Physician visits and preventive care among Asian American and Pacific Islander long-term survivors of colorectal cancer, USA, 1996–2006

Details

• Alternative Title:
  J Cancer Surviv
• Personal Author:
  Steele, C. Brooke ; Townsend, Julie S. ; Tai, Eric ; Thomas, Cheryll C.
• Description:
  Purpose
  
  Published literature on receipt of preventive healthcare services among Asian American and Pacific Islander (API) cancer survivors is scarce. We describe patterns in receipt of preventive services among API long-term colorectal cancer (CRC) survivors.
  
  Methods
  
  Surveillance, Epidemiology, and End Results registry–Medicare data were used to identify 9,737 API and white patients who were diagnosed with CRC during 1996–2000 and who survived 5 or more years beyond their diagnoses. We examined receipt of vaccines, mammography (females), bone densitometry (females), and cholesterol screening among the survivors and how the physician specialties they visited for follow-up care correlated to services received.
  
  Results
  
  APIs were less likely than whites to receive mammography (52.0 vs. 69.3 %, respectively; P <0.0001) but more likely to receive influenza vaccine, cholesterol screening, and bone densitometry. These findings remained significant in our multivariable model, except for receipt of bone densitometry. APIs visited PCPs only and both PCPs and oncologists more frequently than whites (P <0.0001). Women who visited both PCPs and oncologists compared with PCPs only were more likely to receive mammography (odds ratio=1.40; 95 % confidence interval, 1.05–1.86).
  
  Conclusions
  
  Visits to both PCPs and oncologists were associated with increased use of mammography. Although API survivors visited these specialties more frequently than white survivors, API women may need culturally appropriate outreach to increase their use of this test.
  
  Implications for Cancer Survivors
  
  Long-term cancer survivors need to be aware of recommended preventive healthcare services, as well as who will manage their primary care and cancer surveillance follow-up.
  
  
• Subjects:
  Adenocarcinoma Aged Aged, 80 And Over Asian Bone Density Cholesterol Colorectal Neoplasms Early Detection Of Cancer Female Humans Male Mammography Medicine Middle Aged Oceanians Office Visits Patient Acceptance Of Health Care Poverty Preventive Health Services SEER Program Survivors Vaccination White People

  More +
• Source:
  J Cancer Surviv. 8(1):70-79.
• Pubmed ID:
  24190589
• Pubmed Central ID:
  PMC4538926
• Document Type:
  Journal Article
• Funding:
  CKS9/Intramural CDC HHS/United States
• Place as Subject:
  China ; Georgia
• Volume:
  8
• Issue:
  1
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:37464a75a2f1d1e3f66c65180a704fa7d7f72d2ce9734c7b8a5817001b940fa1
• Download URL:
  https://stacks.cdc.gov/view/cdc/32936/cdc_32936_DS1.pdf
• File Type:
  [PDF - 445.21 KB ]