title: Predicting Colonoscopy Completion Among African American and Latino/a Participants in a Patient Navigation Program.
abstract: Patient navigation (PN) effectively increases screening colonoscopy (SC) rates, a key to reducing deaths from colorectal cancer (CRC). Ethnic minority populations have disproportionately low SC rates and high CRC mortality rates and, therefore, especially stand to benefit from PN. Adapting the Health Belief Model as an explanatory model, the current analysis examined predictors of SC rates in two randomized studies that used PN to increase SC among 411 African American and 461 Latino/a patients at a large urban medical center. Speaking Spanish but not English (odds ratio (OR), 2.192; p < 0.005), having a higher income (OR, 1.218; p < 0.005), and scoring higher on the Pros of Colonoscopy scale (OR, 1.535; p = 0.023) independently predicted colonoscopy completion. Health education and PN programs that increase awareness of the benefits of getting a colonoscopy may encourage colonoscopy completion. In the context of language-appropriate PN programs for African American and Latino/a individuals, those with lower incomes and English speakers may require additional education and counseling to support their decision-making around colonoscopy.
authors.forename: Debra J
authors.initials: DJ
authors.lastname: Pelto
authors.forename: Jamilia R
authors.initials: JR
authors.lastname: Sly
authors.forename: Gary
authors.initials: G
authors.lastname: Winkel
authors.forename: William
authors.initials: W
authors.lastname: Redd
authors.forename: Hayley S
authors.initials: HS
authors.lastname: Thompson
authors.forename: Steven H
authors.initials: SH
authors.lastname: Itzkowitz
authors.forename: Lina
authors.initials: L
authors.lastname: Jandorf
mesh_terms: D001741:Black or African American / Q000706:statistics & numerical data*; 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; D007802:Language; D008297:Male; D008875:Middle Aged; D008913:Minority Groups / Q000706:statistics & numerical data*; D062526:Patient Navigation; D011203:Poverty; D015397:Program Evaluation; D011446:Prospective Studies