TY - JOUR
T1 - Colorectal cancer screening among Latinos from U.S. cities along the Texas-Mexico border
AU - Fernandez, Maria E.
AU - Wippold, Rosario
AU - Torres-Vigil, Isabel
AU - Byrd, Theresa
AU - Freeberg, Diamond
AU - Bains, Yadvindera
AU - Guajardo, Jessica
AU - Coughlin, Steven S.
AU - Vernon, Sally W.
N1 - Funding Information:
Acknowledgments This study was funded by cooperative agreements (CDC PRC SIP 2-02U48 CCU6009653, CDC PRC SIP 16-04U48 CCU6009653, CDC PRC SIP 18-04U48 DCCU6009653). Dr. Vernon was supported by NCI CA97263 and CDC PRC SIP 19-04U48 DP000057. Dr. Bains was supported by NCI Grant U56-CA0999038.
PY - 2008/3
Y1 - 2008/3
N2 - Colorectal cancer (CRC) screening rates are comparatively low for U.S. Hispanics. To learn more about the factors influencing CRC screening among Hispanics living along the U.S.-Mexico border, 12 focus groups were conducted with Hispanic men and women aged 50 years and older in three Texas counties; Cameron County (Brownsville), Webb County (Laredo), and El Paso County, (El Paso). The focus group guide contained questions about health care behavior, knowledge about CRC, experiences with cancer, and factors that influence CRC screening. A total of 92 individuals participated with the majority aged 50-69 (75%). Twenty percent were born in the United States and 51% had lived in the United States for more than 20 years. Participants had low levels of education, income, and insurance coverage. The analysis revealed several overarching and contextual themes relating to knowledge, attitudes, beliefs, and emotions about cancer and CRC screening. A prevalent theme that emerged from all groups was frustration and a lack of confidence in the U.S. healthcare system. Few participants had been advised by their providers to obtain CRC screening. Lack of patient knowledge about colorectal cancer and screening appeared to be a critical factor influencing screening. Themes about death and pain due to cancer were prevalent as were cultural factors such as machismo and embarrassment. System level barriers such as cost, medical insurance and transportation also impacted screening. These findings suggest that strategies are needed to educate Hispanic residents of border communities about CRC and to motivate them to undergo CRC screening.
AB - Colorectal cancer (CRC) screening rates are comparatively low for U.S. Hispanics. To learn more about the factors influencing CRC screening among Hispanics living along the U.S.-Mexico border, 12 focus groups were conducted with Hispanic men and women aged 50 years and older in three Texas counties; Cameron County (Brownsville), Webb County (Laredo), and El Paso County, (El Paso). The focus group guide contained questions about health care behavior, knowledge about CRC, experiences with cancer, and factors that influence CRC screening. A total of 92 individuals participated with the majority aged 50-69 (75%). Twenty percent were born in the United States and 51% had lived in the United States for more than 20 years. Participants had low levels of education, income, and insurance coverage. The analysis revealed several overarching and contextual themes relating to knowledge, attitudes, beliefs, and emotions about cancer and CRC screening. A prevalent theme that emerged from all groups was frustration and a lack of confidence in the U.S. healthcare system. Few participants had been advised by their providers to obtain CRC screening. Lack of patient knowledge about colorectal cancer and screening appeared to be a critical factor influencing screening. Themes about death and pain due to cancer were prevalent as were cultural factors such as machismo and embarrassment. System level barriers such as cost, medical insurance and transportation also impacted screening. These findings suggest that strategies are needed to educate Hispanic residents of border communities about CRC and to motivate them to undergo CRC screening.
KW - Cancer screening
KW - Colorectal cancer
KW - Health literacy
KW - Hispanics
KW - Qualitative research
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U2 - 10.1007/s10552-007-9085-6
DO - 10.1007/s10552-007-9085-6
M3 - Article
C2 - 18038186
AN - SCOPUS:38949092275
SN - 0957-5243
VL - 19
SP - 195
EP - 206
JO - Cancer Causes and Control
JF - Cancer Causes and Control
IS - 2
ER -