title: Barriers to CRC screening among Latino adults in Pennsylvania: ACCN results.
abstract: OBJECTIVE
  To describe knowledge of and barriers to colorectal cancer (CRC) screening by sex and geography among Latino adults in Pennsylvania.
  
  
  METHODS
  Eighty-two Latinos >50 years old engaged in one of 8 focus groups. Focus groups consisted of 4 components. Focus  group data were audiotaped, transcribed, and grouped into thematic units using content analysis.
  
  
  RESULTS
  We found significant differences in the reported barriers to CRC screenings by sex and geography. Identified barriers were placed into 5 domains: (1) physical environment, (2) structural,  (3) sociocultural, (4) individual level, and (5) physician related.
  
  
  CONCLUSIONS
  A targeted approach for CRC screening among Latinos may be better than the nontargeted approach.
authors.affiliation: Department of Public Health Sciences, Penn State Milton S. Hershey Medical Center, Hershey, PA, USA. odominic@hes.hmc.psu.edu
authors.forename: Oralia
authors.initials: O
authors.lastname: Garcia-Dominic
authors.forename: Eugene J
authors.initials: EJ
authors.lastname: Lengerich
authors.forename: Linda A
authors.initials: LA
authors.lastname: Wray
authors.forename: Roxanne
authors.initials: R
authors.lastname: Parrott
authors.forename: Betsy
authors.initials: B
authors.lastname: Aumiller
authors.forename: Brenda
authors.initials: B
authors.lastname: Kluhsman
authors.forename: Carlos
authors.initials: C
authors.lastname: Renderos
authors.forename: Mark
authors.initials: M
authors.lastname: Dignan
mesh_terms: D000328:Adult; D000368:Aged; D015179:Colorectal Neoplasms / Q000175:diagnosis* / Q000208:ethnology*; D005260:Female; D017144:Focus Groups; D006297:Health Services Accessibility; D006630:Hispanic or Latino / Q000523:psychology*; D006801:Humans; D008297:Male; D008403:Mass Screening / Q000523:psychology / Q000706:statistics & numerical data*; D008875:Middle Aged; D010342:Patient Acceptance of Health Care; D010414:Pennsylvania; D011795:Surveys and Questionnaires