Colorectal Cancer Screening Among Chinese American Immigrants

The purpose of this study was to examine the factors determining fecal occult blood test (FOBT) uptake in Chinese American
immigrants. This study used a prospective, cross-sectional design with convenience sampling. An educational session on colorectal
cancer screening (CRS) was provided to the participants during a health fair, and each participant was offered a no-cost FOBT
kit. Data was collected over two consecutive years during three different health fairs. A questionnaire was used to collect
demographic data. A total of 113 participants were recruited and 72% of them returned the FOBT kit. There was a significant
association between having a primary-care physician (PCP) and having CRS in the past, even after controlling for age, gender
and the length of time in the US (P = .009). Participants who visited a doctor for health maintenance were less likely to participate in the FOBT, compared to
participants who never visited a doctor or who only visited a doctor when they were sick (P = .001). The length of time in the US had a significant effect on having a PCP (P = .002). However, having a PCP or having CRS in the past was not associated with participating in the screening and so was
feeling at risk for CRC. In fact, 49% of Chinese women and 45% of Chinese men felt no risk of CRC. Future research and interventions
that address knowledge deficits and focus on recent immigrants and their access to health care may have the potential to increase
CRS among Chinese American immigrants.