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Wyatt LC, Patel S, Kranick JA, et al. Disparities in colorectal cancer screening among South Asians in New York City: a cross-sectional study. J Cancer Educ. 2021;doi: 10.1007/s13187-021-01991-7.
Wyatt, L. C., Patel, S., Kranick, J. A., Raveis, V. H., Ravenell, J. E., Yi, S. S., Kwon, S. C., & Islam, N. S. (2021). Disparities in colorectal cancer screening among South Asians in New York City: a cross-sectional study. Journal of cancer education : the official journal of the American Association for Cancer Education, . https://doi.org/10.1007/s13187-021-01991-7
Wyatt, Laura C, et al. "Disparities in colorectal cancer screening among South Asians in New York City: a cross-sectional study." Journal of cancer education : the official journal of the American Association for Cancer Education vol. (2021). doi: https://doi.org/10.1007/s13187-021-01991-7
Wyatt LC, Patel S, Kranick JA, Raveis VH, Ravenell JE, Yi SS, Kwon SC, Islam NS. Disparities in colorectal cancer screening among South Asians in New York City: a cross-sectional study. J Cancer Educ. 2021 Mar 15; doi: 10.1007/s13187-021-01991-7. Epub 2021 Mar 15. PMID: 33723796; PMCID: PMC8440659.
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J Cancer Educ. 2021 Mar 15; doi: 10.1007/s13187-021-01991-7. Epub 2021 Mar 15.

Disparities in colorectal cancer screening among South Asians in New York City: a cross-sectional study.

Journal of cancer education : the official journal of the American Association for Cancer Education

Laura C Wyatt, Shilpa Patel, Julie A Kranick, Victoria H Raveis, Joseph E Ravenell, Stella S Yi, Simona C Kwon, Nadia S Islam

Affiliations

  1. Department of Population Health, NYU Grossman School of Medicine, 180 Madison Avenue, 8th floor, New York, NY, 10016, USA. [email protected].
  2. Center for Health Care Strategies, Inc., Hamilton, NJ, USA.
  3. Department of Population Health, NYU Grossman School of Medicine, 180 Madison Avenue, 8th floor, New York, NY, 10016, USA.
  4. Psychological Research Unit on Health, Aging, and the Community, New York University College of Dentistry, New York, NY, USA.

PMID: 33723796 PMCID: PMC8440659 DOI: 10.1007/s13187-021-01991-7

Abstract

Despite improvements in colorectal cancer (CRC) screening in New York City (NYC) since the early 2000s, the degree to which disparities persist for specific Asian American subgroups has yet to be fully elucidated. The purpose of this study is to examine disparities in rates of timely colonoscopy screening among five racial/ethnic groups in NYC. We performed a retrospective cross-sectional analysis of combined 2014-2018 NYC Community Health Survey data. Prevalence estimates of timely colonoscopy screening (within the past 10 years) among individuals ≥ 50 years of age were calculated and presented overall (n = 24,288) and by socio-demographic variables. Racial/ethnic categories included White, Black, Hispanic, East Asian, and South Asian. Multivariable models examined socio-demographic and racial/ethnic predictors of timely colonoscopy screening. A trend analysis examined colonoscopy screening by race/ethnicity and year from 2012 to 2018 (n = 33,130). Age-adjusted prevalence of timely colonoscopy screening was lowest among Asian Americans (South Asian 61.1% and East Asian 65.9%) compared to Hispanics (71.3%), Blacks (70.2%), and Whites (68.6%). Adjustment by socio-demographics, including insurance status, further explained disparities for South Asians (adjusted risk ratio [RR] = 0.84, 95% CI = 0.73-0.97) compared to Hispanics; additionally, Whites (adjusted RR=0.88, 95% CI = 0.84-0.92) were less likely to have received a timely colonoscopy compared to Hispanics. Age, health insurance, poverty group, and education were significant predictors in adjusted regression. Results indicate that South Asians have not equally benefited from campaigns to increase colonoscopy screening in NYC. Our findings support the development of targeted, and linguistically and culturally adapted campaigns that facilitate access to health systems and leverage existing community assets and social support systems among South Asian populations.

Keywords: Asian American; Colonoscopy; Colorectal cancer; Health disparities; South Asian

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