186799 Correlates of Cancer Screening for Pacific Islanders in California

Monday, October 27, 2008

Alek Sripipatana, MPH , Community Health Sciences, UCLA, School of Public Health, Los Angeles, CA
Sora Park Tanjasiri, DrPH , Department of Health Science, California State University, Fullerton, Fullerton, CA
Data from the US National Cancer Institute's Surveillance, Epidemiology, and End Results (SEER) registries showed that Native Hawaiians and Pacific Islanders (NHPI) have some of the worst cause-specific survival rates in comparison to other race/ethnic groups in the US. A large contributor to this health disparity is the advance stages of cancer that is presented at time of diagnosis. These findings highlight the need to strategize ways to promote cancer prevention and early screenings for our Pacific Islander populations. In response to this need, an analysis of the correlates of cancer screening for California's Pacific Islanders was conducted using two waves of the California Health Interview Survey (CHIS) years 2001 and 2003.

Due to the small numbers of NHPI normally captured with random sampling techniques in health surveys, health data on these populations are often inappropriately combined into an over-encompassing umbrella category. Since California comprises the largest number of Native Hawaiians and Pacific Islanders outside of Hawai'i and the CHIS allows the concatenation of survey waves, separate analyses of NHPI were conducted. Logistic regression models were developed to identify factors that lead to colorectal-, prostate-, Pap-, and mammogram screenings for Pacific Islanders. Analyses reveal that adult NHPI differ from the rest of Californians in a number of health-related characteristics. NHPI adults more often report being overweight or obese, being current smokers, and NHPI adult women more often report never having a mammogram and Pap smear. Implications for program and policy development will be discussed.

Learning Objectives:
At the conclusion of the session, participants in this session will be able to: 1. List 3 barriers associated with Pacific Islander cancer screenings 2. Identify differences between the characteristics of Pacific Islanders and non-Pacific Islanders in accessing preventive health care 3. Recognize key socio-demographic differences between Pacific Islanders and non-Pacific Islanders that have implications for health

Keywords: Cancer, Hawaiian Natives

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am the primary investigator of the research project
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.