Erschienen in:
01.08.2010 | Original Paper
Understanding the Barriers and Facilitators of Colorectal Cancer Screening Among Low Income Immigrant Hispanics
verfasst von:
Lina Jandorf, Jennie Ellison, Cristina Villagra, Gary Winkel, Alejandro Varela, Zeida Quintero-Canetti, Anabella Castillo, Linda Thélémaque, Sheba King, Katherine DuHamel
Erschienen in:
Journal of Immigrant and Minority Health
|
Ausgabe 4/2010
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Abstract
Colorectal cancer (CRC) screening rates are low among Hispanics; thus understanding screening barriers and facilitators is essential. A survey, based on blended health promotion theories, was conducted with low income, mostly immigrant, Hispanics at community based organizations and health clinics in New York City. Correlates of undergoing colonoscopy screening were examined. Four hundred men (28%) and women were interviewed. Older age, longer US residence, having a regular health care provider and provider recommendation predicted colonoscopy receipt (P values <0.01). Greater fear and worry concerning colonoscopy and fewer perceived screening benefits were associated with reduced screening likelihood (P values <0.05). In a multivariate model, colonoscopy receipt was negatively associated with Medicaid and positively associated with English preference, physician recommendation for and encouragement of screening and less fear. Interventions that educate physicians and patients regarding colonoscopy screening guidelines, increase physicians’ screening referrals, and reduce patients’ fear are needed.