Race/Ethnicity and Primary Language: Health Beliefs about Colorectal Cancer Screening in a Diverse, Low-Income Population

Journal of Health Care for the Poor and Underserved
Alison T BrennerJohn M Inadomi

Abstract

Colorectal cancer (CRC) is an important cause of cancer death in adults in the U.S.; screening is effective but underutilized, particularly among minorities. The purpose of this paper was to explore whether health belief model (HBM) constructs pertaining to CRC screening differ by race/ethnicity and primary language. Data were from the baseline surveys of 933 participants (93.5%) in a randomized trial promoting CRC screening in San Francisco. Composite scores for each construct were created from multiple items, dichotomized for analysis, and analyzed using multivariate logistic regression. Most participants were Asian (29.7%) or Hispanic (34.3%), and many were non-English speakers. Non-English speaking Hispanics (p<.001) and English-speaking Asians (p=.002) reported lower perceived susceptibility than non-Hispanic Whites (NHW). Non-English speaking Hispanics reported more and non-English speaking Asians fewer perceived barriers (psychological and structural) than NHW. Understanding how different populations think about CRC screening may be critical in promoting screening in diverse populations.

Citations

Jan 12, 2017·The New England Journal of Medicine·John M Inadomi
Feb 1, 2019·Journal of Immigrant and Minority Health·Sanja Percac-LimaElyse R Park
Aug 16, 2017·World Journal of Gastroenterology : WJG·Iyad A Issa, Malak Noureddine
Sep 2, 2020·Clinical Colorectal Cancer·Valeria D'OvidioMarco Emilio Bazuro
May 1, 2021·Clinical and Translational Gastroenterology·Su Young KimDae Ryoung Kang
Apr 24, 2021·Cancer Prevention Research·Xuan ZhuLila J Finney Rutten
Aug 6, 2021·Journal of Public Health Research·Mohd Fazeli SazaliMohd Rohaizat Hassan

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