BACKGROUND: Routinely recommended screening for breast, cervical, and @entity14 can significantly reduce mortality from these types of @entity5 , yet screening is underutilized among Asians. Surveys rely on self-report and often are underpowered for analysis by Asian ethnicities. Electronic health records (EHR) include validated (as opposed to recall-based) rates of @entity5 screening. In this article, we seek to better understand @entity5 screening patterns in a population of insured Asian Americans. METHODS: We calculated rates of compliance with cervical, breast, and @entity14 screening among Asians from an EHR population and compared them with non-Hispanic whites. We performed multivariable modeling to evaluate potential predictors (at the provider- and @entity1 -level) of screening completion among Asian @entity1 . RESULTS: Aggregation of Asian subgroups masked heterogeneity in screening rates. Asian Indians and native Hawaiians and Pacific Islanders had the lowest rates of screening in our sample, well below that of non-Hispanic whites. In multivariable analyses, screening completion was negatively associated with @entity1 -physician language discordance for mammography [OR, 0.81; 95% confidence interval (CI), 0.71-0.92] and @entity14 screening (OR, 0.79; CI, 0.72-0.87) and positively associated with @entity1 -provider gender concordance for mammography (OR, 1.16; CI, 1.00-1.34) and @entity5 screening (OR, 1.66; CI, 1.51-1.82). In addition, @entity1 enrollment in online health services increased mammography (OR, 1.32; CI, 1.20-1.46) and @entity5 screening (OR, 1.31; CI, 1.24-1.37). CONCLUSIONS: Language- and gender-concordant primary care providers and culturally tailored online health resources may help improve preventive @entity5 screening in Asian @entity1 populations. IMPACT: This study demonstrates how the use of EHR data can inform investigations of primary prevention practices within the healthcare delivery setting.

XXXX and provider characteristics associated with colorectal, breast, and cervical cancer screening among Asian Americans.

@entity5 :: ('MESH:D009369', 'Disease') :: ['cancer', 'cervical cancer'] @entity1 :: ('9606', 'Species') :: ['patients', 'patient'] @entity14 :: ('MESH:D015179', 'Disease') :: ['colorectal cancers', 'colorectal cancer']
@entity1 :: (9606,Species) :: ['Patient']
