Journal of Community Health

, Volume 41, Issue 5, pp 903–909 | Cite as

Examining the Impact of Latino Nativity, Migration, and Acculturation Factors on Colonoscopy Screening

  • Rosario Costas-Muñiz
  • Lina Jandorf
  • Errol Philip
  • Noah Cohen
  • Cristina Villagra
  • Pathu Sriphanlop
  • Elizabeth Schofield
  • Katherine DuHamel
Original Paper

Abstract

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.

Keywords

Colonoscopy Adherence Latinos Cancer screening Immigrant Health 

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Copyright information

© Springer Science+Business Media New York 2016

Authors and Affiliations

  1. 1.Immigrant Health and Cancer Disparities Service, Department of Psychiatry and Behavioral SciencesMemorial Sloan Kettering Cancer CenterNew YorkUSA
  2. 2.Department of Psychiatry and Behavioral SciencesMemorial Sloan Kettering Cancer CenterNew YorkUSA
  3. 3.Department of Oncological ServicesIcahn School of Medicine at Mount SinaiNew YorkUSA
  4. 4.Notre Dame Laboratory for Psycho-Oncology ResearchUniversity of Notre DameNotre DameUSA
  5. 5.Department of PsychiatryWeill Cornell Medical CollegeNew YorkUSA

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