Colorectal cancer screening among Hispanics/Latinos in the HCHS/SOL sociocultural ancillary study

Castañeda, Sheila F.; Gallo, Linda C.; Nodora, Jesse; Talavera, Gregory A.; Penedo, Frank J.; Evenson, Kelly R.; Lopez-Gurrola, Maria; Smoller-Wassertheil, Sylvia; Sánchez-Johnsen, Lisa; González, Patricia; Perreira, Krista M.; Gupta, Samir

doi:10.1016/j.pmedr.2019.100947

Cited by 15 publications

(12 citation statements)

References 37 publications

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“…We observed a significantly increased likelihood of receiving visual tests among Hispanic individuals who newly enrolled in Medicaid after the Medicaid expansion versus their non‐Hispanic White counterparts. This finding differed from other studies reporting that being Hispanic has been associated with lower CRC screening rates in the general adult population age‐eligible for CRC screening, 44 which might have been due to a high correlation between the likelihood of being uninsured and being Hispanic. Also, we observed a positive association between being male and receiving any CRC tests among male individuals who newly enrolled in Medicaid after Medicaid expansion than their female counterparts.…”

Section: Discussioncontrasting

confidence: 99%

Enrollee characteristics and receipt of colorectal cancer testing in Pennsylvania after adoption of the Affordable Care Act Medicaid expansion

et al. 2023

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BackgroundColorectal cancer (CRC) is the fourth most common cancer and the second leading cause of cancer‐related death in the U.S. Despite increased CRC screening rates, they remain low among low‐income non‐older adults, including Medicaid enrollees who are more likely to be diagnosed at advanced stages.ObjectivesGiven limited evidence regarding CRC screening service use among Medicaid enrollees, we examined multilevel factors associated with CRC testing among Medicaid enrollees in Pennsylvania after Medicaid expansion in 2015.Research DesignUsing the 2014–2019 Medicaid administrative data, we performed multivariable logistic regression models to assess factors associated with CRC testing, adjusting for enrollment length and primary care services use.SubjectsWe identified 15,439 adults aged 50–64 years newly enrolled through Medicaid expansion.MeasuresOutcome measures include receiving any CRC testing and by modality.ResultsAbout 32% of our study population received any CRC testing. Significant predictors for any CRC testing include being male, being Hispanic, having any chronic conditions, using primary care services ≤4 times annually, and having a higher county‐level median household income. Being 60–64 years at enrollment, using primary care services >4 times annually, and having higher county‐level unemployment rates were significantly associated with a decreased likelihood of receiving any CRC tests.ConclusionsCRC testing rates were low among adults newly enrolled in Medicaid under the Medicaid expansion in Pennsylvania relative to adults with high income. We observed different sets of significant factors associated with CRC testing by modality. Our findings underscore the urgency to tailor strategies by patients' racial, geographic, and clinical conditions for CRC screening.

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Section: Discussioncontrasting

confidence: 99%

Enrollee characteristics and receipt of colorectal cancer testing in Pennsylvania after adoption of the Affordable Care Act Medicaid expansion

et al. 2023

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“…Studies examining both BrCa and CRC screening among Black immigrant women are limited, and investigations of CRC screening adherence levels in this population report mixed results [ 17 , 20 , 42 – 46 ]. Similarly, few large studies investigate both BrCa and CRC screening in Latina populations [ 20 , 43 , 47 ]. Our findings are in opposition to most of the CRC screening-only literature, which indicates lower CRC screening rates among Black Americans, primarily Spanish speaking, and bilingual Latina immigrants [ 47 , 48 ].…”

Section: Discussionmentioning

confidence: 99%

“…Similarly, few large studies investigate both BrCa and CRC screening in Latina populations [ 20 , 43 , 47 ]. Our findings are in opposition to most of the CRC screening-only literature, which indicates lower CRC screening rates among Black Americans, primarily Spanish speaking, and bilingual Latina immigrants [ 47 , 48 ]. In respect to Latinas, our findings are consistent with Costas-Muñiz et al who found that foreign-born, Spanish-speaking, and bilingual Latinos were more likely to complete colonoscopy compared to U.S.-born or English-speaking Latinos in New York City [ 49 ].…”

Section: Discussionmentioning

confidence: 99%

Sociodemographic correlates of colorectal cancer screening completion among women adherent to mammography screening guidelines by place of birth

et al. 2022

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Introduction Colorectal cancer screening rates in the U.S. still fall short of national goals, while screening rates for other cancer sites, such as breast, remain high. Understanding characteristics associated with colorectal cancer screening among different groups of women adherent to breast cancer screening guidelines can shed light on the facilitators of colorectal cancer screening among those already engaged in cancer prevention behaviors. The purpose of this study was to explore which demographic characteristics, healthcare access factors, and cancer-related beliefs were associated with colorectal cancer screening completion among U.S. and foreign-born women adherent to mammography screening recommendations. Methods Analyses of the 2015 National Health Interview Survey were conducted in 2019. A sample of 1206 women aged 50–74 who had a mammogram in the past 2 years and were of average risk for colorectal cancer was examined. Logistic regression was used to determine demographic, health service, and health belief characteristics associated with colorectal cancer screening completion. Results Fifty-five percent of the sample were adherent to colorectal cancer screening recommendations. Women over the age of 65 (AOR = 1.76, 95% CI 1.06–2.91), with any type of health insurance, and who were bilingual (AOR = 3.84, 95% CI 1.83–8.09) were more likely to complete screening, while foreign-born women (AOR = 0.53, 95% CI 0.34–0.83) were less likely. Cancer-related beliefs did not influence adherence. Stratified analyses by nativity revealed additional associations. Conclusions Demographic and health service factors interact to influence colorectal cancer screening among women completing breast cancer screening. Colorectal cancer screening interventions targeting specific underserved groups and financing reforms may enhance women’s colorectal cancer screening rates.

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“…Older age, [12][13][14][15][16][17][18]22 male sex, 23,24 being insured, [23][24][25] higher income, 22,26 and being married 23,24,27 are well-established sociodemographic predictors of colonoscopy uptake. The results of our study are consistent with the current body of literature in that all of these characteristics were identified as independent predictors of colonoscopy uptake in our adjusted model.…”

Section: Discussionmentioning

confidence: 99%

Up-to-Date Colonoscopy Use in Asian and Hispanic Subgroups in New York City, 2003-2016

Liang

Dubner

Xia³

et al. 2023

Journal of Clinical Gastroenterology

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Background: Colorectal cancer screening uptake in the United States overall has increased, but racial/ethnic disparities persist and data on colonoscopy uptake by racial/ethnic subgroups are lacking. We sought to better characterize these trends and to identify predictors of colonoscopy uptake, particularly among Asian and Hispanic subgroups. Study: We used data from the New York City Community Health Survey to generate estimates of up-to-date colonoscopy use in Asian and Hispanic subgroups across 6 time periods spanning 2003-2016. For each subgroup, we calculated the percent change in colonoscopy uptake over the study period and the difference in uptake compared to non-Hispanic Whites in 2015-2016. We also used multivariable logistic regression to identify predictors of colonoscopy uptake. Results: All racial and ethnic subgroups with reliable estimates saw a net increase in colonoscopy uptake between 2003 and 2016. In 2015-2016, compared with non-Hispanic Whites, Puerto Ricans, Dominicans, and Central/South Americans had higher colonoscopy uptake, whereas Chinese, Asian Indians, and Mexicans had lower uptake. On multivariable analysis, age, marital status, insurance status, primary care provider, receipt of flu vaccine, frequency of exercise, and smoking status were the most consistent predictors of colonoscopy uptake (≥4 time periods). Conclusions: We found significant variation in colonoscopy uptake among Asian and Hispanic subgroups. We also identified numerous demographic, socioeconomic, and health-related predictors of colonoscopy uptake. These findings highlight the importance of examining health disparities through the lens of disaggregated racial/ethnic subgroups and have the potential to inform future public health interventions.

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Colorectal cancer screening among Hispanics/Latinos in the HCHS/SOL sociocultural ancillary study

Cited by 15 publications

References 37 publications

Enrollee characteristics and receipt of colorectal cancer testing in Pennsylvania after adoption of the Affordable Care Act Medicaid expansion

Enrollee characteristics and receipt of colorectal cancer testing in Pennsylvania after adoption of the Affordable Care Act Medicaid expansion

Sociodemographic correlates of colorectal cancer screening completion among women adherent to mammography screening guidelines by place of birth

Up-to-Date Colonoscopy Use in Asian and Hispanic Subgroups in New York City, 2003-2016

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