American Indian Perceptions of Colorectal Cancer Screening: Viewpoints from Adults Under Age 50

Filippi, Melissa K.; Braiuca, Stacy; Cully, Lance; James, Aimee S.; Choi, Won Sik; Greiner, K. Allen; Daley, Christine Makosky

doi:10.1007/s13187-012-0428-y

Cited by 19 publications

(32 citation statements)

References 44 publications

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“…11,17,31 This is especially important for vulnerable populations such as American Indian and Alaska Native adults who are known to have additional challenges to access health care services, obtain financial assistance to cover the cost of colonoscopy, find reliable transportation to health care appointments, and general difficulties understanding home stool test and colonoscopy preparation procedures. 7,8,[32][33][34] Combining a decision aid with additional support such as patient navigation is a promising option to overcome these additional access barriers. A recent randomized trial found this combination highly effective with a low-income Latinx population.…”

Section: Discussionmentioning

confidence: 99%

“…Individual-level barriers to CRC screening among American Indian and Alaska Native adults include low levels of knowledge and awareness about screening options, fatalistic fears of screening, and mistrust in health care. [7][8][9][10] Unfortunately, there has been relatively little research to develop culturally appropriate interventions to help overcome barriers.…”

Section: Introductionmentioning

confidence: 99%

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Testing a Culturally Adapted Colorectal Cancer Screening Decision Aid Among American Indians: Results from a Pre–Post Trial

Frerichs

Beasley

Pevia³

et al. 2020

Health Equity

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Purpose: American Indian adults have not experienced decreases in colorectal cancer (CRC) incidence and mortality observed in other races or ethnic groups and their screening rates are low. Decision aids that explain available CRC screening options are one potential strategy to promote screening. The goal of this study was to test the effect of a culturally adapted decision aid on CRC-related outcomes among American Indian adults, including screening-related knowledge, attitudes, self-efficacy, intentions, and screening modality preferences. Methods: We recruited American Indian adults aged 50-75 years who were not current with CRC screening. Participants viewed a 9-min multimedia decision aid that used narrative vignettes to provide educational information about screening along with messages to address culturally specific barriers and values uncovered in formative research. We conducted a single-arm (pre-post) study and assessed screening-related outcomes at baseline and immediately after viewing the decision aid. Results: Among n = 104 participants, knowledge scores increased from a mean of 36% correct to 76% correct. Participants also had statistically significant increases in positive attitudes, perceived social norms, self-efficacy, and intent. The proportion of participants who identified a preference for a specific CRC screening modality rose from 81% identified at pre-intervention to 93% post-intervention ( p = 0.013). Conclusion: Our study provides promising new findings that our culturally adapted decision aid is efficacious in educating American Indian adults about CRC screening and increases their screening intentions and ability to state modality preferences. Future research is needed to test the decision aid as a component of CRC screening interventions with American Indian adults.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Testing a Culturally Adapted Colorectal Cancer Screening Decision Aid Among American Indians: Results from a Pre–Post Trial

Frerichs

Beasley

Pevia³

et al. 2020

Health Equity

View full text Add to dashboard Cite

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“…Health knowledge and education may play a role in CRC screening disparities among AIANs. The extant literature indicates that AIANs report having limited knowledge and fewer discussions with their primary care providers regarding CRC screenings but would prefer more information . Consequently, several researchers have advocated for culturally tailored CRC screenings, conducted in a patient's tribal language, which may improve CRC health outcomes .…”

Section: Discussionmentioning

confidence: 99%

“…Yet many AIANs share cultural health beliefs that embrace a biopsychosocial‐spiritual approach based on the mind, body and spirit; which could provide a guiding framework for culturally‐tailored health interventions . In fact, some evidence suggests that social networks can provide important mechanisms to increase CRC knowledge and promote CRC screenings among AIANs …”

Section: Discussionmentioning

confidence: 99%

“…30,31 In fact, some evidence suggests that social networks can provide important mechanisms to increase CRC knowledge and promote CRC screenings among AIANs. 23,32 Overall, this study had several limitations because of the nature of the aggregated, large national sample used. Tribal differences between AIAN groups in health care availability, education, and unique health care beliefs were not examined.…”

Section: Borrowing From the Relative Success In Crc Screening Among Bmentioning

confidence: 98%

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United States colorectal cancer screening practices among American Indians/Alaska Natives, blacks, and non‐Hispanic whites in the new millennium (2001 to 2010)

Johnson-Jennings

Tarraf

Hill

et al. 2014

Cancer

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BACKGROUND:The objectives of this study were to describe, examine, and compare prevalence estimates of colorectal cancer (CRC) screening practices and to determine whether disparities exist for American Indians/Alaska Natives (AIANs) and blacks compared with whites. METHODS: Behavioral Risk Factor Surveillance System (2001)(2002)(2003)(2004)(2005)(2006)(2007)(2008)(2009)(2010) data from respondents aged 50 years (n 5 356,073) were used. The primary outcome was self-reported CRC screening according to US Preventive Services Task Force guidelines for endoscopy (colonoscopy or sigmoidoscopy), fecal occult blood test (FOBT), or mixed screening (endoscopy or FOBT). RESULTS: From 2001 to 2010, endoscopy screening increased in the AIAN population by 44.8% (P <.001) compared with black respondents (51.7%) and white respondents (26.5%). AIANs were less likely to report endoscopy screening (45%) compared with both blacks (56%) and whites (55%). For mixed CRC screenings, AIAN rates increased by 34.5%, compared with 29.7% for blacks and 15% for whites. In 2010, AIANs (51%) had the lowest prevalence of mixed CRC screening compared with blacks (61%) and whites (60%; P <.001). Factors that enabled health care attenuated the lowered likelihood of CRC screenings, but disparities remained for AIAN CRC screening. In contrast, once enabling factors were controlled, the odds ratios of CRC screening among blacks were higher compared with whites. CONCLUSIONS: Between 2001 and 2010, AIANs had the lowest CRC screening rates in the United States compared with blacks and whites, presenting a CRC disparity, as rigorously defined. The current findings indicate that, although considerable progress has been made to increase CRC screening for blacks and whites, progress for AIANs continues to lag behind in the first decade of 21st century. Cancer 2014;120:3192-9.

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Social determinants and participation in fecal occult blood test based colorectal cancer screening: A qualitative systematic review and meta‐synthesis

Marinucci

Moy

Koloski

et al. 2023

Health Prom J of Aust

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Issue AddressedColorectal cancer (CRC) screening through fecal occult blood testing (FOBT) has saved thousands of lives globally with multiple countries adopting comprehensive population wide screening programs. Participation rates in FOBT based CRC screening for the socially and economically disadvantaged remains low. The aim of this systematic review is to explore empirical evidence that will guide targeted interventions to improve participation rates within priority populations.MethodsPubMed, Embase, Scopus, Cinahl and PsycInfo were systematically searched from inception to 22 June 2022. Eligible studies contained qualitative evidence identifying barriers to FOBT based CRC screening for populations impacted by the social determinants of health. An inductive thematic synthesis approach was applied using grounded theory methodology, to explore descriptive themes and interpret these into higher order analytical constructs and theories.ResultsA total of 8,501 publications were identified and screened. A total of 48 studies from 10 countries were eligible for inclusion, representing 2,232 subjects. Coding within included studies resulted in 30 key descriptive themes with a thematic frequency greater than 10%. Coded themes applied to four overarching, interconnected barriers driving inequality for priority populations: social, behavioural, economic and technical/interfaces.So What?This study has highlighted the need for stronger patient/provider relationships to mitigate barriers to FOBT screening participation for diverse groups. Findings can assist health professionals and policy makers address the systemic exclusion of priority populations in cancer screening by moving beyond the responsibility of the individual to a focus on addressing the information asymmetry driving low value perceptions.

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American Indian Perceptions of Colorectal Cancer Screening: Viewpoints from Adults Under Age 50

Cited by 19 publications

References 44 publications

Testing a Culturally Adapted Colorectal Cancer Screening Decision Aid Among American Indians: Results from a Pre–Post Trial

Testing a Culturally Adapted Colorectal Cancer Screening Decision Aid Among American Indians: Results from a Pre–Post Trial

United States colorectal cancer screening practices among American Indians/Alaska Natives, blacks, and non‐Hispanic whites in the new millennium (2001 to 2010)

Social determinants and participation in fecal occult blood test based colorectal cancer screening: A qualitative systematic review and meta‐synthesis

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