title: Race/Ethnicity and Primary Language: Health Beliefs about Colorectal Cancer Screening in a Diverse, Low-Income Population.
abstract: Colorectal cancer (CRC) is an important cause of cancer death in adults in the U.S.; screening is effective but underutilized, particularly among minorities. The purpose of this paper was to explore whether health belief model (HBM) constructs pertaining to CRC screening differ by race/ethnicity and primary language. Data were from the baseline surveys of 933 participants (93.5%) in a randomized trial promoting CRC screening in San Francisco. Composite scores for each construct were created from multiple items, dichotomized for analysis, and analyzed using multivariate logistic regression. Most participants were Asian (29.7%) or Hispanic (34.3%), and many were non-English speakers. Non-English speaking Hispanics (p<.001) and English-speaking Asians (p=.002) reported lower perceived susceptibility than non-Hispanic Whites (NHW). Non-English speaking Hispanics reported more and non-English speaking Asians fewer perceived barriers (psychological and structural) than NHW. Understanding how different populations think about CRC screening may be critical in promoting screening in diverse populations.
authors: Alison Tytell
authors: AT
authors: Brenner
authors: Linda K
authors: LK
authors: Ko
authors: Nancy
authors: N
authors: Janz
authors: Shivani
authors: S
authors: Gupta
authors: John
authors: J
authors: Inadomi
mesh_terms: D001741:Black or African American / Q000523:psychology* / Q000706:statistics & numerical data; D000368:Aged; D001213:Asian / Q000523:psychology* / Q000706:statistics & numerical data; D015179:Colorectal Neoplasms / Q000208:ethnology* / Q000517:prevention & control; D018864:Cultural Diversity; D055088:Early Detection of Cancer / Q000523:psychology*; D005260:Female; D007722:Health Knowledge, Attitudes, Practice / Q000208:ethnology*; D006630:Hispanic or Latino / Q000523:psychology* / Q000706:statistics & numerical data; D006801:Humans; D007802:Language; D008297:Male; D008875:Middle Aged; D011203:Poverty / Q000208:ethnology; D012495:San Francisco; D044465:White People / Q000523:psychology* / Q000706:statistics & numerical data