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Journal of Community Health
Published in: Journal of Community Health 6/2012

01-12-2012 | Original Paper

Surveillance of Colorectal Cancer Screening in New Mexico Hispanics and Non-Hispanic Whites

Authors: Melissa Gonzales, Harold Nelson, Robert L. Rhyne, S. Noell Stone, Richard M. Hoffman

Published in: Journal of Community Health | Issue 6/2012

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Abstract

The incidence of colorectal cancer (CRC) among Hispanics in the state of New Mexico has increased in the past decade while that among whites has declined significantly. Using the 2006 New Mexico Behavioral Risk Factor Surveillance System (BRFSS) survey, we compared CRC screening among Hispanics and whites by gender to examine the influence of demographic, socioeconomic, preventive health, and clinical measures on the utilization of CRC screening. Although we found no ethnic differences in the prevalence of current breast, cervical and cancer screening, Hispanics were less likely to be current with CRC screening than whites. These differences were observed across a range of socioeconomic and other explanatory measures and in both genders. Hispanics also had a higher prevalence of CRC-related risk factors than whites, including inactivity, obesity, and diabetes, and ranked lower for most socioeconomic measures. Adjusting for healthcare coverage, education, and income in logistic regression models eliminated the Hispanic-white differences in CRC screening among men, and substantially reduced but did not eliminate screening differences among women. Innovative methods are needed to reach Hispanics to raise awareness of and participation in CRC screening. Because many CRC risk factors are potentially modifiable, appropriate cultural and linguistic interventions tailored to specific Hispanic subgroups and aimed at promoting CRC screening and reducing CRC risk factors may decrease ethnic disparities in CRC incidence.
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Metadata
Title
Surveillance of Colorectal Cancer Screening in New Mexico Hispanics and Non-Hispanic Whites
Authors
Melissa Gonzales
Harold Nelson
Robert L. Rhyne
S. Noell Stone
Richard M. Hoffman
Publication date
01-12-2012
Publisher
Springer US
Published in
Journal of Community Health / Issue 6/2012
Print ISSN: 0094-5145
Electronic ISSN: 1573-3610
DOI
https://doi.org/10.1007/s10900-012-9568-6

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