Journal of Community Health
Volume 41, Issue 5, 2016, Pages 903-909

Examining the Impact of Latino Nativity, Migration, and Acculturation Factors on Colonoscopy Screening (Article)

Costas-Muñiz R.* , Jandorf L. , Philip E. , Cohen N. , Villagra C. , Sriphanlop P. , Schofield E. , DuHamel K.
  • a Immigrant Health and Cancer Disparities Service, Department of Psychiatry and Behavioral Sciences, Memorial Sloan Kettering Cancer Center, 485 Lexington Avenue, 2nd Floor, New York, NY 10017, United States, Department of Psychiatry, Weill Cornell Medical College, New York, NY, United States
  • b Department of Oncological Services, Icahn School of Medicine at Mount Sinai, 1425 Madison Ave, Suite 3-70, New York, NY 10029, United States
  • c Notre Dame Laboratory for Psycho-Oncology Research, University of Notre Dame, Notre Dame, IN, United States
  • d Department of Oncological Services, Icahn School of Medicine at Mount Sinai, 1425 Madison Ave, Suite 3-70, New York, NY 10029, United States
  • e Department of Oncological Services, Icahn School of Medicine at Mount Sinai, 1425 Madison Ave, Suite 3-70, New York, NY 10029, United States
  • f Department of Oncological Services, Icahn School of Medicine at Mount Sinai, 1425 Madison Ave, Suite 3-70, New York, NY 10029, United States
  • g Department of Psychiatry and Behavioral Sciences, Memorial Sloan Kettering Cancer Center, 641 Lexington Avenue, 7th Floor, New York, NY 10022, United States
  • h Department of Psychiatry and Behavioral Sciences, Memorial Sloan Kettering Cancer Center, 641 Lexington Avenue, 7th Floor, New York, NY 10022, United States, Department of Oncological Services, Icahn School of Medicine at Mount Sinai, 1425 Madison Ave, Suite 3-70, New York, NY 10029, United States, Department of Psychiatry, Weill Cornell Medical College, New York, NY, United States

Abstract

Latinos are a diverse population comprised of multiple countries of origin with varying cultural profiles. This study examines differences in colonoscopy completion across place of birth and migration-related factors in a sample of predominantly Dominican and Puerto Rican Latinos living in New York City after receiving a recommendation for colonoscopy screening and navigation services. The sample included 702 Latinos recruited for two cancer screening projects targeting Latinos eligible for colonoscopy who seek healthcare in New York City. Participants completed a survey that included sociodemographic, health-related questions, psychosocial assessments and cancer screening practices, in Spanish or English. Migration, acculturation, and language factors were found to predict colonoscopy completion. The results indicated that Latinos born in the Dominican Republic and Central America were more likely to complete a screening colonoscopy than their counterparts born in the US. Further, those who emigrated at an older age, who have resided in the US for less than 20 years, preferred Spanish and those with lower US acculturation levels were also more likely to complete a screening colonoscopy. The findings suggest that Latinos who are less acculturated to the US are more likely to complete a screening colonoscopy after receiving a physician recommendation for colonoscopy screening. The results provide important information that can inform clinical practice and public health interventions. Continued attention to cultural and migration influences are important areas for cancer screening intervention development. © 2016, Springer Science+Business Media New York.

Author Keywords

Colonoscopy Immigrant health adherence Cancer screening Latinos

Index Keywords

Puerto Rico mass screening human middle aged colorectal tumor Aged Colorectal Neoplasms cancer screening clinical practice Central America language ethnology Hispanic Americans Dominican Republic Surveys and Questionnaires United States Humans migrant Hispanic New York colonoscopy Emigrants and Immigrants case report Acculturation South America female questionnaire cultural factor New York City utilization patient attitude Patient Acceptance of Health Care attention public health
Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-84959175431&doi=10.1007%2fs10900-016-0168-8&partnerID=40&md5=e05fe6b606b051507d72c2a004276864
DOI: 10.1007/s10900-016-0168-8
ISSN: 00945145
Cited by: 4
Original Language: English