Juon Hee-Soon, Han Wolmi, Shin Hosung, Kim Kim B, Kim Miyong T
Johns Hopkins Bloomberg School of Public Health, Department of Health Policy and Management, Baltimore, MD 21205, USA.
J Cancer Educ. 2003 Spring;18(1):37-42. doi: 10.1207/s15430154jce1801_13.
Cancer is the second leading cause of death among Korean Americans aged 65 and older. Colorectal cancer is the second most commonly diagnosed cancer among Korean American women and the third among men. The purpose of this study was to examine the rates of colorectal cancer (CRC) screening and the correlates of screening tests.
The study employed cross-sectional face-to-face interviews with a sample of 205 Korean American elderly aged 60 and older.
About 18% of respondents had ever had a fecal occult blood test (FOBT) and 11%, sigmoidoscopy. A history of bloody stool was related to having FOBT. In multiple logistic regression analyses, government assistance, routine checkups, having insurance, and speaking fluent English were associated with having FOBT. Marital status, proportion of time spent in the U.S., and general health status were related to having sigmoidoscopy.
The findings suggest a need for further research addressing barriers to cancer screening in Korean Americans.
癌症是65岁及以上韩裔美国人的第二大死因。结直肠癌是韩裔美国女性中第二常见的诊断癌症，在男性中位列第三。本研究的目的是调查结直肠癌（CRC）筛查率以及筛查测试的相关因素。
该研究采用面对面访谈的横断面研究方法，对205名60岁及以上的韩裔美国老年人进行了抽样调查。
约18%的受访者曾进行过粪便潜血试验（FOBT），11%进行过乙状结肠镜检查。便血史与进行FOBT有关。在多元逻辑回归分析中，政府援助、定期体检、拥有保险以及能流利说英语与进行FOBT有关。婚姻状况、在美国居住的时间比例以及总体健康状况与进行乙状结肠镜检查有关。
研究结果表明需要进一步研究解决韩裔美国人癌症筛查的障碍。
