title: Increasing colonoscopy screening for Latino Americans through a patient navigation model: a randomized clinical trial.
abstract: Latinos have a higher rate of mortality and lower rate of colorectal cancer (CRC) screening than most racial groups in the United States. This study examines the predictors of screening colonoscopy (SC) for CRC among Latinos in a patient navigation (PN) intervention. Participants were randomized to either a culturally-targeted PN group (n = 225) or a standard PN group (n = 167). Each completed an interview assessing sociodemographic and intrapersonal information. There was no difference in SC completion between PN groups (80.9 and 79.0 %). Logistic regression revealed that low language acculturation (OR = 2.22) and annual income above $10,000 (OR = 1.97) were independent predictors of completion. Both standard and culturally-targeted PN successfully increased SC completion by nearly 30 % above the recent estimation for physician-referred patients. Our findings suggest a need to further reduce barriers to SC in low income and highly acculturated Latino groups.
authors.affiliation: Department of Oncological Sciences, Mount Sinai School of Medicine, One Gustave L. Levy Place, Box 1130, New York, NY, 10029, USA.
authors.forename: Caitlyn D
authors.initials: CD
authors.lastname: Braschi
authors.forename: Jamilia R
authors.initials: JR
authors.lastname: Sly
authors.forename: Smriti
authors.initials: S
authors.lastname: Singh
authors.forename: Cristina
authors.initials: C
authors.lastname: Villagra
authors.forename: Lina
authors.initials: L
authors.lastname: Jandorf
mesh_terms: D000368:Aged; D003113:Colonoscopy / Q000706:statistics & numerical data*; D015179:Colorectal Neoplasms / Q000208:ethnology / Q000517:prevention & control; D005260:Female; D006630:Hispanic or Latino / Q000706:statistics & numerical data*; D006801:Humans; D008297:Male; D008875:Middle Aged; D062526:Patient Navigation; D012959:Socioeconomic Factors