Claudia X Aguado Loi1, Dinorah Martinez Tyson2, Enmanuel A Chavarria3, Liliana Gutierrez4, Lynne Klasko4, Stacy Davis4, Diana Lopez5, Tracy Johns6, Cathy D Meade4, Clement K Gwede4. 1. Department of Health Science and Human Performance, College of Natural and Health Sciences, University of Tampa, Tampa, USA. 2. Department of Community and Family Health, College of Public Health, University of South Florida, Tampa, USA. 3. Department of Health Promotion and Behavioral Sciences, School of Public Health, University of Texas Health Science Center at Houston, Brownsville, USA. 4. Department of Health Outcomes and Behavior, Division of Population Sciences, Moffitt Cancer Center, Tampa, USA. 5. Suncoast Community Health Centers, Inc., Ruskin, USA. 6. BayCare Health System, Turley Family Health Center, Clearwater, USA.
Abstract
Objective: Colorectal cancer (CRC) screening efforts have effectively reduced CRC morbidity and mortality, yet screening remains relatively low among Latinos. The study's purpose was to document the awareness/knowledge of Fecal Immunochemical Test (FIT) among Latinos, gain better understanding of patient and health care provider perceptions about FIT, and explore the feasibility of adoption/uptake.Design/ Methods: The study was guided by qualitative, ethnography design and methods. Eight focus groups (FG) with patients who self-identified as Hispanic/Latino between 50-75 years of age and key informant interviews with providers (N = 10) were conducted followed by a brief demographic questionnaire. Results: Awareness levels varied based on prior screening experiences among patients and providers. Both patients and providers believed the FIT is simple and easy to use; although, a minority of patients expressed doubts about the efficacy of the FIT when compared to colonoscopy.Conclusions: Despite the increasing acceptance of the FIT among the health care community, a significant lag time still exists among our study's populations. Study findings speak to novelty of the FIT test among underserved populations and the health disparity gap between health innovations/discoveries. Increased awareness and education efforts about the efficacy coupled with information about its accessibility, ease, and user instructions may increase the adoption of FIT.
Objective: Colorectal cancer (CRC) screening efforts have effectively reduced CRC morbidity and mortality, yet screening remains relatively low among Latinos. The study's purpose was to document the awareness/knowledge of Fecal Immunochemical Test (FIT) among Latinos, gain better understanding of patient and health care provider perceptions about FIT, and explore the feasibility of adoption/uptake.Design/ Methods: The study was guided by qualitative, ethnography design and methods. Eight focus groups (FG) with patients who self-identified as Hispanic/Latino between 50-75 years of age and key informant interviews with providers (N = 10) were conducted followed by a brief demographic questionnaire. Results: Awareness levels varied based on prior screening experiences among patients and providers. Both patients and providers believed the FIT is simple and easy to use; although, a minority of patients expressed doubts about the efficacy of the FIT when compared to colonoscopy.Conclusions: Despite the increasing acceptance of the FIT among the health care community, a significant lag time still exists among our study's populations. Study findings speak to novelty of the FIT test among underserved populations and the health disparity gap between health innovations/discoveries. Increased awareness and education efforts about the efficacy coupled with information about its accessibility, ease, and user instructions may increase the adoption of FIT.
Entities:
Keywords:
Colorectal cancer; community perceptions; fecal immunochemical test; health education; screening
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