West Asia Organization for Cancer Prevention (WAOCP), APOCP's West Asia Chapter. Asian Pacific Journal of Cancer Prevention 1513-7368 19 5 2018 05 01 Colorectal Cancer Screening among Korean Americans in Chicago: Does It Matter Whether They had the Screening in Korea or the US? 1387 1395 62633 10.22034/APJCP.2018.19.5.1387 EN Shin-Young Lee Department of Nursing, Chosun University 309 Pilmun-daero, Dong-gu, Gwangju, 501-759 Republic of Korea. Journal Article 2018 01 31 Background: Colorectal cancer (CRC) is one of the most common cancers in Korean Americans (KAs) and CRC<br />screening can detect CRC early and may reduce the incidence of CRC by leading to removal of precancerous polyps.<br />Many KAs in the US leave the country, primarily to travel to Korea, for health screening. The aim of this study was<br />to (a) assess CRC screening rates, including fecal occult blood test (FOBT), flexible sigmoidoscopy, and colonoscopy<br />and (b) explore factors related to these tests among KAs by location of CRC screening. Methods: Descriptive and<br />correlational research design with cross-sectional surveys was used with 210 KAs. Socio-demographics (age, gender,<br />years in the US, marital status, education, employment, household income, and proficiency in spoken English),<br />access to health care (health insurance and usual source of health care), and location of CRC screening utilization<br />(Korea, the US, or both Korea and US) were measured and analyzed using descriptive statistics and multinominal<br />logistic regression. Results: Out of 133 KA participants who had had lifetime CRC screening (i.e., had ever had FOBT,<br />flexible sigmoidoscopy, or colonoscopy), 19% had visited Korea and undergone CRC screening in their lifetimes. Among<br />socio-demographic factors and access to health care factors, having a usual source of health care in the US (OR=8.45)<br />was significantly associated with having undergone lifetime CRC screening in the US. Having health insurance in the<br />US and having had lifetime CRC screening in the US were marginally significant (OR=2.54). Conclusion: Access to<br />health care in the US is important for KAs to have CRC screening in the US. As medical tourism has been increasing<br />globally, the location of CRC screening utilization must be considered in research on cancer screening to determine<br />correlates of CRC screening. https://journal.waocp.org/article_62633_f628616e995bb0d201f57608beeb0820.pdf