Barriers to CRC Screening Among Latino Adults in Pennsylvania: ACCN Results

Garcia-Dominic, Oralia; Lengerich, Eugene J.; Wray, Linda A.; Parrott, Roxanne; Aumiller, Betsy; Kluhsman, Brenda C.; Renderos, Carlos; Dignan, Mark

doi:10.5993/ajhb.36.2.2

Cited by 21 publications

(28 citation statements)

References 20 publications

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“…And the queue's really long in hospital, right?" (82) Scheduling challenges (34,50,70,76,85,86,92,93) "It was more of a scheduling problem with the endoscopy clinic" (86) Cultural, gender, socioeconomic Natural remedies conquer CRC (11,54,59,68,69) "Back home we have a lot of good home remedies. These remedies can cure most anything.…”

Section: Results Of Meta-data Analysismentioning

confidence: 99%

“…I work during the weekday and cannot get a day off" (96) Transportation and finding an escort was a challenge (36,84,85,88,92,96) "We do not have cars or a second car, and there is no public transportation in our area so it is not as easy to go see the doctor." (85) Low health literacy (11,18,31,36,38,40,45,46,63,71,89,93,106) "Then we go into as to the polyps and the lumps and so forth and it seems to be oriented a little more for some of us familiar with this type of, well with these names and so forth.…”

Section: Results Of Meta-data Analysismentioning

confidence: 99%

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Systematic Review and Meta-study Synthesis of Qualitative Studies Evaluating Facilitators and Barriers to Participation in Colorectal Cancer Screening

Honein-AbouHaidar

Kastner

Vuong

et al. 2016

Cancer Epidemiology, Biomarkers &Amp; Prevention

220

185

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Screening reduces the incidence, morbidity, and mortality of colorectal cancer, yet participation tends to be low. We undertook a systematic review and meta-study synthesis of qualitative studies to identify facilitators and barriers to colorectal cancer screening participation. We searched major bibliographic databases for records published in all languages from inception to February 2015. Included primary studies that elicited views and perceptions towards colorectal cancer screening were appraised for relevance and quality. We used a two-stage synthesis to create an interpretation of colorectal cancer screening decisions grounded in primary studies; a thematic analysis to group themes and systematically compare studies and a meta-synthesis to generate an expanded theory of colorectal cancer screening participation.Ninety-four studies were included. The decision to participate in colorectal cancer screening depended on an individual's awareness of colorectal cancer screening. Awareness affected views of cancer, attitudes towards colorectal cancer screening modalities, and motivation for screening. Factors mediating awareness included public education to address misconceptions, primary care physician efforts to recommend screening, and the influence of friends and family. Specific barriers to participation in populations with lower participation rates included language barriers, logistical challenges to attending screening tests, and cultural beliefs. This study identifies key barriers, facilitators, and mediators to colorectal cancer screening participation.Cancer Epidemiol Biomarkers Prev; 25(6); 907-17. Ó2016 AACR.

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Section: Results Of Meta-data Analysismentioning

confidence: 99%

Section: Results Of Meta-data Analysismentioning

confidence: 99%

Systematic Review and Meta-study Synthesis of Qualitative Studies Evaluating Facilitators and Barriers to Participation in Colorectal Cancer Screening

Honein-AbouHaidar

Kastner

Vuong

et al. 2016

Cancer Epidemiology, Biomarkers &Amp; Prevention

220

185

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“…We first identified a framework on the barriers and facilitators to screening from the studies included in this review (Garcia-Dominic et al, 2012), supplemented by two other frameworks by Christy et al and Denberg et al, which focused on masculinity (avoidance of femininity, self-reliance, risk taking and heterosexual self-presentation) and screening procedure respectively, to form a more comprehensive meta-framework (Christy et al, 2014;Denberg et al, 2005). This meta-framework was then pilot tested by two researchers against ten studies before the final framework was decided.…”

Section: Data Extraction and Synthesismentioning

confidence: 99%

Barriers and facilitators to health screening in men: A systematic review

Teo

Booth

et al. 2016

Social Science & Medicine

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Abstract:Rationale. Men have poorer health status and are less likely to attend health screening compared to women.Objective. This systematic review presents current evidence on the barriers and facilitators to engaging men in health screening.Methods. We included qualitative, quantitative and mixed-method studies identified through five electronic databases, contact with experts and reference mining. Two researchers selected and appraised the studies independently. Data extraction and synthesis were conducted using the 'best fit' framework synthesis method.Results. 53 qualitative, 44 quantitative and 6 mixed-method studies were included. Factors influencing health screening uptake in men can be categorized into five domains: individual, social, health system, healthcare professional and screening procedure. The most commonly reported barriers are fear of getting the disease and low risk perception; for facilitators, they are perceived risk and benefits of screening. Male-dominant barriers include heterosexualself-presentation, avoidance of femininity and lack of time. The partner's role is the most common male-dominant facilitator to screening.Conclusions. This systematic review provides a comprehensive overview of barriers and facilitators to health screening in men including the male-dominant factors. The findings are 3 particularly useful for clinicians, researchers and policy makers who are developing interventions and policies to increase screening uptake in men.4

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“…6-12 Previously reported structural barriers include: lack of health insurance and concerns about cost, 13, 14 undocumented legal status, 7 perceived discrimination, 15 inadequate awareness or knowledge about screening tests, 16 and lack of provider recommendation. 8, 17 Even with structural barriers removed, cancer screening remains underutilized among Latinos, thereby suggesting that factors beyond structural barriers be considered.…”

mentioning

confidence: 99%

“…15, 18, 19 For example, seeking health care only when sick, 20 embarrassment regarding screening procedures, 9, 21 fear/denial/lack of desire or motivation, 8 having other needs more pressing than preventive care, 10 preference for home remedies rather than Western biomedical care, 22 and lack of social support 6 have been found to be important contributors. Moreover, language barriers due to limited English proficiency, cultural norms regarding gender roles ( machismo , marianismo ), fatalism, 23, 24 and scarcity of Spanish speaking providers may deter Latinos from undergoing screening.…”

mentioning

confidence: 99%

Religious Beliefs and Cancer Screening Behaviors among Catholic Latinos: Implications for Faith-based Interventions

Allen¹,

Leyva²,

Torres³

et al. 2014

hpu

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Although most U.S. Latinos identify as Catholic, few studies have focused on the influence of this religious tradition on health beliefs among this population. This study explores the role of Catholic religious teachings, practices, and ministry on cancer screening knowledge, attitudes and behaviors among Latinos. Eight focus groups were conducted with 67 Catholic Latino parishioners in Massachusetts. Qualitative analysis provided evidence of strong reliance on faith, God, and parish leaders for health concerns. Parishes were described as vital sources of health and social support, playing a central role in the community's health. Participants emphasized that their religious beliefs promote positive health behaviors and health care utilization, including the use of cancer screening services. In addition, they expressed willingness to participate in cancer education programs located at their parishes and provided practical recommendations for implementing health programs in parishes. Implications for culturally appropriate health communication and faith-based interventions are discussed.

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Barriers to CRC Screening Among Latino Adults in Pennsylvania: ACCN Results

Abstract: A targeted approach for CRC screening among Latinos may be better than the nontargeted approach.

Cited by 21 publications

References 20 publications

Systematic Review and Meta-study Synthesis of Qualitative Studies Evaluating Facilitators and Barriers to Participation in Colorectal Cancer Screening

Systematic Review and Meta-study Synthesis of Qualitative Studies Evaluating Facilitators and Barriers to Participation in Colorectal Cancer Screening

Barriers and facilitators to health screening in men: A systematic review

Religious Beliefs and Cancer Screening Behaviors among Catholic Latinos: Implications for Faith-based Interventions

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