Association Between Neighborhood Cohesion and Cancer Screening Utilization in Chinese American Older Adults

Abstract

This study aims to examine the association between neighborhood cohesion and cancer screening utilization in a community-dwelling Chinese American older population. Data were drawn from the Population Study of Chinese Elderly including 3159 Chinese American older adults aged 60 and above in the greater Chicago area. Cancer screening utilization was assessed by asking whether participants had undergone colon, breast, cervical, or prostate cancer screening. Neighborhood cohesion was measured through six questions. Logistic regression analysis showed that greater neighborhood cohesion was associated with higher likelihood of utilizing a mammogram (OR 1.32, 95% CI 1.14–1.52), a Pap test (OR 1.22, 95% CI 1.06–1.41), but not of a blood stool test (OR 1.10, 95% CI 0.98–1.23), a colonoscopy (OR 1.05, 95% CI 0.94–1.17), and a PSA test (OR 1.13, 95% CI 0.95–1.34). This study suggests positive associations between neighborhood cohesion and breast and cervical cancer screening utilization among a Chinese American older population.

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