Adherence to Physician Recommendation to Colorectal Cancer Screening Colonoscopy Among Hispanics

Jibara, Ghalib; Jandorf, Lina; Fodera, Monica B.; DuHamel, Katherine N.

doi:10.1007/s11606-011-1727-4

Cited by 17 publications

(21 citation statements)

References 42 publications

(46 reference statements)

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“…It is unclear how factors like familiarity with the healthcare system or the burden of symptomatic disease may have affected these groups. Unlike many prior studies, 55–57 results showed that prior provider recommendations were unrelated to the impact of the experimental or control intervention. This may relate to the study’s coverage of test costs or the limited impact providers may have on behaviors in the safety-net setting, where patients may have many needs and complex comorbidities to address.…”

Section: Discussioncontrasting

confidence: 87%

Implementation Intentions and Colorectal Screening

Greiner

Daley

Epp³

et al. 2014

American Journal of Preventive Medicine

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Background Low-income and racial/ethnic minority populations experience disproportionate colorectal cancer (CRC) burden and poorer survival. Novel behavioral strategies are needed to improve screening rates in these groups. Purpose To test a theoretically based “implementation intentions” intervention for improving CRC screening among unscreened adults in urban safety-net clinics. Design Randomized controlled trial. Setting/participants Adults (N=470) aged ≥50 years, due for CRC screening, from urban safety-net clinics were recruited. Intervention The intervention (conducted in 2009–2011) was delivered via touchscreen computers that tailored informational messages to decisional stage and screening barriers. The computer then randomized participants to generic health information on diet and exercise (Comparison group) or “implementation intentions” questions and planning (Experimental group) specific to the CRC screening test chosen (fecal immunochemical test or colonoscopy). Main outcome measures The primary study outcome was completion of CRC screening at 26 weeks based on test reports (analysis conducted in 2012–2013). Results The study population had a mean age of 57 years, and was 42% non-Hispanic African American, 28% non-Hispanic white, and 27% Hispanic. Those receiving the implementation intentions–based intervention had higher odds (AOR=1.83, 95% CI=1.23, 2.73) of completing CRC screening than the Comparison group. Those with higher self-efficacy for screening (AOR=1.57, 95% CI=1.03, 2.39), history of asthma (AOR=2.20, 95% CI=1.26, 3.84), no history of diabetes (AOR=1.86, 95% CI=1.21, 2.86), and reporting they had never heard that “cutting on cancer” makes it spread (AOR=1.78, 95% CI=1.16, 2.72) were more likely to complete CRC screening. Conclusions The results of this study suggest that programs incorporating an implementation intentions approach can contribute to successful completion of CRC screening even among very low-income and diverse primary care populations. Future initiatives to reduce CRC incidence and mortality disparities may be able to employ implementation intentions in large-scale efforts to encourage screening and prevention behaviors.

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Section: Discussioncontrasting

confidence: 87%

Implementation Intentions and Colorectal Screening

Greiner

Daley

Epp³

et al. 2014

American Journal of Preventive Medicine

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“…In studies of adherence to general colon cancer screening in the U.S. populations, Hispanics are less likely to follow their physician recommendation to have a screening colonoscopy. 18 Our population was only 1.6% Hispanic, but there was a significant negative correlation with adherence. Additionally, our sample was predominantly white, one-third Jewish (higher than average for IBD patients), and had attained higher levels of education and higher levels of household incomes on average.…”

Section: Discussionmentioning

confidence: 61%

Factors that Affect Adherence to Surveillance Colonoscopy in Patients with Inflammatory Bowel Disease

Friedman

Cheifetz

Farraye

et al. 2013

Inflammatory Bowel Diseases

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“…US-based studies of Latinos have suggested that screening behavior is complex and have found differences in the uptake of CRCS preventive services by country of origin [6–10], language preference [11–13], acculturation level [12–18] as well as length of stay in the US [13]. In the context of CRCS, the potential influence of acculturation levels and language preferences in this population has received particular attention [12, 13].…”

Section: Introductionmentioning

confidence: 99%

“…In the context of CRCS, the potential influence of acculturation levels and language preferences in this population has received particular attention [12, 13]. These disparities in disease burden, and the proven ability for screening to reduce mortality risk, emphasize the critical need for an enhanced understanding of screening behavior and its determinants among this group.…”

Section: Introductionmentioning

confidence: 99%

“…For example, Jandorf and colleagues found that among 400 Latinos, those who preferred English were more likely to have undergone CRCS [13]. However, with subsamples of the original sample of 400 Latino individuals, Jibara and colleagues [12] found that, for those who received a physician recommendation for colonoscopy screening (n = 280), a preference for speaking Spanish was associated with higher rates of CRCS. Ellison and colleagues [11] also found that a preference for speaking Spanish was associated with higher CRCS among a subsample of Latina immigrants (n = 255).…”

Section: Introductionmentioning

confidence: 99%

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Examining the Impact of Latino Nativity, Migration, and Acculturation Factors on Colonoscopy Screening

et al. 2016

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Objective 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. Design 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. Results 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. Conclusion 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.

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Adherence to Physician Recommendation to Colorectal Cancer Screening Colonoscopy Among Hispanics

Cited by 17 publications

References 42 publications

Implementation Intentions and Colorectal Screening

Implementation Intentions and Colorectal Screening

Factors that Affect Adherence to Surveillance Colonoscopy in Patients with Inflammatory Bowel Disease

Examining the Impact of Latino Nativity, Migration, and Acculturation Factors on Colonoscopy Screening

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