ArticlePreventing chronic disease2021
Effects of Neighborhood Ethnic Density and Psychosocial Factors on Colorectal Cancer Screening Behavior Among Asian American Adults, Greater Philadelphia and New Jersey, United States, 2014-2019.
Article in Preventing chronic disease, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 2 of them syntheses that pooled it.
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Who cites it
10 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Relationships Between Living in Ethnic Enclaves and Cancer Outcomes: A Systematic Review of Literature.Journal of racial and ethnic health disparities · 2026Pooled it
- Multilevel factors influencing colorectal cancer screening adherence: A systematic literature review.PloS one · 2026Pooled it
- Knowledge of Colorectal Cancer Risk and Cancer Screening, with Colorectal Cancer Screening Attendance: A Nationwide Study in Japan (INFORM Study, 2020).Asian Pacific journal of cancer prevention : APJCP · 2026Article
- Association Between Race, Ethnicity, and Sex With Colorectal Cancer Screening Use Among US Adults With and Without Self-Reported Depressive Disorders, Behavioral Risk Factor Surveillance System, 2022.Preventing chronic disease · 2026Article
- Exploring Cultural and Age-Specific Preferences to Develop a Community-Based Colorectal Cancer Screening Intervention for CHamorus and Filipinos in Guam-Findings from a Qualitative Study.International journal of environmental research and public health · 2025Article
- Neighborhood Factors Related to Cancer Screening in Texas: A Spatioecological Study.American journal of preventive medicine · 2025Article
- Asian American Enclaves and Healthcare Accessibility: An Ecologic Study Across Five States.American journal of preventive medicine · 2023Article
- Cancer Screening Prevalence and Associated Factors Among US Adults.Preventing chronic disease · 2022Article
- Application Value of Nutrition Support Team in Chemotherapy Period of Colon Cancer Based on Internet Multidisciplinary Treatment Mode.Computational and mathematical methods in medicine · 2022Article
- Cancer Screening Rates Among Asian Americans: A Cross-Sectional Secondary Data Analysis Study.Cancer control : journal of the Moffitt Cancer CenterArticle
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Authors and funding
7 authors.
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Abstract
introductionWe examined how neighborhood ethnic composition influences colorectal cancer (CRC) screening behavior in Asian American adults and explored whether associations between psychosocial predictors, including knowledge, self-efficacy, and barriers affecting CRC screening behavior, varied by level of neighborhood ethnic composition.
methodsFilipino, Korean, and Vietnamese Americans (N = 1,158) aged 50 years or older were included in the study. Psychosocial factors associated with CRC screening, CRC screening behavior, and sociodemographic characteristics were extracted from participants' data. Neighborhood ethnic composition was characterized as the census-tract-level percentage of Asian residents. Participants' addresses were geocoded to the census tract level to determine whether they resided in an ethnically dense neighborhood. Multilevel logistic regression models were run with and without interaction terms.
resultsIn mixed-effects logistic regression model 1, residing in an ethnically dense neighborhood was associated with lower odds of CRC screening (odds ratio [OR] = 0.65; 95% CI, 0.45-0.93; P = .02) after controlling for age, sex, education, ethnic group, and neighborhood socioeconomic status. Greater perceived barriers to CRC screening (OR = 0.62; 95% CI, 0.50-0.77; P < .001) resulted in significantly lower odds of obtaining a CRC screening, while higher self-efficacy (OR = 1.17, 95% CI, 1.11-1.23, P < .001) was associated with higher odds. In model 2, among those residing in a high ethnic density neighborhood, greater barriers to screening were associated with lower odds of having obtained a CRC screening (OR = 0.53; 95% CI, 0.30-0.96; P = .04).
conclusionWe found that residing in an ethnically dense neighborhood indicated higher disparities in obtaining CRC screenings. Future studies should examine socioeconomic and cultural disparities, as well as disparities in the built environment, that are characteristic of ethnically dense neighborhoods and assess the impact of these disparities on CRC screening behaviors.
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