Why wait until our community gets cancer?: Exploring CRC screening barriers and facilitators in the Spanish-speaking community in North Carolina

Details

• Alternative Title:
  J Cancer Educ
• Personal Author:
  Martens, Christa E. ; Crutchfield, Trisha M. ; Laping, Jane L. ; Perreras, Lexie ; Reuland, Daniel S. ; Cubillos, Laura ; Pignone, Michael P. ; Wheeler, Stephanie B.
• Description:
  Colorectal cancer (CRC) is a leading cause of death among Hispanics in the United States. Despite the benefits of CRC screening, many Hispanics are not being screened. Using a combined methodology of focus groups and discrete choice experiment (DCE) surveys, the objectives for this research were as follows: (1) to improve understanding of preferences regarding potential CRC screening program characteristics, and (2) to improve understanding of the barriers and facilitators around CRC screening with the Hispanic, immigrant community in North Carolina. Four gender-stratified focus groups were conducted and DCE surveys were administered to 38 Spanish-speaking individuals across four counties in North Carolina. In-depth content analysis was used to examine the focus group data; descriptive analyses and mean attribute importance scores for cost of screening and follow-up care, travel time, and test options were calculated from DCE data. Data analyses showed that this population has a strong interest in CRC screening but experience barriers such as lack of access to resources, cost uncertainty, and stigma. Some of these barriers are unique to their cultural experiences in the United States, such as an expressed lack of tailored CRC information. Based on the DCE, cost variables were more important than testing options or travel time. This study suggests that Hispanics may have a general awareness of and interest in CRC screening, but multiple barriers prevent them from getting screened. Special attention should be given to designing culturally and linguistically appropriate programs to improve access to healthcare resources, insurance, and associated costs among Hispanics.
• Subjects:
  Aged Choice Behavior Colorectal Neoplasms Early Detection Of Cancer Female Focus Groups Health Knowledge, Attitudes, Practice Health Services Accessibility Hispanic Or Latino Humans Male Middle Aged Patient Acceptance Of Health Care Vulnerable Populations

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• Source:
  J Cancer Educ. 31(4):652-659.
• Pubmed ID:
  26264390
• Pubmed Central ID:
  PMC5778446
• Document Type:
  Journal Article
• Funding:
  K12 HS019468/HS/AHRQ HHS/United States ; U48 DP001944/DP/NCCDPHP CDC HHS/United States ; U54 CA153602/CA/NCI NIH HHS/United States ; UL1 TR001111/TR/NCATS NIH HHS/United States
• Place as Subject:
  North Carolina
• Volume:
  31
• Issue:
  4
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:9c85a13fbd1778732fbef43bb70e94966924f1358f8c1badb1b41520d00ebbde
• Download URL:
  https://stacks.cdc.gov/view/cdc/51151/cdc_51151_DS1.pdf
• File Type:
  [PDF - 178.29 KB ]