title: Patient and provider factors associated with colorectal cancer screening in safety net clinics serving low-income, urban immigrant Latinos.
abstract: BACKGROUND
  Latinos have lower colorectal cancer screening rates than Whites.
  
  
  METHODS
  We reviewed a random sample of charts between July 2009 and February 2010 of safety-net clinic of 840 immigrants (50 years and older) from Central and South America receiving care. Logistic regression evaluated associations of ever vs. never screening, patient and physician factors.
  
  
  RESULTS
  Ever screening rates were 24.5%, and only 17% of charts noted a physician screening recommendation. However, the odds of screening were 9.89 times higher (95% CI: 6.25-15.64, p<.001) among patients with a physician recommendation vs. those without, considering covariates. The odds of screening were 0.61 times lower (95% CI: 0.40-0.92, p=.02) in patients with a body mass index ≥ 30 vs. <30.
  
  
  CONCLUSIONS
  While rates were low, determinants of screening were similar in this Latino subgroup to those reported in other Latino and non-Latino populations. Low rates of documented physician screening recommendations may indicate a potential missed opportunity for cancer control in safety-net clinics.
authors.forename: Maria
authors.initials: M
authors.lastname: Lopez-Class
authors.forename: Gheorghe
authors.initials: G
authors.lastname: Luta
authors.forename: Anne-Michelle
authors.initials: AM
authors.lastname: Noone
authors.forename: Janet
authors.initials: J
authors.lastname: Canar
authors.forename: Claire
authors.initials: C
authors.lastname: Selksy
authors.forename: Elmer
authors.initials: E
authors.lastname: Huerta
authors.forename: Jeanne
authors.initials: J
authors.lastname: Mandelblatt
mesh_terms: D015179:Colorectal Neoplasms / Q000208:ethnology / Q000517:prevention & control*; D004219:District of Columbia / Q000453:epidemiology; D055088:Early Detection of Cancer; D054242:Emigrants and Immigrants / Q000706:statistics & numerical data*; D005260:Female; D006630:Hispanic or Latino / Q000706:statistics & numerical data*; D006801:Humans; D008297:Male; D008403:Mass Screening / Q000706:statistics & numerical data*; D008875:Middle Aged; D011203:Poverty; D012017:Referral and Consultation / Q000706:statistics & numerical data*; D064876:Safety-net Providers; D014505:Urban Population