Roger Gonzales1,2, Kendra Ratnapradipa1, Armando De Alba2, Ken Chen1, Lynette Smith3, Jungyoon Kim4, Hongmei Wang4, Paraskevi A Farazi5. 1. Department of Epidemiology, College of Public Health, University of Nebraska Medical Center, 68198-4395, Omaha, NE, United States. 2. Department of Health Promotion, College of Public Health, University of Nebraska Medical Center, Omaha, NE, United States. 3. Department of Biostatistics, College of Public Health, University of Nebraska Medical Center, Omaha, NE, United States. 4. Department of Health Services Administration, College of Public Health, University of Nebraska Medical Center, Omaha, NE, United States. 5. Department of Epidemiology, College of Public Health, University of Nebraska Medical Center, 68198-4395, Omaha, NE, United States. evi.farazi@unmc.edu.
Abstract
BACKGROUND: Colorectal cancer (CRC) screening rates remain low in Latino communities. We sought to determine the screening awareness and attitudes in Omaha, Nebraska. METHODS: We interviewed 150 Latinos at an urban Federally Qualified Health Center, June-October 2017. Chi-square or Fisher-exact tests and multiple logistic regression models were used for data analysis. RESULTS: Participants reported low educational attainment, low income, and limited access to insurance or a primary provider. Less than one-third of participants aged 50 + had ever heard of FOBT (32.6%) or colonoscopy (30.4%). For individuals 50+, access to a primary care provider (p = .03) and knowing the screening initiation age (p = .03) were associated with ever having a colonoscopy. Higher knowledge score was a strong predictor of any CRC screening. DISCUSSION: Knowledge predicted screening, suggesting interventions should aim to educate this population regarding CRC screening guidelines and options and work with stakeholders to make CRC screening more accessible.
BACKGROUND: Colorectal cancer (CRC) screening rates remain low in Latino communities. We sought to determine the screening awareness and attitudes in Omaha, Nebraska. METHODS: We interviewed 150 Latinos at an urban Federally Qualified Health Center, June-October 2017. Chi-square or Fisher-exact tests and multiple logistic regression models were used for data analysis. RESULTS: Participants reported low educational attainment, low income, and limited access to insurance or a primary provider. Less than one-third of participants aged 50 + had ever heard of FOBT (32.6%) or colonoscopy (30.4%). For individuals 50+, access to a primary care provider (p = .03) and knowing the screening initiation age (p = .03) were associated with ever having a colonoscopy. Higher knowledge score was a strong predictor of any CRC screening. DISCUSSION: Knowledge predicted screening, suggesting interventions should aim to educate this population regarding CRC screening guidelines and options and work with stakeholders to make CRC screening more accessible.
Authors: Christine Miranda-Diaz; Elba Betancourt; Yelitza Ruiz-Candelaria; Robert F Hunter-Mellado Journal: Int J Environ Res Public Health Date: 2015-12-22 Impact factor: 3.390