title: Feasibility and efficacy of pairing fecal immunochemical testing with mammography for increasing colorectal cancer screening among uninsured Latinas in northern Manhattan.
abstract: OBJECTIVE
  We evaluated the feasibility and efficacy of a program to promote colorectal cancer screening (CRC) among uninsured Latinas receiving mammography through a cancer screening clinic in northern Manhattan.
  
  
  METHODS
  Between August 2009 and March 2010, unscreened, average CRC risk, uninsured Latinas, aged 50-64 years, undergoing mammography received a screening recommendation, education, and fecal immunochemical test (FIT). Socio-demographic information and level of acculturation was collected. Screening compliance was assessed.
  
  
  RESULTS
  Of 651 Latinas evaluated, 210 were eligible and, of these, 94% (n=197) consented to participate; 441 were excluded because they were up-to-date with CRC screening (n=130), < 50 (n=285) or >64 (n=26) years of age. After intervention, 177 (90%) completed FIT. Within 2 weeks, 87% completed the FIT, and 69% did so with no reminder calls. Acculturation was significantly lower among screeners (p=0.014). Compared with non-screeners, screeners were more likely to be foreign-born (p=0.009), to speak only Spanish (p=0.043), and to prefer to read (p=0.037), and think (p=0.015) in Spanish.
  
  
  CONCLUSIONS
  This study suggests that pairing CRC education and screening with mammography is both feasible and efficacious.
authors: Department of Health and Behavior Studies, Teachers College of Columbia University in New York City, 525 W. 120th Street, New York, NY 10027, USA. gah28@columbia.edu
authors: Grace Clarke
authors: GC
authors: Hillyer
authors: Charles E
authors: CE
authors: Basch
authors: Karen M
authors: KM
authors: Schmitt
authors: Alfred I
authors: AI
authors: Neugut
mesh_terms: D000069:Acculturation; D000367:Age Factors; D016009:Chi-Square Distribution; D015179:Colorectal Neoplasms / Q000175:diagnosis*; D055088:Early Detection of Cancer / Q000295:instrumentation / Q000379:methods*; D005240:Feasibility Studies; D005260:Female; D006630:Hispanic or Latino / Q000706:statistics & numerical data*; D006801:Humans; D008327:Mammography / Q000706:statistics & numerical data*; D017057:Medically Uninsured / Q000706:statistics & numerical data*; D008875:Middle Aged; D009519:New York City; D017060:Patient Satisfaction; D013223:Statistics as Topic