Online Program

Association between acculturation and cancer screening practices among Asian Indians residing in Houston, Texas

Tuesday, November 3, 2015

Pragati Advani, MD, MPH, DrPH(c), Health Promotion and Behavioral Sciences, Dept of Behavioral Sciences, UT School of Public Health and MD Anderson Cancer Center, Houston, TX
Shailesh Advani, MD, MPH, PhD(c), Division of Epidemiology, Human Genetics and Environmental Sciences, University of Texas Health Science Center School of Public Health, Houston, TX
Mala Pande, PhD, MPH, MBBS, Gastroenterology - Research, The University of Texas MD Anderson Cancer Center, Houston, TX
Beverly Gor, EdD, RD, LD, Office of Planning, Evaluation & Research for Effectiveness, Houston Health Department, Houston, TX
Background: Asian Indians represent one of the fastest growing immigrant groups in the United States; a population that grew from less than 0.5% in 1960 to almost 5% in 2011. Cancer is one of the leading cause of death among this population. Non-adherence to screening recommendations remains a concern as cancer is often detected at a later stage.

Purpose: To examine the association between acculturation and cancer screening among Asian Indians living in the Greater Houston area.

Methods: Data from the South Asian Health Needs Assessment (SAHNA) project was analyzed.  Participants included 1525 self-identified Asian Indians, 18 years or older, living in the Greater Houston area.  To measure acculturation, responses from 10 questions on language and food preferences, country of birth for self and parents, years in US, and age at arrival in US were used to create an acculturation scale.   A composite score (range 10-33) from all items was categorized into tertiles (low, medium and high) for acculturation.

Results: 1138 participants answered the questions used to create the acculturation scale.  Significant associations were found between greater acculturation and likelihood of ever having a mammogram (p=.006), clinical breast examination (p =.02) or Pap test (p=.003) among females and for having prostate cancer screening (PSA, DRE or both) (p<.001) among males. Acculturation was not associated with colorectal cancer screening.

Conclusion: Asian Indians with higher levels of acculturation were more likely to have had breast and cervical cancer screening (females) and prostate cancer screening (males), therefore outreach should be targeted towards the less acculturated.

Learning Areas:

Assessment of individual and community needs for health education
Diversity and culture
Implementation of health education strategies, interventions and programs
Planning of health education strategies, interventions, and programs
Public health or related research
Social and behavioral sciences

Learning Objectives:
Discuss factors including acculturation affecting various cancer screening behaviors among Asian Indian residing in Houston, Texas.

Keyword(s): Asian Americans, Cancer Prevention and Screening

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am a current doctoral student in the field of health promotion and behavioral sciences at UT SPH. My research interests include health disparities and cancer prevention. The topic of this study is of interest to me and therefore, I have assisted the PI with this study. I was primary responsible to conduct analysis for this paper and therefore, I feel I am qualified to be an author on this abstract.
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.