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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.

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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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