Evidence map›Paper›PMID 35297497›Full record

ArticleJournal of racial and ethnic health disparities2023

Limited English Proficiency and Screening for Cervical, Breast, and Colorectal Cancers among Asian American Adults.

Zhigang Xie, Guanming Chen, Ryan Suk, Brittney Dixon, Ara Jo, Young-Rock Hong

Abstract read
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In one paragraph

Article in Journal of racial and ethnic health disparities, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 2 pooled it
7.8field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

The trial behind it

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.

3 · Its place in the literature

Who cites it

23 citing papers in PubMed, 2 syntheses or guidelines pooled it, 29 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
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  5. "Don't be a hero, don't keep it a secret": understanding the lived experience of Chinese American patients with cancer through their expressive writing entries.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
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  8. Review
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  13. The Role of Federally Qualified Health Centers in Achieving Equitable Cancer Screening.Journal of the American College of Radiology : JACR · 2025
    Article
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  15. Language as a barrier to colorectal cancer screening in flanders: an ecological study.Archives of public health = Archives belges de sante publique · 2025
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 3 institutions in 1 country.

Zhigang XieDepartment of Health Services Research, Management and Policy, University of Florida, PO Box 100195, Gainesville, FL, 32610-0195, USA.
Guanming ChenDepartment of Health Outcomes and Biomedical Informatics, University of Florida, Gainesville, FL, USA.
Ryan SukCenter for Health Systems Research, Policy & Practice, Department of Management, Policy and Community Health School of Public Health, The University of Texas Health Science Center at Houston, Houston, TX, USA.
Brittney DixonDepartment of Health Services Research, Management and Policy, University of Florida, PO Box 100195, Gainesville, FL, 32610-0195, USA.
Ara JoDepartment of Health Services Research, Management and Policy, University of Florida, PO Box 100195, Gainesville, FL, 32610-0195, USA.
Young-Rock HongDepartment of Health Services Research, Management and Policy, University of Florida, PO Box 100195, Gainesville, FL, 32610-0195, USA. youngrock.h@phhp.ufl.edu.ORCID 0000-0002-0366-5687
University of Florida · USUniversity of Florida Health · USThe University of Texas Health Science Center at Houston · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLiterature shows that limited English proficiency (LEP) influences individual healthcare-seeking behaviors. The Asian population is the fastest-growing racial/ethnic group in the US, and approximately 50% of foreign-born Asians are estimated to live with LEP.

objectiveTo examine associations of LEP and patient-provider language concordance (PPLC) with evidence-based cancer screening utilization for cervical, breast, and colorectal cancers among Asian American adults.

methodsWe obtained LEP, PPLC, and up-to-date status on the three types of cancer screening from a nationally representative sample of Asian Americans aged ≥ 18 years in the 2010-2016 and 2018 Medical Expenditure Panel Surveys. We used multivariable logistic regression models with recommended survey weighting to examine associations of LEP and PPLC with the cancer screening uptake based on USPSTF guidelines.

resultsThe study population comprised 8953 respondents, representing 8.17 million Asian American adults. Overall, 11.9% of respondents experienced LEP; of those with LEP, 20% were with PPLC. In multivariable models, compared to respondents without LEP, respondents with LEP and without PPLC were significantly less likely to report up-to-date status on breast (OR = 0.44; 95% CI: 0.26-0.76), cervical (OR = 0.44; 95% CI: 0.26-0.75), or colorectal cancer screening (OR = 0.46; 95% CI: 0.26-0.80). However, these differences were not detected in respondents with LEP and with PPLC.

conclusionLEP is associated with lower up-to-date status on cancer screening among Asian Americans, while PPLC seems to moderate this association. These findings suggest the enhancement for language-appropriate and culturally competent healthcare for Asian Americans with LEP, which helps accommodate their communication needs and promotes cancer screening.

Indexed as

Breast NeoplasmsColorectal NeoplasmsCommunication BarriersLimited English ProficiencyUterine Cervical NeoplasmsAdultAsianEarly Detection of CancerFemaleHumansPatient Acceptance of Health CareAsian AmericansCancer screeningLimited English proficiencyPatient-provider language concordance

Identifiers

PMID35297497
OpenAlexW4220753561

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.