title: Understanding the barriers and facilitators of colorectal cancer screening among low income immigrant hispanics.
abstract: 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.
authors.affiliation: Department of Oncological Sciences, Mount Sinai School of Medicine, One Gustave L. Levy Place, New York, NY 10029, USA. lina.jandorf@mssm.edu
authors.forename: Lina
authors.initials: L
authors.lastname: Jandorf
authors.forename: Jennie
authors.initials: J
authors.lastname: Ellison
authors.forename: Cristina
authors.initials: C
authors.lastname: Villagra
authors.forename: Gary
authors.initials: G
authors.lastname: Winkel
authors.forename: Alejandro
authors.initials: A
authors.lastname: Varela
authors.forename: Zeida
authors.initials: Z
authors.lastname: Quintero-Canetti
authors.forename: Anabella
authors.initials: A
authors.lastname: Castillo
authors.forename: Linda
authors.initials: L
authors.lastname: Thélémaque
authors.forename: Sheba
authors.initials: S
authors.lastname: King
authors.forename: Katherine
authors.initials: K
authors.lastname: Duhamel
mesh_terms: 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