 2025Article
- Process Mapping to Compare and Improve Management of Abnormal Cervical Cancer Screening Results in Two US Healthcare Systems within the PROSPR Consortium.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2025Article
- Sociodemographic Predictors of County-Level Mammography Screening Rates in the United States.Radiology. Imaging cancer · 2025Article
- Patient-Physician Messaging by Race, Ethnicity, Insurance Type, and Preferred Language.JAMA network open · 2025Article
- Cancer Incidence and Trends in Persistent Poverty Areas of California by Race/Ethnicity and Sex.Cancer medicine · 2025Article
- Patient, Examination, and System Factors Associated with Completed Follow-up for Probably Benign (BI-RADS 3) Breast Findings in a Large, Complex Health Care System.Academic radiology · 2025Article
- Article
- Cancer Screening, Knowledge, and Fatalism among Chinese, Korean, and South Asian Residents of New York City.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2024Article
- Exploring Factors Influencing Cervical Cancer Screening Participation among Singaporean Women: A Social Ecological Approach.Cancers · 2024Article
- Racial, Ethnic, and Gender Differences in the Timing of Initiating the HPV Vaccine in the United States: the Case of Southeast Asian Americans.Journal of racial and ethnic health disparities · 2024Article
- Breast Cancer Incidence Among Asian American Women in New York City: Disparities in Screening and Presentation.Annals of surgical oncology · 2024Article
Corrections and comments
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Authors and funding
9 authors.
Funding
Abstract
backgroundRoutinely recommended screening for breast, cervical, and colorectal cancers can significantly reduce mortality from these types of cancer, yet screening is underutilized among Asians. Surveys rely on self-report and often are underpowered for analysis by Asian ethnicities. Electronic health records (EHR) include validated (as opposed to recall-based) rates of cancer screening. In this article, we seek to better understand cancer screening patterns in a population of insured Asian Americans.
methodsWe calculated rates of compliance with cervical, breast, and colorectal cancer screening among Asians from an EHR population and compared them with non-Hispanic whites. We performed multivariable modeling to evaluate potential predictors (at the provider- and patient-level) of screening completion among Asian patients.
resultsAggregation of Asian subgroups masked heterogeneity in screening rates. Asian Indians and native Hawaiians and Pacific Islanders had the lowest rates of screening in our sample, well below that of non-Hispanic whites. In multivariable analyses, screening completion was negatively associated with patient-physician language discordance for mammography [OR, 0.81; 95% confidence interval (CI), 0.71-0.92] and colorectal cancer screening (OR, 0.79; CI, 0.72-0.87) and positively associated with patient-provider gender concordance for mammography (OR, 1.16; CI, 1.00-1.34) and cervical cancer screening (OR, 1.66; CI, 1.51-1.82). In addition, patient enrollment in online health services increased mammography (OR, 1.32; CI, 1.20-1.46) and cervical cancer screening (OR, 1.31; CI, 1.24-1.37).
conclusionsLanguage- and gender-concordant primary care providers and culturally tailored online health resources may help improve preventive cancer screening in Asian patient populations. IMPACT: This study demonstrates how the use of EHR data can inform investigations of primary prevention practices within the healthcare delivery setting.
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