Decision-making and socioeconomic disparities in colonoscopy screening in African Americans.

Kiviniemi, Marc T.; Klasko-Foster, Lynne; Erwin, Deborah O.; Jandorf, Lina

doi:10.1037/hea0000603

Cited by 10 publications

(5 citation statements)

References 67 publications

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“…Future research should also strive to reach a representative sample and in particular to include people distant from institutions and the healthcare system, as well as those with a low socioeconomic status. Indeed, these characteristics could affect the perception of CRC screening 31 and yield the most interesting insights for comparative research and application purposes.…”

Section: Discussionmentioning

confidence: 99%

Emotional Barriers to Bowel Screening in Italy: Scale psychometric properties and effects on screening attendance

Scaglioni

Cavazza

2021

Psycho-Oncology

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Objective: To assess a three-factor version of the Emotional Barriers to Bowel Screening (EBBS) scale; analyze the scale's psychometric properties; and investigate the associations of fecal disgust, embarrassment, and fear with colorectal cancer (CRC) screening avoidance.Methods: Retrospective design: We asked participants to rate negative emotions associated with CRC screenings as well as whether they had ever attended a fecal occult blood test. Sample: 268 Italian adults aged 45−74 years. Measures: negative emotions, screening knowledge, CRC risk perception, demographic and background data, and hypothetical medical help-seeking. Analyses: Confirmatory factor analyses, correlations, logistic regressions. Results:The EBBS scale is a multidimensional instrument and, at least where fecal tests are of interest, can be used without the insertion disgust subscale. The analyzed negative emotions were negatively correlated with screening attendance and positively correlated with intention to delay seeking medical help. However, logistic regression models showed that, of the three analyzed emotions, fear about outcome was the only significant predictor of screening behavior and delaying medical care. Conclusions:Further studies can adopt the version of the EBBS scale that is most suitable for their research contexts. Interventions must be designed to reassure patients.

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Section: Discussionmentioning

confidence: 99%

Emotional Barriers to Bowel Screening in Italy: Scale psychometric properties and effects on screening attendance

Scaglioni

Cavazza

2021

Psycho-Oncology

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“…Among them, 72 qualified for full-text screening and 23 were considered eligible for the review. Fourteen reports provided estimates for the US (25)(26)(27)(28)(29)(30)(31)(32)(33)(34)(35)(36)(37)(38). The other studies were conducted in Australia (one study; ref.…”

Section: Resultsmentioning

confidence: 99%

“…Three studies provided nationally representative estimates (based on NHIS; refs. 25,32,33) and another three only included specific ethnic groups [Chinese or Chinese Americans (27), African Americans (30) and Koreans (35)].…”

Section: Resultsmentioning

confidence: 99%

“…Colonoscopy and sigmoidoscopy use in the US. For the US (Table 1), lifetime utilization of colonoscopy was reported in two studies, both on specific racial groups [Chinese or Chinese Americans living in San Francisco: 31% (27); African Americans from two metropolitan areas: 78% (30)]. Recent use of colonoscopy, mostly defined as colonoscopy use within 10 years, was reported in seven studies (25,26,28,29,31,36,38) (25).…”

Section: Resultsmentioning

confidence: 99%

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Colonoscopy and Sigmoidoscopy Use among the Average-Risk Population for Colorectal Cancer: A Systematic Review and Trend Analysis

Cardoso

Niedermaier

Chen

et al. 2019

Cancer Prevention Research

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Monitoring population-level colonoscopy and sigmoidoscopy use is crucial to estimate the future burden of colorectal cancer and guide screening efforts. We conducted a systematic literature search on colonoscopy and sigmoidoscopy use, published between November 2016 and December 2018 in the databases PubMed and Web of Science to update previous reviews and analyze time trends for various countries. In addition, we used data from the German and European Health Interview Surveys and the National Health Interview Survey to explore recent time trends for Germany and the US, respectively. The literature search yielded 23 new articles: fourteen from the US and nine from Australia,

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“…[1][2][3][4][5] Nevertheless, important racial, ethnic, and socioeconomic disparities have not allowed for equal compliance. [6][7][8][9] With projections from the US Census Bureau estimating a progressive increase in the prevalence of minority groups by 2060, it is important to evaluate vulnerable subgroups and their risk factors leading to fewer screening colonoscopies. 10 We hope to elucidate this concern in the limited language proficient population in an English-speaking country.…”

Section: Introductionmentioning

confidence: 99%

Disparities in Screening for Colorectal Cancer Based on Limited Language Proficiency

Cataneo

Kim

Park

et al. 2022

The American Surgeon

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Background This study analyzes the association between limited language proficiency and screening for colorectal cancer. Methods This is a retrospective cohort study from the 2015 sample of the National Health Interview Survey database utilizing univariate and multivariate regression analysis. The study population includes subjects between 50 and 75 years of age. The main outcome analyzed was rates of screening colonoscopies between limited English-language proficiency (LEP) subjects and those fluent in English. Secondary outcomes included analysis of baseline, socioeconomic, access to health care variables, and other modalities for colorectal cancer screening between the groups. Results Incidence of limited language proficiency was 4.8% (n = 1978, count = 4 453 599). They reported lower rates of screening colonoscopies (61% vs 34%, P < .001), less physician recommendation for a colonoscopy (87 vs 60%, P < .001), fewer polyps removed in the previous 3 years (24% vs 9.1%; P < .001), and fewer fecal occult blood samples overall (P < .001). Additionally, Hispanic non-LEP subjects have higher rates of colonoscopies compared to those with language barriers (50% vs 33%, P < .001). On multivariate analysis, LEP was associated with a lower likelihood to have a screening colonoscopy (OR .67 95% CI .49-.91). A second regression model with “Spanish language” and “other language” variables included, associated Spanish speakers with a lower likelihood for a screening colonoscopy (OR .71 95% CI .52-.97) when controlling for baseline, socioeconomic, and access to health care covariates. Discussion Patients with limited English-language proficiency are associated with lower rates of screening for colorectal cancer, in particular the Spanish speaking subgroup.

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Decision-making and socioeconomic disparities in colonoscopy screening in African Americans.

Cited by 10 publications

References 67 publications

Emotional Barriers to Bowel Screening in Italy: Scale psychometric properties and effects on screening attendance

Emotional Barriers to Bowel Screening in Italy: Scale psychometric properties and effects on screening attendance

Colonoscopy and Sigmoidoscopy Use among the Average-Risk Population for Colorectal Cancer: A Systematic Review and Trend Analysis

Disparities in Screening for Colorectal Cancer Based on Limited Language Proficiency

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