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Journal of Immigrant and Minority Health
Published in: Journal of Immigrant and Minority Health 5/2014

01-10-2014 | Original Paper

Increasing Colonoscopy Screening for Latino Americans Through a Patient Navigation Model: A Randomized Clinical Trial

Authors: Caitlyn D. Braschi, Jamilia R. Sly, Smriti Singh, Cristina Villagra, Lina Jandorf

Published in: Journal of Immigrant and Minority Health | Issue 5/2014

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Abstract

Latinos have a higher rate of mortality and lower rate of colorectal cancer (CRC) screening than most racial groups in the United States. This study examines the predictors of screening colonoscopy (SC) for CRC among Latinos in a patient navigation (PN) intervention. Participants were randomized to either a culturally-targeted PN group (n = 225) or a standard PN group (n = 167). Each completed an interview assessing sociodemographic and intrapersonal information. There was no difference in SC completion between PN groups (80.9 and 79.0 %). Logistic regression revealed that low language acculturation (OR = 2.22) and annual income above $10,000 (OR = 1.97) were independent predictors of completion. Both standard and culturally-targeted PN successfully increased SC completion by nearly 30 % above the recent estimation for physician-referred patients. Our findings suggest a need to further reduce barriers to SC in low income and highly acculturated Latino groups.
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Metadata
Title
Increasing Colonoscopy Screening for Latino Americans Through a Patient Navigation Model: A Randomized Clinical Trial
Authors
Caitlyn D. Braschi
Jamilia R. Sly
Smriti Singh
Cristina Villagra
Lina Jandorf
Publication date
01-10-2014
Publisher
Springer US
Published in
Journal of Immigrant and Minority Health / Issue 5/2014
Print ISSN: 1557-1912
Electronic ISSN: 1557-1920
DOI
https://doi.org/10.1007/s10903-013-9848-y

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