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Advancing Cancer Control in San Francisco: Cancer Screening in Under-represented Populations (American Journal of Preventive Medicine)

Publication Topics

California Health Interview Survey; 2011 California Health Interview Survey (CHIS 2011); 2012 California Health Interview Survey (CHIS 2012); Screening for Early Disease Detection; Cancer; Women; Asian

Publication Type

CHIS Journal Article

Publication Date


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<a onclick="OpenPopUpPage('http:\u002f\\u002f_layouts\u002flistform.aspx?PageType=4\u0026ListId={7AAD61FA-4BCB-48C0-B0B7-87AFDC3673EF}\u0026ID=1895\u0026RootFolder=*', RefreshPage); return false;" href=";ListId={7AAD61FA-4BCB-48C0-B0B7-87AFDC3673EF}&amp;ID=1895&amp;RootFolder=*">Natalie A. Rivadeneira</a>

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<a onclick="OpenPopUpPage('http:\u002f\\u002f_layouts\u002flistform.aspx?PageType=4\u0026ListId={7AAD61FA-4BCB-48C0-B0B7-87AFDC3673EF}\u0026ID=151\u0026RootFolder=*', RefreshPage); return false;" href=";ListId={7AAD61FA-4BCB-48C0-B0B7-87AFDC3673EF}&amp;ID=151&amp;RootFolder=*">et al</a>

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Summary: Cancer risk and screening data are limited in their ability to inform local interventions to reduce the burden of cancer in vulnerable populations. The San Francisco Health Information National Trends Survey was developed and administered to assess the use of cancer-related information among under-represented populations in San Francisco to provide baseline data for the San Francisco Cancer Initiative.

The survey instrument was developed through consultation with research and community partners and translated into four languages (Spanish, Cantonese and Mandarin dialects of Chinese, English). Participants were recruited between May and September 2017 through community-based snowball sampling with quotas to ensure adequate numbers of under-represented populations. Chi-square tests and multivariate logistic regression were used between 2018 and 2019 to assess differences in screening rates across groups and factors associated with cancer screening.

Findings: A total of 1,027 participants were recruited. Asians had lower rates of lifetime mammogram, Pap test, and prostate-specific antigen test compared with non-Asians. Hispanics had higher rates of lifetime mammogram, lifetime Pap test, recent Pap test, and lifetime prostate-specific antigen test compared with non-Hispanics. Being a woman at birth was the only factor that was independently associated with cancer screening participation.

Screening adherence varied by race, ethnicity, and screening type. A collaborative, community-based approach led to a large, diverse sample and may serve as a model for recruiting diverse populations to add knowledge about cancer prevention preferences and behaviors. Results suggest targeted outreach efforts are needed to address disparate cancer screening behaviors within this diverse population.

Authors refer to a study using 2011–2012 California Health Interview Survey (CHIS) data. 


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Journal Article: Advancing Cancer Control in San Francisco: Cancer Screening in Under-represented Populations

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Press Release

Related Link 1

Related Journal Article: Online Health Information-Seeking Behavior and Confidence in Filling Out Online Forms Among Latinos: A Cross-Sectional Analysis of the California Health Interview Survey, 2011–2012

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California Health Interview Survey (CHIS)

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Last modified at 6/14/2021 3:24 PM by i:0#.f|uclachissqlmembershipprovider|venetia