Understanding the Barriers and Facilitators of Colorectal Cancer Screening Among Low Income Immigrant Hispanics

Jandorf, Lina; Ellison, Jennie; Villagra, Cristina; Winkel, Gary; Varela, Alejandro; Quintero-Canetti, Zeida; Castillo, Anabella; Thelemaque, Linda; King, Sheba; DuHamel, Katherine N.

doi:10.1007/s10903-009-9274-3

Cited by 82 publications

(116 citation statements)

References 33 publications

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“…Differences in CRC screening between Hispanic and non-Hispanic Californian men have been well documented. [21][22][23][24] CRC screening rates among Mexican and South and Central American Hispanic males, the main Hispanic subgroups in California, are the lowest of any race/ethnic group in the country (39% and 35% respectively). 25 Cultural values and access to healthcare may explain lower rates of cancer screening among Hispanics in California.…”

Section: Rates Among Hispanics Did Not Decline Until 2008 (Table 2)mentioning

confidence: 99%

“…Hispanic men are more likely to be uninsured or have Medicaid health insurance, and are less likely to have a primary care provider, all of which decrease the likelihood of CRC screening. 23,26 Limited language proficiency may be an additional barrier.…”

Section: Rates Among Hispanics Did Not Decline Until 2008 (Table 2)mentioning

confidence: 99%

“…Tailoring interventions to the needs of these specific groups will be important in creating effective CRC prevention strategies. 23,36 Factors other than screening may explain some of the disparities in mortality and incidence between white and Hispanic men. CRC is associated with several lifestyle factors, including alcohol consumption, smoking, diabetes and obesity.…”

Section: Rates Among Hispanics Did Not Decline Until 2008 (Table 2)mentioning

confidence: 99%

See 2 more Smart Citations

Colorectal Cancer Trends in California and the Need for Greater Screening of Hispanic Men

Martinsen

Morris

Pinheiro

et al. 2016

American Journal of Preventive Medicine

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Section: Rates Among Hispanics Did Not Decline Until 2008 (Table 2)mentioning

confidence: 99%

Section: Rates Among Hispanics Did Not Decline Until 2008 (Table 2)mentioning

confidence: 99%

Section: Rates Among Hispanics Did Not Decline Until 2008 (Table 2)mentioning

confidence: 99%

See 1 more Smart Citation

Colorectal Cancer Trends in California and the Need for Greater Screening of Hispanic Men

Martinsen

Morris

Pinheiro

et al. 2016

American Journal of Preventive Medicine

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“…[1][2][3][4] However, its effectiveness for reducing CRC mortality for vulnerable populations is unclear, given the barriers to colonoscopy, including cost, transportation problems, preparing for the procedure, and fear of invasive tests. [5][6][7][8][9][10][11][12] Expanded use of FOBT, a modality with fewer barriers, may be a viable approach to address CRC screening disparities, especially with single-sample fecal immunochemical tests (FIT), which do not require dietary restrictions. 13 Several randomized trials have reported that outreach with FOBT can improve CRC screening rates.…”

Section: Introductionmentioning

confidence: 99%

Comparative Effectiveness of Multifaceted Outreach to Initiate Colorectal Cancer Screening in Community Health Centers: A Randomized Controlled Trial

et al. 2015

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INTRODUCTION:Colorectal cancer (CRC) screening rates are low among vulnerable populations. Fecal immunochemical tests (FITs) are one screening modality with few barriers. Studies have shown that outreach can improve CRC screening, but little is known about its effectiveness among individuals with no CRC screening history. We sought to determine whether outreach increases FIT uptake among patients with no CRC screening history compared to usual care. METHODS: This study was a patient-level randomized controlled trial, including 420 patients who had never completed CRC screening and were eligible for FIT; 66 % were female, 62.1 % were Latino, and 70.7 % were uninsured. The main outcome measure was FIT completion within 6 months of the randomization date. We assessed FIT completion at different time points corresponding to receipt of outreach components. All analyses were re-run with 12-month data. RESULTS: Patients who received outreach were more likely to complete FIT than those in usual care (36.7 % vs. 14.8 %; p<0.001). FIT completion was more common among patients with increased clinic visits. The difference in FIT completion between the outreach and usual care groups decreased over time. DISCUSSION: The intervention improved FIT uptake among patients with no CRC screening history. However, the intervention was less effective than in a previous trial targeting patients due for repeat screening. Additional research is needed to determine the best methods for improving CRC screening among this hard-to-reach group.KEY WORDS: health disparities; cancer prevention; care delivery system.

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“…compared foreign-born Hispanic (Jandorf et al, 2010), Asian (Misra, Menon, Vadaparampil, & BeLue, 2011), and non-Hispanic Black (Odedina et al, 2011) men with their U.S.-born counterparts (Argeseanu Cunningham et al, 2008). However, the research is limited when comparing U.S.-and foreign-born non-Hispanic Whites.…”

mentioning

confidence: 99%

Disparities in Preventive Health Behaviors Among Non-Hispanic White Men

Dallo

Kindratt

2014

Am J Mens Health

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The objectives of this study were to estimate and compare the age-adjusted prevalence of not receiving a flu vaccine, pneumonia vaccine, or prostate cancer screening among U.S.- and foreign-born White men by region of birth (Europe/Russia and the Arab Nations) and examine these associations while controlling for potential confounders. Twelve years of restricted data from the National Health Interview Survey (NHIS) including 91,636 U.S.- and foreign-born men were used. Chi-squares were used to compare descriptive statistics, and odds ratios (ORs; 95% confidence intervals [CIs]) were used for inferential statistics. In crude and adjusted analyses, foreign-born Arab American men were less likely to report receiving a flu (OR = 0.38; 95% CI = 0.21, 0.67) and pneumonia (OR = 0.33; 95% CI = 0.16, 0.70) vaccine compared with U.S.-born White men. There were no statistically significant differences for PSA testing between Arab American and White men. This national study examining uptake of flu and pneumonia vaccines suggests estimates are lower for foreign-born Arab American men compared with U.S.-born White men. Future studies should collect qualitative data that assesses the cultural context surrounding prevention and screening behaviors among Arab Americans.

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Understanding the Barriers and Facilitators of Colorectal Cancer Screening Among Low Income Immigrant Hispanics

Abstract: Correspondence to: Lina Jandorf, lina.jandorf@mssm.edu. NIH Public Access

Cited by 82 publications

References 33 publications

Colorectal Cancer Trends in California and the Need for Greater Screening of Hispanic Men

Colorectal Cancer Trends in California and the Need for Greater Screening of Hispanic Men

Comparative Effectiveness of Multifaceted Outreach to Initiate Colorectal Cancer Screening in Community Health Centers: A Randomized Controlled Trial

Disparities in Preventive Health Behaviors Among Non-Hispanic White Men

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