Barriers and Facilitators of Colorectal Cancer Screening Among a Hispanic Community in Michigan

González, Juan; Samalik, Joann; Ramirez, Elizabeth; Saint-Phard, Tryphene; Sud, Parul; Adekolujo, Orimisan Samuel

doi:10.14309/00000434-201810001-00233

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“…The vast majority of studies that have investigated barriers or facilitators among Latino groups have done so at an individual level. 28 Most of these studies have identified barriers related to access or misconceptions as the main obstacle to CRC screening. 20 29–31 Few studies have investigated the relationship between ethnic group concentration and health outcomes or cancer screening uptake, generally finding a negative effect of ethnic minority concentration and screening for any cancer.…”

Section: Discussionmentioning

confidence: 99%

What are the contextual risk factors for low colorectal cancer screening uptake in El Paso County, Texas? Spatial cross-sectional analysis

et al. 2020

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ObjectiveThis study examines the geographical and socioeconomic factors associated with uptake of colorectal cancer (CRC) screening (colonoscopies or faecal immunochemical test (FIT) testing).DesignSecondary data analysis.SettingThe Against Colorectal Cancer in our Community (ACCION) programme was implemented in El Paso County, Texas, to increase screening rates among the uninsured and underinsured.ParticipantsWe successfully geocoded 5777 who were offered a free colonoscopy or FIT testing kit.Primary outcome measureCensus-tract CRC screening uptake average.ResultsMedicare recipient mortality (β=0.409, p-value=0.049) and % 65 years or older (β=−0.577, p value=0.000) were significant census tract contextual factors that were associated with the prevalence of CRC screening uptake in the geographically weighted Poisson regression. Neither Latino ethnicity nor immigrant concentration were significant predictors of CRC screening uptake in the ACCION programme. Hot spot analysis demonstrated that there was a significant low-value cluster in South Central El Paso. There was a similar hot spot for % 65 years or older in this same area, suggesting that uptake was lowest in an area that had the highest concentration of older adults.ConclusionThe results from this study revealed not only feasibility of hot spot analysis but also its utility in geographically tracking successful CRC screening uptake in cancer prevention and intervention programmes.

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Section: Discussionmentioning

confidence: 99%