Examining the Impact of Latino Nativity, Migration, and Acculturation Factors on Colonoscopy Screening
Latinos are a diverse population comprised of multiple countries of origin with varying cultural profiles. This study examines differences in colonoscopy completion across place of birth and migration-related factors in a sample of predominantly Dominican and Puerto Rican Latinos living in New York City after receiving a recommendation for colonoscopy screening and navigation services. The sample included 702 Latinos recruited for two cancer screening projects targeting Latinos eligible for colonoscopy who seek healthcare in New York City. Participants completed a survey that included sociodemographic, health-related questions, psychosocial assessments and cancer screening practices, in Spanish or English. Migration, acculturation, and language factors were found to predict colonoscopy completion. The results indicated that Latinos born in the Dominican Republic and Central America were more likely to complete a screening colonoscopy than their counterparts born in the US. Further, those who emigrated at an older age, who have resided in the US for less than 20 years, preferred Spanish and those with lower US acculturation levels were also more likely to complete a screening colonoscopy. The findings suggest that Latinos who are less acculturated to the US are more likely to complete a screening colonoscopy after receiving a physician recommendation for colonoscopy screening. The results provide important information that can inform clinical practice and public health interventions. Continued attention to cultural and migration influences are important areas for cancer screening intervention development.
KeywordsColonoscopy Adherence Latinos Cancer screening Immigrant Health
- 1.US Census. (2012). The Hispanic population in the United States: 2012. Retrieved from: http://www.census.gov/population/hispanic/data/2012.html.
- 2.US Census Bureau. Place of birth for the foreign-born population in the United States, 2006–2010. Google Scholar
- 3.American Cancer Society. (2012). Cancer Facts & Figures for Hispanics/Latinos 2012–2014. American Cancer Society.Google Scholar
- 7.Goel, M. S., Wee, C. C., McCarthy, E. P., Davis, R. B., Ngo-Metzger, Q., & Phillips, R. S. (2003). Racial and ethnic disparities in cancer screening: The importance of foreign birth as a barrier to care. Journal of General Internal Medicine, 18(12), 1028–1035.CrossRefPubMedPubMedCentralGoogle Scholar
- 10.Shelton, R. C., Jandorf, L., Thelemaque, L., King, S., & Erwin, D. O. (2012). Sociocultural determinants of breast and cervical cancer screening adherence: An examination of variation among immigrant Latinas by country of origin. Journal of Health Care for the Poor and Underserved, 23(4), 1768–1792.CrossRefPubMedGoogle Scholar
- 13.Jandorf, L., Ellison, J., Villagra, C., Winkel, G., Varela, A., Quintero-Canetti, Z., & Duhamel, K. (2010). Understanding the barriers and facilitators of colorectal cancer screening among low income immigrant Hispanics. Journal of Immigrant and Minority Health, 12(4), 462–469.CrossRefPubMedPubMedCentralGoogle Scholar
- 19.Afable-Munsuz, A., Liang, S. Y., Ponce, N. A., & Walsh, J. M. (2009). Acculturation and colorectal cancer screening among older Latino adults: Differential associations by national origin. Journal of General Internal Medicine, 24(8), 963–970. doi:10.1007/s11606-009-1022-9.CrossRefPubMedPubMedCentralGoogle Scholar
- 21.PAHO/WHO. (2013). Cancer in the Americas. Country profiles. Retrieved from: http://bit.ly/1b5chfx.
- 22.Jandorf, L., Gutierrez, Y., Lopez, J., Christie, J., & Itzkowitz, S. H. (2005). Use of a patient navigator to increase colorectal cancer screening in an urban neighborhood health clinic. Journal of Urban Health-Bulletin of the New York Academy of Medicine, 82(2), 216–224. doi:10.1093/jurban/jti046.PubMedPubMedCentralGoogle Scholar
- 27.Hillyer, G. C., Basch, C. E., Schmitt, K. M., & Neugut, A. I. (2011). Feasibility and efficacy of pairing fecal immunochemical testing with mammography for increasing colorectal cancer screening among uninsured Latinas in northern Manhattan. Preventive Medicine, 53(3), 194–198. doi:10.1016/j.ypmed.2011.06.011.CrossRefPubMedGoogle Scholar
- 28.Lara, M., Gamboa, C., Kahramanian, M. I., Morales, L. S., & Bautista, D. E. (2005). Acculturation and Latino health in the United States: A review of the literature and its sociopolitical context. Annual Review of Public Health, 26, 367–397. doi:10.1146/annurev.publhealth.26.021304.144615.CrossRefPubMedGoogle Scholar