Barriers and Facilitators of Colorectal Cancer Screening Among a Hispanic Community in Michigan

González, Juan José; Wahab, Ahsan; Samalik, Joann; Ramirez, Elizabeth; Saint-Phard, Tryphene; Gonzalez, Emelie; Adekolujo, Orimisan Samuel

doi:10.1007/s40615-019-00643-3

Cited by 10 publications

(7 citation statements)

References 25 publications

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“…The dearth of health-related Google News coverage on CRC disparities aligns with research studies that indicate that Black and Hispanic populations are less likely to be advised to undergo CRC screenings [ 39 - 41 ]. These results support existing research that accentuates the need for increased communication efforts as an approach to influence screening uptake.…”

Section: Discussionmentioning

confidence: 81%

News Coverage of Colorectal Cancer on Google News: Descriptive Study

2022

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Background Colorectal cancer (CRC) is one of the leading causes of cancer death in the United States. The incidence and prevalence of CRC have historically increased with age. Although rates of CRC in the United States have been decreasing over the past decades among those aged ≥65 years, there has been an uptick among those in younger age brackets. Google News is one of the biggest traffic drivers to top news sites. It aggregates and shares news highlights from multiple sources worldwide and organizes them by content type. Despite the widespread use of Google News, research is lacking on the type of CRC content represented in this news source. Objective The purpose of this study was to analyze content related to CRC screening and prevention in Google News articles published during National Colorectal Cancer Awareness Month (March 2022). Methods Data collection for this cross-sectional study was conducted in March 2022—National Colorectal Cancer Awareness Month. Using the term colorectal cancer, 100 English-language Google News articles were extracted and coded for content. A combined approach—deductive and inductive coding—was utilized. Descriptive analyses were conducted, and frequency distributions were reported. Univariable analyses were performed to assess differences between articles that mentioned CRC screening and those that did not via chi-square tests. Results Of the 100 articles reviewed, nearly half (n=49, 49%) were created by health news organizations, and another 27% (n=27) were created by television news services. The predominant themes in the content included age at the onset of disease (n=59, 59%), mortality related to CRC (n=57, 57%), and the severity of disease (n=50, 50%). Only 18% (n=18) of articles discussed CRC disparities, 23% (n=23) mentioned that there are hereditary forms of the disease, 36% (n=36) spoke of colonoscopy to screen for the disease, and 37% (n=37) mentioned how the disease is treated. Although most articles mentioned CRC screening (n=61, 61%), it was striking that sex was only mentioned in 34% (21/61) of these articles, colonoscopy was mentioned in 46% (28/61), and diet was mentioned in 30% (18/61). Conclusions Heightening the public’s awareness of this disease is important, but it is critical that messages related to how preventable this cancer is, who is the most likely to develop CRC, and what can be done to detect it in the early stages when the disease is the most curable be the critical elements of dialogue, particularly during National Colorectal Cancer Awareness Month. There is a need to disseminate information about early-onset CRC and the importance of screening, especially among populations with low rates of uptake. Web-based news is potentially an underutilized communication mechanism for promoting CRC screenings as secondary prevention measures for high-risk groups.

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Section: Discussionmentioning

confidence: 81%

News Coverage of Colorectal Cancer on Google News: Descriptive Study

2022

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“…6–13,35–37 Similarly, many studies have found that despite adjustment for social determinants of health, groups such as Hispanic and Asian Americans exhibit persistently lower rates of CRC screening. 8,9,12,35–37 Other factors not captured in this study, such as language and cultural beliefs, 38–40 may partially explain these persistent disparities and deserve further study. Interestingly, this study found the odds of CRC screening to be increased among non-Hispanic black individuals after adjustment for confounding factors.…”

Section: Discussionmentioning

confidence: 91%

Associations of Race, Ethnicity, and Social Determinants of Health With Colorectal Cancer Screening

Kane

Fleming

Lynch

et al. 2023

Diseases of the Colon &Amp; Rectum

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BACKGROUND: Racial and ethnic disparities in receipt of recommended colorectal cancer screening exist; however, the impact of social determinants of health on such disparities has not been recently studied in a national cohort. OBJECTIVE: This study aimed to determine whether social determinants of health attenuate racial disparities in receipt of colorectal cancer screening. DESIGN: This was a cross-sectional telephone survey of self-reported race and ethnicity and up-to-date colorectal cancer screening. Associations between race/ethnicity and colorectal cancer screening were tested before and after adjustment for demographics, behavioral factors, and social determinants of health. SETTING: This was a nationally representative telephone survey of US residents in 2018. PATIENTS: The patients included were US residents aged 50 to 75 years. MAIN OUTCOME MEASURES: The primary outcome was up-to-date colorectal cancer screening status, according to 2008 US Preventive Services Task Force recommendations. RESULTS: This study included 226,106 respondents aged 50 to 75 years. Before adjustment, all minority racial and ethnic groups demonstrated a significantly lower odds of screening than those of non-Hispanic white respondents. After adjustment for demographics, behavioral factors, and social determinants of health, compared to non-Hispanic white respondents, odds of screening were found to be increased among non-Hispanic black respondents (OR, 1.10; p = 0.02); lower but attenuated among Hispanic respondents (OR, 0.73; p < 0.001), non-Hispanic American Indian/Alaskan Native respondents (OR, 0.85; p = 0.048), and non-Hispanic respondents of other races (OR, 0.82; p = 0.01); and lower but not attenuated among non-Hispanic Asian respondents (OR, 0.68; p < 0.001). LIMITATIONS: Recall bias, participant bias, and residual confounding. CONCLUSIONS: Adjustment for social determinants of health reduced racial and ethnic disparities in colorectal cancer screening among all minority racial and ethnic groups except non-Hispanic Asian individuals; however, other unmeasured confounders likely exist. See Video Abstract at http://links.lww.com/DCR/B977. ASOCIACIÓN DE RAZA, ETNICIDAD Y DETERMINANTES SOCIALES DE LA SALUD CON LA DETECCIÓN DEL CÁNCER COLORRECTAL ANTECEDENTES: Existen disparidades raciales y étnicas en la recepción de las pruebas recomendadas de detección de cáncer colorrectal; sin embargo, el impacto de los determinantes sociales de la salud en dichas disparidades no se ha estudiado recientemente en una cohorte nacional. OBJETIVO: El objetivo de este estudio fue determinar si los determinantes sociales de la salud atenúan las disparidades raciales en la recepción de pruebas de detección del cáncer colorrectal. DISEÑO: Encuesta telefónica transversal de raza y etnia autoinformada y detección actualizada de cáncer colorrectal. Las asociaciones entre la raza/etnicidad y la detección del cáncer colorrectal se probaron antes y después del ajuste por demografía, factores conductuales y determinantes sociales de la salud. ESCENARIO: Esta fue una encuesta telefónica representativa a nivel nacional de los residentes de EE. UU. en 2018. PACIENTES: Los pacientes eran residentes de EE. UU. de 50 a 75 años. PRINCIPALES MEDIDAS DE RESULTADO: Estado actualizado de detección de cáncer colorrectal, según las recomendaciones del Grupo de Trabajo de Servicios Preventivos de EE. UU. de 2008. RESULTADOS: Este estudio incluyó a 226.106 encuestados de 50 a 75 años. Antes del ajuste, todos los grupos étnicos y raciales minoritarios demostraron probabilidades significativamente más bajas de detección en comparación con los encuestados blancos no hispanos. Después del ajuste por demografía, factores conductuales y determinantes sociales de la salud, en comparación con los encuestados blancos no hispanos, las probabilidades de detección aumentaron entre los encuestados negros no hispanos (OR 1,10, p = 0,02); más bajo pero atenuado entre los encuestados hispanos (OR 0,73, p < 0,001), los encuestados indios americanos/nativos de Alaska no hispanos (OR 0,85, p = 0,048) y los encuestados no hispanos de otras razas (OR 0,82, p = 0,01); y menor pero no atenuado entre los encuestados asiáticos no hispanos (OR 0,68, p < 0,001). LIMITACIONES: Sesgo de recuerdo y sesgo de participante, así como confusión residual. CONCLUSIONES: El ajuste para los determinantes sociales de la salud redujo las disparidades raciales y étnicas en la detección del cáncer colorrectal entre todos los grupos étnicos y raciales minoritarios, excepto las personas asiáticas no hispanas; sin embargo, es probable que existan otros factores de confusión no medidos. Consulte Video Resumen en http://links.lww.com/DCR/B977. (Traducción—Dr. Felipe Bellolio)

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“…Instead, given the findings' likely applicability to Uruguayan populations, we draw from studies conducted with Latinx populations in the USA as well as a couple of international pertinent investigations. Across various studies, health care providers' recommendation that the patient obtains a CRC screening exam has emerged as a major facilitative factor (e.g., Byrd, Calderón-Mora, Salaiz, & Shokar, 2019;Gonzalez et al, 2020). Consistent with this finding, trust in physicians has also been identified as a facilitator (Bynum, Davis, Green, & Katz, 2012;Casal, Velázquez, Mejía, Cúneo, & Pérez-Stable, 2009).…”

Section: Psychosocial Factors That Influence Crc Screeningmentioning

confidence: 89%

“…Across various studies, health care providers’ recommendation that the patient obtains a CRC screening exam has emerged as a major facilitative factor (e.g., Byrd, Calderón-Mora, Salaiz, & Shokar, 2019 ; Gonzalez et al, 2020 ). Consistent with this finding, trust in physicians has also been identified as a facilitator (Bynum, Davis, Green, & Katz, 2012 ; Casal, Velázquez, Mejía, Cúneo, & Pérez-Stable, 2009 ).…”

Section: Psychosocial Factors That Influence Crc Screeningmentioning

confidence: 99%

Colorectal cancer screening in Uruguay: current assessment and roadmap for the future

Reich

Buki

2021

Psicol. Refl. Crít.

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Cancer is a leading cause of death worldwide and is expected to remain a public health concern for years to come. Within Latin America, Uruguay has the highest colorectal cancer rates. Heeding past calls to action, in this article we provide a critical assessment of colorectal cancer needs and opportunities in Uruguay with a focus on developing a roadmap for future action. First, we provide an overview of risk factors, screening procedures and guidelines, and screening rates. Next, we provide an overview of psychosocial factors that influence colorectal cancer screening, with the goal of providing guidance for future behavioral health promotion initiatives in Uruguay. In this effort, we present four conceptual models that may be used for interventions: the ecological systems theory, informed decision-making, the health beliefs model, and the health literacy model. Subsequently, we propose using an integrated model based on the ecological systems theory and health literacy model to develop national, local, and community-based interventions to increase screening rates and lower the colorectal cancer burden in Uruguay. We close the paper with a summary and implications section, including recommendations for future research programs focused on the assessment of factors that influence screening.

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Barriers and Facilitators of Colorectal Cancer Screening Among a Hispanic Community in Michigan

Cited by 10 publications

References 25 publications

News Coverage of Colorectal Cancer on Google News: Descriptive Study

News Coverage of Colorectal Cancer on Google News: Descriptive Study

Associations of Race, Ethnicity, and Social Determinants of Health With Colorectal Cancer Screening

Colorectal cancer screening in Uruguay: current assessment and roadmap for the future

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