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Journal of Immigrant and Minority Health
Published in: Journal of Immigrant and Minority Health 4/2010

01-08-2010 | Original Paper

Understanding the Barriers and Facilitators of Colorectal Cancer Screening Among Low Income Immigrant Hispanics

Authors: Lina Jandorf, Jennie Ellison, Cristina Villagra, Gary Winkel, Alejandro Varela, Zeida Quintero-Canetti, Anabella Castillo, Linda Thélémaque, Sheba King, Katherine DuHamel

Published in: Journal of Immigrant and Minority Health | Issue 4/2010

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Abstract

Colorectal cancer (CRC) screening rates are low among Hispanics; thus understanding screening barriers and facilitators is essential. A survey, based on blended health promotion theories, was conducted with low income, mostly immigrant, Hispanics at community based organizations and health clinics in New York City. Correlates of undergoing colonoscopy screening were examined. Four hundred men (28%) and women were interviewed. Older age, longer US residence, having a regular health care provider and provider recommendation predicted colonoscopy receipt (P values <0.01). Greater fear and worry concerning colonoscopy and fewer perceived screening benefits were associated with reduced screening likelihood (P values <0.05). In a multivariate model, colonoscopy receipt was negatively associated with Medicaid and positively associated with English preference, physician recommendation for and encouragement of screening and less fear. Interventions that educate physicians and patients regarding colonoscopy screening guidelines, increase physicians’ screening referrals, and reduce patients’ fear are needed.
Literature
1.
Jemal A, Murray T, Samuels A, ′Ghafoor A, Ward E, Thun MJ. Cancer statistics, 2003. CA Cancer J Clin. 2003;53(1):5–26.CrossRefPubMed
2.
Calonge N, Petitti DB, Dewitt TG, et al. Screening for colorectal cancer: US preventive services task force recommendation statement. Ann Intern Med. 2008;149(9):627–37.
3.
Levin B, Lieberman DA, Mcfarland B, et al. Screening and surveillance for the early detection of colorectal cancer and adenomatous polyps, 2008: a joint guideline from the American cancer society, the US multi-society task force on colorectal cancer, and the American college of radiology. Gastroenterology. 2008;134(5):1570–95.CrossRefPubMed
4.
American Cancer Society. Colorectal cancer facts and Figs 2008–2010. Atlanta: American Cancer Society; 2008.
5.
Lieberman DA, Weiss DG, Harford WV, et al. One-time screening for colorectal cancer with combined fecal occult-blood testing and examination of the distal colon. N Engl J Med. 2001;345(8):555–60.CrossRefPubMed
6.
Rex DK. Rationale for colonoscopy screening and estimated effectiveness in clinical practice. Gastrointest Endosc Clin N Am. 2002;12(1):65–75.CrossRefPubMed
7.
Center for Latin American C&LS. The latino population of New York city, 2007—Latino data project—Report 20. New York: The City University of New York, The Graduate Center. 2008.
8.
Karpati A, Lu X, Mostashari F, Thorpe L, Frieden TR. The health of east Harlem. NYC community health profiles 2003, vol. 1. New York City: Department of Health and Mental Hygiene; 2003. p. 1–12.
9.
Community Health Profile, 2006. New York City: Department of Health and Mental Hygiene. 2007.
10.
National Cancer Institute. HINTS-health information national trends survey main study interview instrument. 2003.
11.
Fernandez ME, Wippold R, Torres-Vigil I, et al. Colorectal cancer screening among Latinos from US cities along the Texas-Mexico border. Cancer Causes Control. 2008;19(2):195–206.CrossRefPubMed
12.
Geiger TM, Miedema BW, Geana MV, Thaler K, Rangnekar NJ, Cameron GT. Improving rates for screening colonoscopy: analysis of the health information national trends survey (HINTS I) data. Surg Endosc Other Interv Tech. 2008;22(2):527–33.
13.
Anderson WF, Guyton KZ, Hiatt RA, Vernon SW, Levin B, Hawk E. Colorectal cancer screening for persons at average risk. J Natl Cancer Inst. 2002;94(15):1126–33.PubMed
14.
Silman A, Mitchell P. Attitudes of non-participants in an occupational based programme of screening for colorectal cancer. Community Med. 1984;6:8–11.PubMed
15.
Box V, Nichols S, Lallemand RC, Person P, Vahil PA. Haemoccult compliance rates and reasons for non-compliance. Public Health. 1984;98:16–25.CrossRefPubMed
16.
Weller DP, Owen N, Hiller JE, Willson K, Wilson D. Colorectal cancer and its prevention: Prevalence of beliefs, attitudes, intentions and behavior. Aust J Public Health. 1995;19:19–23.PubMed
17.
Vernon SW, Myers RE, Tilley BC. Development and validation of an instrument to measure factors related to colorectal cancer screening adherence. Cancer Epidemiol Biomarkers Prev. 1997;6:825–32.PubMed
18.
Consedine NS, Adjei BA, Horton D, et al. Fear and loathing in the Caribbean: three studies of fear and cancer screening in Brooklyn’s immigrant Caribbean subpopulations. Infect Agent Cancer. 2009;4(1):S14.CrossRefPubMed
19.
Ajzen I, Fishbein M. Understanding attitudes and predicting behavior. Englewood Cliffs, NJ: Prentice-Hall; 1980.
20.
Fishbein M, Ajzen I. Belief, attitude, intention, and behavior: an introduction to theory and research. Reading, MA: Addison-Wesley; 1975.
21.
Bandura A. Social foundations of thought and action: a social cognitive theory. Englewood Cliffs, NJ: Prentice Hall; 1986.
22.
Becker MH. The health belief model and personal health behavior. Health Educ Monogr. 1974;2(4):324–473.
23.
Janz NK, Becker MH. The health belief model: a decade later. Health Educ Q. 1984;11:1–47.PubMed
24.
Rosenstock IM. The health belief model: origins and correlates. Health Educ Monogr. 1974;2:336–53.
25.
Weinstein ND. Testing four competing theories of health-protective behavior. Health Psychol. 1993;12:324–33.CrossRefPubMed
26.
Safran DG, Kosinski M, Tarlov AR, et al. The primary care assessment surrey—tests of data quality and measurement performance. Med Care. 1998;36(5):728–39.CrossRefPubMed
27.
Cokkinides VE, Chao A, Smith RA, Vernon SW, Thun MJ. Correlates of underutilization of colorectal cancer screening among U.S. adults, age 50 years and older. Prev Med. 2003;36:85–91.CrossRefPubMed
28.
Myers RE, Trock BJ, Lerman C, Wolf T, Ross E, Engstrom PF. Adherence to colorectal cancer screening in an HMO population. Prev Med. 1998;19:502–14.CrossRef
29.
Marin G, Sabogal F, Marin BV, Otero-Sabogal R, Perez-Stable EJ. Development of a short acculturation scale for Hispanics. Hisp J Behav Sci. 1987;9(2):183–205.CrossRef
30.
Powe BD. Fatalism among elderly African Americans. Effects on colorectal cancer screening. Cancer Nurs. 1995;18(5):385–92.CrossRefPubMed
31.
Thompson HS, Valdimarsdottir HB, Jandorf L, Redd W. Perceived disadvantages and concerns about abuses of genetic testing for cancer risk: differences across African American, Latina and Causcasian women. Patient Educ Couns. 2003;51:217–27.CrossRefPubMed
32.
Thompson HS, Valdimarsdottir HB, Winkel G, Jandorf L, Redd W. The group-based medical mistrust scale: psychometric properties and association with breast cancer screening. Prev Med. 2004;38:209–18.CrossRefPubMed
33.
Manne S, Markowitz A, Winawer S, et al. Correlates of colorectal cancer screening compliance and stage of adoption among siblings of individuals with early onset colorectal cancer. Health Psychol. 2002;21:3–15.CrossRefPubMed
34.
Cokkinides V, Bandi PSR, Ward EM, Thun MJ. Cancer prevention and early detection facts and figures, 2008. Atlanta, GA: American Cancer Society; 2007.
35.
American Cancer Society. Cancer facts and figures for Hispanics/Latinos 2006–2008. 2006.
36.
Christie J, Nassisi D, Wilets I, et al. Assessing endoscopic colorectal screening adherence in an emergency department population. J Natl Med Assoc. 2006;98(7):1095–101.PubMed
37.
Walsh JM, Kaplan CP, Nguyen B, Gildengorin G, McPhee SJ, Perez-Stable EJ. Barriers to colorectal cancer screening in Latino and Vietnamese Americans. Compared with non-Latino white Americans. J Gen Intern Med. 2004;19(2):156–66.CrossRefPubMed
38.
Thompson B, Coronado G, Neuhouser M, Chen L. Colorectal carcinoma screening among Hispanics and non-Hispanic whites in a rural setting. Cancer. 2005;103(12):2491–8.CrossRefPubMed
39.
Jandorf L, Gutierrez Y, Lopez J, Christie J, Itzkowitz SH. Use of a patient navigator to increase colorectal cancer screening in an urban neighborhood health clinic. J Urban Health. 2005;82(2):216–24.PubMed
40.
Chun K, Velanovich V. Patient-perceived cosmesis and satisfaction after breast biopsy: comparison of stereotactic incisional, excisional, and wire-localized biopsy techniques. Surgery. 2002;131(5):497–501.CrossRefPubMed
41.
Vernon SW. Participation in colorectal cancer screening: a review. J Natl Cancer Inst. 1997;89(19):1406–22.CrossRefPubMed
42.
Shokar NK, Vernon SW, Weller SC. Cancer and colorectal cancer: knowledge, beliefs, and screening preferences of a diverse patient population. Fam Med. 2005;37(5):341–7.PubMed
43.
Phillips L, Tiggemann M, Wade T. Comparison of cognitive style in bulimia nervosa and depression. Behav Res Ther. 1997;35(10):939–48.CrossRefPubMed
44.
Menon U, Champion VL, Larkin GN, Zollinger TW, Gerde PM, Vernon SW. Beliefs associated with fecal occult blood test and colonoscopy use at a worksite colon cancer screening program. J Occup Environ Med. 2003;45(8):891–8.CrossRefPubMed
45.
Rissel C. The development and application of a scale of acculturation. Aust N Z J Public Health. 1997;21(6):606–13.CrossRefPubMed
46.
Airhihenbuwa CO. Health promotion and disease prevention strategies for African Americans: a conceptual model. In: Braithwaite RL, Taylor SE, editors. Health issues in the black community. San Francisco: Jossey-Bass Publishers; 1992. p. 267–80.
47.
Dettenborn L, DuHamel K, Butts G, Thompson H, Jandorf L. Cancer fatalism and its demographic correlates among African American and Hispanic women: effects on cancer screening adherence. J Psychosoc Oncol. 2004;22(4):47–60.CrossRef
48.
Coronado GD, Farias A, Thompson B, Godina R, Oderkirk W. Attitudes and beliefs about colorectal cancer among Mexican Americans in communities along the US-Mexico border. Ethn Dis. 2006;16(2):421–7.PubMed
Metadata
Title
Understanding the Barriers and Facilitators of Colorectal Cancer Screening Among Low Income Immigrant Hispanics
Authors
Lina Jandorf
Jennie Ellison
Cristina Villagra
Gary Winkel
Alejandro Varela
Zeida Quintero-Canetti
Anabella Castillo
Linda Thélémaque
Sheba King
Katherine DuHamel
Publication date
01-08-2010
Publisher
Springer US
Published in
Journal of Immigrant and Minority Health / Issue 4/2010
Print ISSN: 1557-1912
Electronic ISSN: 1557-1920
DOI
https://doi.org/10.1007/s10903-009-9274-3

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