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Factors Associated with Reported Colorectal Cancer Screening Among Lao-American Immigrants in Minnesota

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Abstract

Colorectal Cancer (CRC) is common in Lao Americans, but screening is suboptimal. To investigate CRC screening rates of Lao Americans in Minnesota, and how predisposing characteristics, enabling resources, and perceived need are associated with screening. We conducted a convenience-sample cross-sectional survey of 50–75-year-old Lao Americans, using step-wise multivariate logistic regression to identify factors associated with ever being screened. Of the 118 survey participants, 45% ever received CRC screening. In univariate regression, some enabling resources (having a primary care provider, higher self-efficacy in pursuing screening) and perceived needs (knowledge of who should be screened, higher number of chronic illnesses) were associated with screening. In multivariate logistic regression, the odds of ever being screened was 12.4 times higher for those with a primary care provider than for those without (p = 0.045). The findings reinforce a need for developing culturally tailored interventions focused on Lao-American immigrants to promote CRC screening.

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Acknowledgements

This study was funded by a University of Minnesota Program in Health Disparities Research pilot grant. Dr. Rogers was supported through the University of Minnesota KL2 Scholars Career Development Program (National Center for Advancing Translational Sciences of the National Institutes of Health, Grants KL2TR002492 and UL1TR002494). The content is solely the responsibility of the authors and does not necessarily represent the official views of the funders. This research is the result of a close partnership between researchers at the University of Minnesota and the staff of the Lao Assistance Center of Minnesota, whose expertise, candid feedback, and hard work made this collaboration possible. We thank Qi Wang from the University of Minnesota CTSI’s Biostatistical Design and Analysis Center (BDAC) for help with verifying final data analyses. To the best of our knowledge, no conflict of interest, financial or other, exists. L. Anderson and L. Zhang participated in this work while an undergraduate student and while working for the CTSI’s BDAC at the University of Minnesota, respectively, but they are no longer affiliated with the institution.

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Authors and Affiliations

  1. Department of Medicine, UMN Applied Clinical Research Program, University of Minnesota, 717 Delaware St. SE, Ste 166, Minneapolis, MN, 55414, USA

    Elizabeth A. Rogers

  2. Department of Pediatrics, University of Minnesota, Minneapolis, MN, USA

    Elizabeth A. Rogers

  3. Lao Assistance Center of Minnesota, Minneapolis, MN, USA

    Sunny Chanthanouvong, Chongchith Saengsudham & Vilamone Tran

  4. College of Biological Sciences, University of Minnesota, Minneapolis, MN, USA

    Layne Anderson

  5. Clinical and Translational Science Institute Biostatistical Design and Analysis Center, University of Minnesota, Minneapolis, MN, USA

    Lei Zhang

  6. School of Social Work, University of Minnesota, Minneapolis, MN, USA

    Hee Yun Lee

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  1. Elizabeth A. Rogers
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Correspondence to Elizabeth A. Rogers.

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Rogers, E.A., Chanthanouvong, S., Saengsudham, C. et al. Factors Associated with Reported Colorectal Cancer Screening Among Lao-American Immigrants in Minnesota. J Immigrant Minority Health 22, 375–382 (2020). https://doi.org/10.1007/s10903-019-00899-1

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