Trends in Cancer Screening by Citizenship and Health Insurance, 2000–2010

While early detection through screenings for breast, cervical, and colorectal cancer is essential in improving cancer survival, it is not evenly utilized across class, race, ethnicity, or nativity. Given that utilization of early detection through screenings is not evenly distributed, immigrants who...

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Bibliographic Details
Published in:Journal of immigrant and minority health 2015-06, Vol.17 (3), p.644-651
Main Authors: Reyes, Adriana M, Miranda, Patricia Y
Format: Article
Language:English
Subjects:
Acculturation
Adult
Aged
Aged, 80 and over
Cancer
Citizenship
Colorectal carcinoma
Comparative Law
Cultural Influences
Death
Early Detection of Cancer - trends
Emigrants and Immigrants - statistics & numerical data
English
Ethnicity
Federal Programs
Female
Health Behavior
Health insurance
Health Services
Health services utilization
Health Surveys
Humans
Immigrants
Insurance coverage
Insurance, Health - statistics & numerical data
International & Foreign Law
Male
Medical screening
Medically Uninsured - statistics & numerical data
Medicine
Medicine & Public Health
Middle Aged
Minority Groups
National Surveys
Neoplasms - diagnosis
Neoplasms - epidemiology
Noncitizens
ORIGINAL PAPER
Physicians
Private International Law
Public Health
Sociology
Studies
Trends
United States - epidemiology
Young Adult
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Summary:While early detection through screenings for breast, cervical, and colorectal cancer is essential in improving cancer survival, it is not evenly utilized across class, race, ethnicity, or nativity. Given that utilization of early detection through screenings is not evenly distributed, immigrants who have much lower rates of health insurance coverage are at a disadvantage. We use National Health Interview Survey data linked with the Medical Expenditures Panel Survey to examine the trend in screening rates for breast, cervical, and colorectal cancer from 2000 to 2010, comparing U.S.-born natives, foreign-born citizens, and foreign-born non-citizens. We find that citizenship is clearly advantageous for the foreign-born, and that screening rates are higher among citizens compared to non-citizens overall, but uninsured non-citizens sometimes have higher screening rates that uninsured natives. Health insurance is pivotal for higher screening rates with clear differences among the insured and uninsured. Policies aimed at reducing disparities in cancer screening need to take into account nativity, citizenship, and access to health insurance.
ISSN:1557-1912
1557-1920
DOI:10.1007/s10903-014-0091-y