Understanding the barriers and facilitators of colorectal cancer screening among low income immigrant hispanics.
Colorectal cancer (CRC) screening rates are low among Hispanics; thus understanding screening barriers and facilitators is essential. A survey, based on blended health promotion theories, was conducted with low income, mostly immigrant, Hispanics at community based organizations and health clinics in New York City. Correlates of undergoing colonoscopy screening were examined. Four hundred men (28%) and women were interviewed. Older age, longer US residence, having a regular health care provider and provider recommendation predicted colonoscopy receipt (P values <0.01). Greater fear and worry concerning colonoscopy and fewer perceived screening benefits were associated with reduced screening likelihood (P values <0.05). In a multivariate model, colonoscopy receipt was negatively associated with Medicaid and positively associated with English preference, physician recommendation for and encouragement of screening and less fear. Interventions that educate physicians and patients regarding colonoscopy screening guidelines, increase physicians' screening referrals, and reduce patients' fear are needed.
Jandorf
Lina
L
Department of Oncological Sciences, Mount Sinai School of Medicine, One Gustave L. Levy Place, New York, NY 10029, USA. lina.jandorf@mssm.edu
Ellison
Jennie
J
Villagra
Cristina
C
Winkel
Gary
G
Varela
Alejandro
A
Quintero-Canetti
Zeida
Z
Castillo
Anabella
A
Thélémaque
Linda
L
King
Sheba
S
Duhamel
Katherine
K
D000368:Aged; D001294:Attitude to Health; D015179:Colorectal Neoplasms / Q000517:prevention & control*; D054242:Emigrants and Immigrants; D005260:Female; D006630:Hispanic or Latino; D006801:Humans; D007407:Interviews as Topic; D008297:Male; D008403:Mass Screening / Q000706:statistics & numerical data*; D008875:Middle Aged; D009519:New York City; D011203:Poverty