Colorectal cancer screening among Hispanics/Latinos in the HCHS/SOL sociocultural ancillary study

Autor: Frank J. Penedo, Gregory A. Talavera, Lisa Sanchez-Johnsen, Linda C. Gallo, Krista M. Perreira, Sylvia Smoller-Wassertheil, Kelly R. Evenson, Samir Gupta, Sheila F. Castañeda, Maria Lopez-Gurrola, Patricia Gonzalez, Jesse Nodora
Rok vydání: 2019
Předmět:
Aging
medicine.medical_specialty
Epidemiology
Colorectal cancer
Population
lcsh:Medicine
Colonoscopy
030209 endocrinology & metabolism
Health Informatics
Basic Behavioral and Social Science
03 medical and health sciences
0302 clinical medicine
Quality of life
Clinical Research
Behavioral and Social Science
medicine
030212 general & internal medicine
education
Behavioral medicine
Cancer
education.field_of_study
medicine.diagnostic_test
business.industry
Prevention
lcsh:R
Fecal occult blood
Public Health
Environmental and Occupational Health
Regular Article
Sigmoidoscopy
Health Services
medicine.disease
digestive system diseases
Colo-Rectal Cancer
3. Good health
Good Health and Well Being
Early detection of cancer
Family medicine
Community health
Public Health and Health Services
Digestive Diseases
business
Zdroj: Preventive Medicine Reports
Preventive Medicine Reports, Vol 15, Iss, Pp-(2019)
ISSN: 2211-3355
Popis: Latino adults are more likely to be diagnosed with colorectal cancer (CRC) at later stages compared to white adults which may be explained by disparities in screening rates. The aim of this study was to examine factors associated with three CRC screening indicators [i.e., 1) any CRC screening ever (via, fecal occult blood test (FOBT), sigmoidoscopy, or colonoscopy); 2) FOBT in last year, 3) sigmoidoscopy/colonoscopy in last 10 years) among US Hispanics/Latinos. We analyzed population-based data collected in 2008–2011 from 2265 adults aged 50–75 from San Diego, Bronx, Miami and Chicago from the Hispanic Community Health Study/Study of Latinos Sociocultural Ancillary Study. Based on the Behavioral Model of Health Services Use, the following correlates of CRC screening were examined: predisposing (i.e., age, education, income, acculturation), enabling (i.e., recent physician visit, insurance, recent mammogram), and need (i.e., health-related quality of life and family/personal history of cancer) factors. Separate logistic regression models were analyzed for the three CRC screening indicators. Enabling factors associated with all CRC screening indicators included: health insurance, a recent physician visit, and a mammogram in the last year (women only). For women, being older, more acculturated (i.e., English language or foreign-born but in the US for 10 or more years), and having a personal history of cancer was associated with at least one CRC screening. Findings suggest that improving access and utilization of care among Hispanics/Latinos may be critical for earlier CRC diagnosis and survival.
Highlights • Women were significantly more likely than men to have ever had a colonoscopy. • For men and women, insurance, a recent physician visit, and cancer history are important correlates of CRC screening. • Among women, an older age, being more acculturated, and having a recent mammogram were correlates of CRC screening.
Databáze: OpenAIRE
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