title: Colorectal Cancer Screening at the Nexus of HIV, Minority Statuses, and Cultural Safety.
abstract: BACKGROUND
  The incidence of non-AIDS-defining cancers has increased significantly among persons living with HIV (PLHIV). Screening education is recommended.
  
  
  OBJECTIVE
  Social learning, minority stress, and cultural safety theories informed this pilot to assess the feasibility of a colorectal cancer screening intervention targeted to PLHIV, with additional tailoring for relevance to Native Hawaiians, a group with low participation in cancer screening.
  
  
  METHODS
  The targeted education included behavioral modeling and barriers counseling in a culturally safe environment. Using a 2-group, pre/posttest design, AIDS service organizations were randomized to culturally responsive or standard education. AIDS service organizations consumers recruited through venue-based promotions were the unit of analysis. Knowledge-attitudes-practices, fecal occult blood test screening completion, and intervention feasibility were measured.
  
  
  RESULTS
  Treatment arm participants, regardless of ethnicity, adhered to fecal occult blood test instructions and achieved increases in screening knowledge, attitudes, and practices. Relevance and acceptability of the educational intervention were endorsed.
  
  
  CONCLUSIONS
  The culturally responsive intervention was successful in this group of PLHIV. Additional tailoring may be needed to reach PLHIV who do not participate in organizational activities.
  This culturally responsive intervention shows promise for efficacy testing in a broader PLHIV population. Constituent-involving strategies were central to its development and delivery.
authors.forename: Lana Sue I
authors.initials: LS
authors.lastname: Ka'opua
authors.forename: Tressa P
authors.initials: TP
authors.lastname: Diaz
authors.forename: Soon H
authors.initials: SH
authors.lastname: Park
authors.forename: Talita
authors.initials: T
authors.lastname: Bowen
authors.forename: Kevin
authors.initials: K
authors.lastname: Patrick
authors.forename: Suresh
authors.initials: S
authors.lastname: Tamang
authors.forename: Kathryn L
authors.initials: KL
authors.lastname: Braun