Journal of Immigrant and Minority Health

, Volume 20, Issue 4, pp 981–990 | Cite as

Latinas’ Colorectal Cancer Screening Knowledge, Barriers to Receipt, and Feasibility of Home-Based Fecal Immunochemical Testing

  • Echo L. Warner
  • Julia Bodson
  • Ryan Mooney
  • Djin Lai
  • N. Jewel Samadder
  • Deanna Kepka
Original Paper


Latinas’ high colorectal cancer (CRC) mortality makes them a priority population for CRC screening. CRC screening knowledge, perceived barriers, and feasibility of using the Fecal Immunochemical Test (FIT) was assessed among Latinas in Utah. Participants aged ≥50 (n = 95) were surveyed about knowledge and barriers to CRC screening. 27 participants completed a FIT and evaluation survey. Fisher’s exact tests assessed sociodemographic correlates of CRC screening outcomes. Most participants were overdue for CRC screening (n = 81, 85%). Age, acculturation, education, and employment were significantly associated with CRC screening status and/or reasons for being overdue (e.g., not knowing about the test, cost). All participants who received a FIT completed it, felt it was easy to use, and reported they would use it again. Latinas had limited awareness of CRC, CRC screenings, and experienced barriers to CRC screening (e.g., limited access, cost), but were willing to utilize a low-cost home-based FIT.


Latina(o) Colon cancer Colorectal cancer Fecal immunochemical test FOBT Healthcare utilization 



We would like to acknowledge and thank the participants for their time and important contributions to this study. We would also like to thank the community organizations, Alliance Community Services and Comunidades Unidas, for their assistance with recruiting participants. Ms. Warner is thankful to be supported by the Jonas Center for Nursing and Veterans Healthcare.


This study was funded by the Utah Department of Health, the Beaumont Foundation, the University of Utah College of Nursing Research Committee, and the Huntsman Cancer Foundation.

Compliance with Ethical Standards

Conflict of interest

All authors declare they have no potential conflicts of interest to disclose.

Ethical Approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

Informed Consent

Informed consent was obtained from all individual participants included in the study.


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Copyright information

© Springer Science+Business Media, LLC 2017

Authors and Affiliations

  • Echo L. Warner
    • 1
    • 2
  • Julia Bodson
    • 1
  • Ryan Mooney
    • 1
  • Djin Lai
    • 1
    • 2
  • N. Jewel Samadder
    • 1
    • 3
  • Deanna Kepka
    • 1
    • 2
  1. 1.Huntsman Cancer Institute, Cancer Control and Population SciencesUniversity of UtahSalt Lake CityUSA
  2. 2.College of NursingUniversity of UtahSalt Lake CityUSA
  3. 3.Division of Gastroenterology and Hepatology, Department of Internal Medicine, School of MedicineUniversity of UtahSalt Lake CityUSA

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