Journal of Immigrant and Minority Health
Volume 12, Issue 4, 2010, Pages 462-469

Understanding the barriers and facilitators of colorectal cancer screening among low income immigrant hispanics (Article)

Jandorf L.* , Ellison J. , Villagra C. , Winkel G. , Varela A. , Quintero-Canetti Z. , Castillo A. , Thélémaque L. , King S. , Duhamel K.
  • a Department of Oncological Sciences, Mount Sinai School of Medicine, One Gustave L. Levy Place Box 1130, New York, NY 10029, United States
  • b Department of Oncological Sciences, Mount Sinai School of Medicine, One Gustave L. Levy Place Box 1130, New York, NY 10029, United States
  • c Department of Oncological Sciences, Mount Sinai School of Medicine, One Gustave L. Levy Place Box 1130, New York, NY 10029, United States
  • d Department of Oncological Sciences, Mount Sinai School of Medicine, One Gustave L. Levy Place Box 1130, New York, NY 10029, United States
  • e Department of Oncological Sciences, Mount Sinai School of Medicine, One Gustave L. Levy Place Box 1130, New York, NY 10029, United States
  • f Department of Oncological Sciences, Mount Sinai School of Medicine, One Gustave L. Levy Place Box 1130, New York, NY 10029, United States
  • g Department of Oncological Sciences, Mount Sinai School of Medicine, One Gustave L. Levy Place Box 1130, New York, NY 10029, United States
  • h Department of Oncological Sciences, Mount Sinai School of Medicine, One Gustave L. Levy Place Box 1130, New York, NY 10029, United States
  • i Department of Oncological Sciences, Mount Sinai School of Medicine, One Gustave L. Levy Place Box 1130, New York, NY 10029, United States
  • j Department of Oncological Sciences, Mount Sinai School of Medicine, One Gustave L. Levy Place Box 1130, New York, NY 10029, United States, Department of Psychiatry, Memorial Sloan-Kettering Cancer Center, 641 Lexington Avenue, New York, NY 10022, United States

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. © 2009 Springer Science+Business Media, LLC.

Author Keywords

Screening Colorectal cancer immigrants Hispanics

Index Keywords

mass screening poverty human middle aged colorectal tumor Aged Colorectal Neoplasms Hispanic Americans interview United States Humans Hispanic Interviews as Topic male Emigrants and Immigrants female Article migration New York City Utilization Review attitude to health
Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-77955982300&doi=10.1007%2fs10903-009-9274-3&partnerID=40&md5=8718954f606c40abc2ba24df7b9b358d
DOI: 10.1007/s10903-009-9274-3
ISSN: 15571912
Cited by: 64
Original Language: English