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Title

Colorectal Cancer Test Use Among Californians of Mexican Origin (Ethnicity and Disease)

Publication Topics

Barriers to/Disparities in Health Care; Screening for Early Disease Detection; Use of Health Services; Access to Health Care; 2005 California Health Interview Survey (CHIS 2005); Cancer; Immigrant; Racial and Ethnic Groups; California Health Interview Survey

Publication Type

CHIS Journal Article

Publication Date

2009-06-01T07:00:00Z

Author 1

<a onclick="OpenPopUpPage('http://healthpolicy.ucla.edu/_layouts/listform.aspx?PageType=4&ListId={7AAD61FA-4BCB-48C0-B0B7-87AFDC3673EF}&ID=838&RootFolder=*', RefreshPage); return false;" href="http://healthpolicy.ucla.edu/_layouts/listform.aspx?PageType=4&ListId={7AAD61FA-4BCB-48C0-B0B7-87AFDC3673EF}&ID=838&RootFolder=*">Marilyn Johnson-Kozlow </a>

Author 2

<a onclick="OpenPopUpPage('http://healthpolicy.ucla.edu/_layouts/listform.aspx?PageType=4&ListId={7AAD61FA-4BCB-48C0-B0B7-87AFDC3673EF}&ID=151&RootFolder=*', RefreshPage); return false;" href="http://healthpolicy.ucla.edu/_layouts/listform.aspx?PageType=4&ListId={7AAD61FA-4BCB-48C0-B0B7-87AFDC3673EF}&ID=151&RootFolder=*">et al</a>

Author 3

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Author 4

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Author 5

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Author 6

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Author 7

<a onclick="OpenPopUpPage('http://healthpolicy.ucla.edu/_layouts/listform.aspx?PageType=4&ListId={7AAD61FA-4BCB-48C0-B0B7-87AFDC3673EF}&ID=0&RootFolder=*', RefreshPage); return false;" href="http://healthpolicy.ucla.edu/_layouts/listform.aspx?PageType=4&ListId={7AAD61FA-4BCB-48C0-B0B7-87AFDC3673EF}&ID=0&RootFolder=*"></a>

Author 8

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Author 9

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Author 10

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Author 11

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Author 12

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Author 13

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Author 14

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Abstract

Colorectal cancer has declined 26 percent among non-Latino Whites in California, compared to an 8 percent decline among Latinos. Routine screening for colorectal cancer (CRC) increases early diagnosis and improves survival rates.

To determine whether limited English proficiency among Mexican-Americans contributed to this health disparity, researchers used data from the California Health Interview Survey (2005). In California, Mexican-Americans represent 77 percent of Latinos.
 
Having no CRC test (fecal occult blood test or endoscopy) was associated with being younger, Mexican-American, not having a high school diploma, living below the federal poverty level, not having a usual source of health care, not having health insurance, not seeing a doctor in the previous year and not getting a recommendation from a doctor for a CRC test.
 
Some 43 percent of Mexican-Americans never had a CRC test compared to 22 percent of non-Latino Whites. Mexican-Americans, more so that non-Latino Whites, reported language barriers—45 percent had limited English proficiency and had difficulty understanding the doctor due to language.
 
While both Mexican-Americans and non-Latino Whites admitted putting off having a CRC test because they thought it was “too painful, embarrassing or unpleasant,” more Mexican-Americans than others said it was because they didn’t have a doctor.

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California Health Interview Survey

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Version: 3.0
Created at 8/8/2012 1:58 PM by i:0#.f|uclachissqlmembershipprovider|jonathan
Last modified at 3/6/2013 2:20 PM by i:0#.f|uclachissqlmembershipprovider|jonathan