TitleThe Relationship between Neighborhood Immigrant Composition, Limited English Proficiency, and Late-Stage Colorectal Cancer Diagnosis in California.
Publication TypeJournal Article
Year of Publication2015
AuthorsMojica, CM, Glenn, BA, Chang, C, Bastani, R
JournalBiomed Res Int
Date Published10/2015
KeywordsAged, Aged, 80 and over, California, Colorectal Neoplasms, Delayed Diagnosis, Early Diagnosis, Emigrants and Immigrants, Female, Hispanic Americans, Humans, Income, Insurance, Health, Language, Male, Middle Aged, Multivariate Analysis, Neoplasm Staging, Registries, Residence Characteristics

Despite the availability of effective early detection technologies, more than half (61%) of colorectal cancers in the United States and 55% in California are identified at an advanced stage. Data on colorectal cancer patients (N = 35,030) diagnosed from 2005 to 2007 were obtained from the California Cancer Registry. Multivariate analyses found a relationship among neighborhood concentration of recent immigrants, neighborhood rates of limited English proficiency, and late-stage colorectal cancer diagnosis. Hispanics living in neighborhoods with a greater percentage of recent immigrants (compared to the lowest percentage) had greater odds (OR 1.57, 95% CI 1.22, 2.02) of late-stage diagnosis whereas Hispanics living in neighborhoods with the highest percentage of limited English proficiency (compared to the lowest percentage) had lower odds (OR .71, 95% CI .51, .99) of late-stage diagnosis. These relationships were not observed for other ethnic groups. Results highlight the complex relationship among race/ethnicity, neighborhood characteristics, and colorectal cancer stage at diagnosis.

Alternate JournalBiomed Res Int
PubMed ID26504808
PubMed Central IDPMC4609354
Grant ListCA054174 / CA / NCI NIH HHS / United States
KL2 TR001118 / TR / NCATS NIH HHS / United States
P30 CA016042 / CA / NCI NIH HHS / United States
P30 CA054174 / CA / NCI NIH HHS / United States
UL1 TR001120 / TR / NCATS NIH HHS / United States
TL1 TR001119 / TR / NCATS NIH HHS / United States