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Predictors of older Korean Americans' participation in colorectal cancer screening.

BACKGROUND
Cancer is the second leading cause of death among Korean Americans aged 65 and older. Colorectal cancer is the second most commonly diagnosed cancer among Korean American women and the third among men. The purpose of this study was to examine the rates of colorectal cancer (CRC) screening and the correlates of screening tests.


METHODS
The study employed cross-sectional face-to-face interviews with a sample of 205 Korean American elderly aged 60 and older.


RESULTS
About 18% of respondents had ever had a fecal occult blood test (FOBT) and 11%, sigmoidoscopy. A history of bloody stool was related to having FOBT. In multiple logistic regression analyses, government assistance, routine checkups, having insurance, and speaking fluent English were associated with having FOBT. Marital status, proportion of time spent in the U.S., and general health status were related to having sigmoidoscopy.


CONCLUSIONS
The findings suggest a need for further research addressing barriers to cancer screening in Korean Americans.