title: Examining the Impact of Latino Nativity, Migration, and Acculturation Factors on Colonoscopy Screening.
abstract: Latinos are a diverse population comprised of multiple countries of origin with varying cultural profiles. This study examines differences in colonoscopy completion across place of birth and migration-related factors in a sample of predominantly Dominican and Puerto Rican Latinos living in New York City after receiving a recommendation for colonoscopy screening and navigation services. The sample included 702 Latinos recruited for two cancer screening projects targeting Latinos eligible for colonoscopy who seek healthcare in New York City. Participants completed a survey that included sociodemographic, health-related questions, psychosocial assessments and cancer screening practices, in Spanish or English. Migration, acculturation, and language factors were found to predict colonoscopy completion. The results indicated that Latinos born in the Dominican Republic and Central America were more likely to complete a screening colonoscopy than their counterparts born in the US. Further, those who emigrated at an older age, who have resided in the US for less than 20 years, preferred Spanish and those with lower US acculturation levels were also more likely to complete a screening colonoscopy. The findings suggest that Latinos who are less acculturated to the US are more likely to complete a screening colonoscopy after receiving a physician recommendation for colonoscopy screening. The results provide important information that can inform clinical practice and public health interventions. Continued attention to cultural and migration influences are important areas for cancer screening intervention development.
authors.affiliation: Immigrant Health and Cancer Disparities Service, Department of Psychiatry and Behavioral Sciences, Memorial Sloan Kettering Cancer Center, 485 Lexington Avenue, 2nd Floor, New York, NY, 10017, USA. costasmr@mskcc.org.|Department of Psychiatry, Weill Cornell Medical College, New York, NY, USA. costasmr@mskcc.org.
authors.forename: Rosario
authors.identifier: 0000-0003-0942-5657
authors.initials: R
authors.lastname: Costas-Muñiz
authors.affiliation: Department of Oncological Services, Icahn School of Medicine at Mount Sinai, 1425 Madison Ave, Suite 3-70, New York, NY, 10029, USA.
authors.forename: Lina
authors.initials: L
authors.lastname: Jandorf
authors.affiliation: Notre Dame Laboratory for Psycho-Oncology Research, University of Notre Dame, Notre Dame, IN, USA.
authors.forename: Errol
authors.initials: E
authors.lastname: Philip
authors.affiliation: Department of Oncological Services, Icahn School of Medicine at Mount Sinai, 1425 Madison Ave, Suite 3-70, New York, NY, 10029, USA.
authors.forename: Noah
authors.initials: N
authors.lastname: Cohen
authors.affiliation: Department of Oncological Services, Icahn School of Medicine at Mount Sinai, 1425 Madison Ave, Suite 3-70, New York, NY, 10029, USA.
authors.forename: Cristina
authors.initials: C
authors.lastname: Villagra
authors.affiliation: Department of Oncological Services, Icahn School of Medicine at Mount Sinai, 1425 Madison Ave, Suite 3-70, New York, NY, 10029, USA.
authors.forename: Pathu
authors.initials: P
authors.lastname: Sriphanlop
authors.affiliation: Department of Psychiatry and Behavioral Sciences, Memorial Sloan Kettering Cancer Center, 641 Lexington Avenue, 7th Floor, New York, NY, 10022, USA.
authors.forename: Elizabeth
authors.initials: E
authors.lastname: Schofield
authors.affiliation: Department of Psychiatry and Behavioral Sciences, Memorial Sloan Kettering Cancer Center, 641 Lexington Avenue, 7th Floor, New York, NY, 10022, USA.|Department of Oncological Services, Icahn School of Medicine at Mount Sinai, 1425 Madison Ave, Suite 3-70, New York, NY, 10029, USA.|Department of Psychiatry, Weill Cornell Medical College, New York, NY, USA.
authors.forename: Katherine
authors.initials: K
authors.lastname: DuHamel
mesh_terms: D000069:Acculturation; D000368:Aged; D002489:Central America / Q000208:ethnology; D003113:Colonoscopy / Q000706:statistics & numerical data*; D015179:Colorectal Neoplasms / Q000175:diagnosis / Q000208:ethnology; D004293:Dominican Republic / Q000208:ethnology; D054242:Emigrants and Immigrants; D005260:Female; D006630:Hispanic or Latino; D006801:Humans; D008403:Mass Screening / Q000706:statistics & numerical data*; D008875:Middle Aged; D009519:New York City; D010342:Patient Acceptance of Health Care / Q000208:ethnology*; D011647:Puerto Rico / Q000208:ethnology; D013020:South America / Q000208:ethnology; D011795:Surveys and Questionnaires
keywords: Adherence; Cancer screening; Colonoscopy; Immigrant Health; Latinos