Journal of Immigrant and Minority Health

, Volume 13, Issue 1, pp 188–192 | Cite as

Brief Report: Exploration of Colorectal Cancer Risk Perceptions Among Latinos

  • Joseph A. Diaz
  • Roberta Goldman
  • Naira Arellano
  • Jeffrey Borkan
  • Charles B. Eaton
Brief Communication

Abstract

To explore colorectal cancer risk perceptions among Latinos. Focus groups discussions among Spanish-speaking Latinos conducted between February and July 2007 with 37 men and women who were age-eligible for colorectal cancer screening. Predominant themes of perceived colorectal cancer risk included: general cancer risks, risks related to nutrition and the digestive tract, and risks related to sexual practices. Participants frequently referred to the role of diet in keeping the colon “clean,” suggesting that retained feces increase colorectal cancer risk. Among both men and women, rectal sex was commonly associated with increased colorectal cancer risk. Some Latinos may hold misperceptions about colorectal cancer risks, including an association between rectal sex and colon cancer, that may impact their screening behaviors. Clinicians and public health officials should consider these potential risk misperceptions and explore for other risk misperceptions when counseling and educating patients about colorectal cancer screening.

Keywords

Colorectal cancer Hispanic Americans Cancer risk Focus groups 

References

  1. 1.
    Levin B, Lieberman D, McFarland B, Smith R, Brooks D, Andrews K, et al. Screening and surveillance for the early detection of colorectal cancer and adenomatous polyps, 2008: a joint guideline from the American Cancer Society, the US multi-society task force on colorectal cancer, and the American college of radiology. CA Cancer J Clin. 2008;58:130–60.CrossRefPubMedGoogle Scholar
  2. 2.
    Pollack LA, Blackman DK, Wilson KM, Seeff LC, Nadel MR. Colorectal cancer test use among Hispanic and non-Hispanic US populations. Prev Chronic Dis. 2006;3(2):A50.PubMedGoogle Scholar
  3. 3.
    Walsh JM, Kaplan CP, Nguyen B, Gildengorin G, McPhee SJ, Perez-Stable EJ. Barriers to colorectal cancer screening in Latino and Vietnamese Americans. Compared with non-Latino white Americans. J Gen Intern Med. 2004;19(2):156–66.CrossRefPubMedGoogle Scholar
  4. 4.
    Cameron KA, Francis L, Wolf MS, Baker DW, Makoul G. Investigating Hispanic/Latino perceptions about colorectal cancer screening: a community-based approach to effective message design. Patient Educ Couns. 2007;68(2):145–52.CrossRefPubMedGoogle Scholar
  5. 5.
    Borkan J. Immersion/crystallization. In: Crabtree B, Miller W, editors. Doing qualitative research. USA: Sage Publications; 1999. p. 179–94.Google Scholar
  6. 6.
    Chien C, Morimoto LM, Tom J, Li CI. Differences in colorectal carcinoma stage and survival by race and ethnicity. Cancer. 2005;104(3):629–39.CrossRefPubMedGoogle Scholar
  7. 7.
    Coronado GD, Farias A, Thompson B, Godina R, Oderkirk W. Attitudes and beliefs about colorectal cancer among Mexican Americans in communities along the US-Mexico border. Ethn Dis. 2006;16(2):421–7.PubMedGoogle Scholar
  8. 8.
    Fernandez ME, Wippold R, Torres-Vigil I, Byrd T, Freeberg D, Bains Y, et al. Colorectal cancer screening among Latinos from US cities along the Texas-Mexico border. Cancer Causes Control. 2008;19(2):195–206.CrossRefPubMedGoogle Scholar
  9. 9.
    Yepes-Rios M, Reimann JO, Talavera AC, Ruiz de Esparza A, Talavera GA. Colorectal cancer screening among Mexican Americans at a community clinic. Am J Prev Med. 2006;30(3):204–10.CrossRefPubMedGoogle Scholar
  10. 10.
    Goldman RE, Diaz J, Kim I. Perspectives of colorectal cancer risk and screening among Dominicans and Puerto Ricans: stigma and misperceptions. Qual Health Res. 2009;19(11):1559–68.CrossRefPubMedGoogle Scholar
  11. 11.
    Joseph DA, Miller JW, Wu X, Chen VW, Morris CR, Goodman MT, et al. Understanding the burden of human papillomavirus-associated anal cancers in the US. Cancer. 2008;113(Suppl 10):2892–900.CrossRefPubMedGoogle Scholar
  12. 12.
    Kuzel A. Sampling in qualitative inquiry. Thousands Oaks, CA: SAGE Publications; 1999.Google Scholar

Copyright information

© Springer Science+Business Media, LLC 2010

Authors and Affiliations

  • Joseph A. Diaz
    • 1
    • 2
  • Roberta Goldman
    • 1
    • 3
  • Naira Arellano
    • 4
  • Jeffrey Borkan
    • 3
  • Charles B. Eaton
    • 1
    • 3
    • 4
  1. 1.Center for Primary Care and PreventionMemorial Hospital of Rhode IslandPawtucketUSA
  2. 2.Division of General Internal MedicineAlpert Medical School of Brown UniversityProvidenceUSA
  3. 3.Department of Family MedicineAlpert Medical School of Brown UniversityProvidenceUSA
  4. 4.Department of Community HealthAlpert Medical School of Brown UniversityProvidenceUSA

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