title: Effect of acculturation and access to care on colorectal cancer screening in low-income Latinos.
abstract: Latinos have lower colorectal cancer screening (CRCS) and survival rates compared to other race/ethnic groups. This cross-sectional study examines relationships between acculturation, access to and utilization of healthcare services, and CRCS in low-income Latinos. Bilingual data collectors conducted structured interviews with 544 Latino men and women (>50 years) residing in the Texas-Mexico border area. Using a hierarchical logistic regression model, we examined the relationship between lifetime history of any CRCS test and indicators of acculturation, healthcare utilization and access to care, adjusting for socio-demographic characteristics. Survey results revealed a 34% prevalence of CRCS. Participants reporting a provider recommendation for screening, regular check-ups, higher acculturation level, and health insurance had significantly increased odds of CRCS. Findings indicate CRCS intervention research in Latinos should focus on (1) increasing physicians' recommendations for screening, (2) promoting regular check-ups, (3) and increasing CRC prevention efforts on less acculturated and uninsured groups.
authors.affiliation: Division of Health Promotion and Behavioral Sciences, Center for Health Promotion and Prevention Research, The University of Texas-Houston School of Public Health, 7000 Fannin, UCT Suite 2520, Houston, TX, 77030, USA, Lara.staub@uth.tmc.edu.
authors.forename: Lara S
authors.initials: LS
authors.lastname: Savas
authors.forename: Sally W
authors.initials: SW
authors.lastname: Vernon
authors.forename: John S
authors.initials: JS
authors.lastname: Atkinson
authors.forename: Maria E
authors.initials: ME
authors.lastname: Fernández
mesh_terms: D000069:Acculturation; D015179:Colorectal Neoplasms / Q000517:prevention & control*; D003430:Cross-Sectional Studies; D055088:Early Detection of Cancer; D005260:Female; D006297:Health Services Accessibility; D006630:Hispanic or Latino; D006801:Humans; D007348:Insurance, Health / Q000706:statistics & numerical data; D008297:Male; D008875:Middle Aged; D011203:Poverty; D013781:Texas