Factors associated with colorectal cancer screening among the US urban Japanese population

Am J Public Health. 2004 May;94(5):815-22. doi: 10.2105/ajph.94.5.815.


Objectives: The author examined the prevalence and predictors of colorectal cancer screening among the urban Japanese population of the United States.

Methods: A sample of Japanese residents of major US metropolitan areas completed a self-administered mailed survey.

Results: Physician recommendation, acculturation, and perceived psychological costs were consistent predictors of screening for colorectal cancer. Gender and marital status were related to screening via fecal occult blood testing; age, susceptibility, and health insurance were related to sigmoidoscopy/colonoscopy screening.

Conclusions: Colorectal cancer screening among the urban Japanese population could be increased with interventions seeking to promote physician recommendations for screening, alleviate perceived psychological costs among patients, and improve physician-patient communication.

Publication types

  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Acculturation
  • Adult
  • Aged
  • Aged, 80 and over
  • Asian Americans*
  • Chi-Square Distribution
  • Colorectal Neoplasms / diagnosis*
  • Cross-Sectional Studies
  • Female
  • Humans
  • Japan / ethnology
  • Logistic Models
  • Male
  • Mass Screening / statistics & numerical data*
  • Middle Aged
  • Sampling Studies
  • Surveys and Questionnaires
  • United States
  • Urban Population