title: Promoting colorectal cancer screening among Haitian Americans.
abstract: BACKGROUND
  Few studies have examined colorectal cancer screening among Haitian Americans, although striking disparities in colorectal cancer screening and mortality are well-documented among U.S. Blacks. Race, socioeconomic status, and place of birth are factors associated with colorectal cancer incidence and mortality patterns.
  
  
  METHODS
  In this article, we summarize published studies on colorectal cancer screening among Haitian Americans, identified through bibliographic searches in PubMed and CINAHL through August 2015, and offer recommendations for further research.
  
  
  RESULTS
  Only one qualitative study and three quantitative surveys have examined colorectal cancer screening among Haitian Americans. A qualitative study found important differences in perceptions of the curability of colorectal cancer, preventive practices, and preferred sources of information among Haitian Americans and other ethnic subgroups of U.S. Blacks. Awareness of colorectal cancer screening tests, risk perception, healthcare provider recommendation, and self-reported use of screening are suboptimal among Haitian Americans and other subgroups. In preliminary quantitative studies, Haitian immigrants have been found to have lower colorectal cancer screening rates than other groups such as African Americans.
  
  
  CONCLUSIONS
  Culturally appropriate educational interventions are needed to encourage Haitian American adults aged ≥ 50 years to undergo screening for colorectal cancer and to ensure that they are well informed about the value of healthy eating and physical activity.
authors.affiliation: Department of Community Health and Sustainability, Division of Public Health, University of Massachusetts, Lowell, MA; Department of Epidemiology, Rollins School of Public Health, Emory University, Atlanta, GA.
authors.forename: Steven S
authors.initials: SS
authors.lastname: Coughlin
authors.affiliation: Sophie Davis School of Biomedical Education at The City College of New York, Department of Community Health and Social Medicine, New York, NY.
authors.forename: Erica I
authors.initials: EI
authors.lastname: Lubetkin
authors.affiliation: Memorial Sloan-Kettering Cancer Center, Department of Psychiatry and Behavioral Sciences, New York, NY.
authors.forename: Jennifer L
authors.initials: JL
authors.lastname: Hay
authors.affiliation: Haitian American Public Health Initiatives, Mattapan, MA.
authors.forename: Renald
authors.initials: R
authors.lastname: Raphael
authors.affiliation: Institute of Public and Preventive Health, and Department of Family Medicine, Medical College of Georgia, Georgia Regents University, Augusta, GA.
authors.forename: Selina A
authors.initials: SA
authors.lastname: Smith
keywords: Haitian Americans; colorectal cancer; health status disparities; prevention; screening
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