Predictors of Colonoscopy Use Among Asian Indians in New York City, 2003-2016

Background: Indians are among the most under-screened Asian American subgroups, but there is limited data for this population. Methods: Using 2003-2016 the New York City Community Health Survey, we examined the association between sociodemographic and medical factors and up-to-date colonoscopy (defined as colonoscopy within the last 10 years) in Asian Indians using logistic regression over four time periods: 2003-2008, 2009-2012, 2013-2014, 2015-2016. Results: On multivariable analysis, only language was associated with colonoscopy uptake in more than one time period. Compared to participants who preferred English, those who preferred an “Other” language were less likely to be up-to-date on colonoscopy in 2003-2008 (OR 0.15, 95% CI 0.04-0.66), while those who preferred an Indian language were less likely to have been up-to-date in 2013-2014 (OR 0.12, 95% CI 0.02-0.66). Conclusions: Among Asian Indians living in New York City, language appeared to be an important predictor of colonoscopy use and colorectal cancer screening.