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

Overview

Journal J Immigr Minor Health

Publisher Springer

Specialties Public Health
Social Sciences

Date 2014 Sep 5

PMID 25187320

Citations 19

Authors

Adriana M Reyes

Patricia Y Miranda

Affiliations

Soon will be listed here.

Abstract

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.

Citing Articles

Disparities in Cancer Screening Among the Foreign-Born Population in the United States: A Narrative Review.

Rosowicz A, Hewitt D Cancers (Basel). 2025; 17(4).

PMID: 40002170 PMC: 11852454. DOI: 10.3390/cancers17040576.

A Community-Based Survey of Colorectal Cancer Screening Behaviors in Chinese Immigrants Residing in a Major Metropolitan Area.

Wang C, Vang S, Cheung A, Lin J, Jandorf L J Community Med Public Health. 2024; 7(3).

PMID: 38765318 PMC: 11101160. DOI: 10.29011/2577-2228.100336.

Nativity Disparities in Colorectal Cancer Screening Among Hispanics in the United States.

Alvarez V, Amboree T, Mitchell P, Badr H, Montealegre J J Immigr Minor Health. 2024; 26(4):632-640.

PMID: 38635108 DOI: 10.1007/s10903-024-01590-w.

Citizenship as Privilege and Social Identity: Implications for Psychological Distress.

Gee G, Morey B, Walsemann K, Ro A, Takeuchi D Am Behav Sci. 2023; 60(5-6):680-704.

PMID: 37850037 PMC: 10580256. DOI: 10.1177/0002764216632834.

Hyperlocal disparities in breast, cervical, and colorectal cancer screening: An ecological study of social vulnerability in Miami-Dade county.

Ashad-Bishop K, Baeker Bispo J, Nahodyl L, Balise R, Kobetz E, Bailey Z Prev Med Rep. 2023; 35:102371.

PMID: 37654517 PMC: 10465939. DOI: 10.1016/j.pmedr.2023.102371.

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