Association Between Neighborhood Cohesion and Cancer Screening Utilization in Chinese American Older Adults

Ailian Hei, Melissa A Simon, Xin Qi Dong*

*Corresponding author for this work

Research output: Contribution to journalArticle


This study aims to examine the association between neighborhood cohesion and cancer screening utilization in a community-dwelling Chinese American older population. Data were drawn from the Population Study of Chinese Elderly including 3159 Chinese American older adults aged 60 and above in the greater Chicago area. Cancer screening utilization was assessed by asking whether participants had undergone colon, breast, cervical, or prostate cancer screening. Neighborhood cohesion was measured through six questions. Logistic regression analysis showed that greater neighborhood cohesion was associated with higher likelihood of utilizing a mammogram (OR 1.32, 95% CI 1.14–1.52), a Pap test (OR 1.22, 95% CI 1.06–1.41), but not of a blood stool test (OR 1.10, 95% CI 0.98–1.23), a colonoscopy (OR 1.05, 95% CI 0.94–1.17), and a PSA test (OR 1.13, 95% CI 0.95–1.34). This study suggests positive associations between neighborhood cohesion and breast and cervical cancer screening utilization among a Chinese American older population.

Original languageEnglish (US)
Pages (from-to)830-836
Number of pages7
JournalJournal of Immigrant and Minority Health
Issue number4
StatePublished - Aug 1 2019



  • Association
  • Cancer screening
  • Chinese American
  • Neighborhood cohesion
  • Older adults

ASJC Scopus subject areas

  • Epidemiology
  • Public Health, Environmental and Occupational Health

Cite this