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

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Abstract

Introduction

Colorectal cancer (CRC) is the third leading cause in the USA for cancer-related deaths. Hispanics demonstrate the lowest CRC screening (CRCS) rate and research suggests that causes of screening disparities differ among ethnic groups and geographic locations. The aim of this study was to determine the rate of CRCS and to identify barriers and facilitators to screening in the Hispanic population of Flint, Michigan

Methods

Cross-sectional study. Consenting participants completed a previously validated survey in their language of preference. Variables obtained included sociodemographic information, insurance status, language preference, primary care physician (PCP), language spoken by PCP, recommendation of CRCS, acculturation, and fatalism. Univariate and multivariate logistic regressions were performed to determine the association between predictors associated with previous CRCS.

Results

Seventy subjects completed the survey. Overall previous CRCS rate was 60%. Multivariate results indicated that having a physician that speaks both English and Spanish significantly increases the likelihood of CRCS. It also indicated that those who have been living in the USA for equal or less than 30 years and those that physician had never recommended screening were less likely to have been screened.

Discussion

Our study provides important preliminary data that may help improve CRCS among this Hispanic population. Interventions include providing a list of bilingual physicians in the community and to educate them regarding CRCS to mitigate the lack of physician recommendations. Notably, this study highlights the importance of cultural sensitivity and competence in preventive healthcare to promote inclusiveness of minority populations.

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Acknowledgement

We thank Dr. Carlos F. Rios-Bedoya for his assistance with our methodology, and Dr. Vineet Chopra for his aid in editing and improving the manuscript.

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Authors and Affiliations

  1. Internal Medicine-Hospital Medicine, University of Michigan, 1500 E Medical Center Dr, Ann Arbor, MI, 48109, USA

    Juan Jose Gonzalez

  2. Hospital Medicine, Baptist Medical Center South, 2105 E South Blvd, Montgomery, AL, 36116, USA

    Ahsan Wahab

  3. Pediatric Residency Program, University of Michigan, 1500 E Medical Center Dr, Ann Arbor, MI, 48109, USA

    Joann Samalik

  4. Family Medicine Residency Program, West Suburban Medical Center, 3 Erie St, Oak Park, IL, 60302, USA

    Elizabeth Ramirez

  5. Internal Medicine Residency Program, McLaren Flint/Michigan State University, 401 S Ballenger Hwy, Flint, MI, 48532, USA

    Tryphene Saint-Phard & Orimisan S. Adekolujo

  6. Universidad Dr. Jose Matias Delgado, La Libertad, El Salvador

    Emelie Gonzalez

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  1. Juan Jose Gonzalez
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Correspondence to Juan Jose Gonzalez.

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Gonzalez, J., Wahab, A., Samalik, J. et al. Barriers and Facilitators of Colorectal Cancer Screening Among a Hispanic Community in Michigan. J. Racial and Ethnic Health Disparities 7, 137–143 (2020). https://doi.org/10.1007/s40615-019-00643-3

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  • DOI: https://doi.org/10.1007/s40615-019-00643-3

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