Display options
Share it on

J Cancer Ther. 2013 Jul;4(6):15-25. doi: 10.4236/jct.2013.46A2003.

Assessing Colorectal Cancer Screening Behaviors and Knowledge among At-Risk Hispanics in Southern New Mexico.

Journal of cancer therapy

Janeth I Sanchez, Rebecca Palacios, Beti Thompson, Vanessa Martinez, Mary A O'Connell

Affiliations

  1. Plant and Environmental Sciences, New Mexico State University, Las Cruces, New Mexico, USA.
  2. Public Health Sciences, New Mexico State University, Las Cruces, New Mexico, USA.
  3. Fred Hutchinson Cancer Research Center, Seattle, Washington, USA.

PMID: 25621179 PMCID: PMC4303072 DOI: 10.4236/jct.2013.46A2003

Abstract

PURPOSE: Colorectal cancer (CRC) mortality rates in New Mexico (NM) continue to be higher than national rates. Hispanic CRC mortality rates in NM surpass those of overall Hispanics in the US. This study was designed to characterize and understand factors contributing to low CRC screening rates in this border region.

METHODS: A CRC Knowledge Assessment Survey (KAS) was administered in either English or Spanish to 247 individuals attending community events throughout southern NM. A subset of these individuals completed an online CRC risk assessment survey managed by the National Cancer Institute (NCI). Data analysis tested for significant differences in knowledge, physician-patient CRC interactions, CRC risk level perception, and screening rates across diverse ethnic and age groups.

RESULTS: Both CRC knowledge and physician-patient CRC interactions were positively associated with participant screening history. Significant age and ethnic differences for CRC knowledge, physician-patient CRC interactions, and screening history in the NM border sample were also seen. Age-eligible Hispanics (50+) as well as those less than 50 years of age had lower CRC knowledge and were less likely to engage in physician-patient CRC interactions than non-Hispanic Whites (NHWs). The age-eligible Hispanics also reported lower CRC screening rates than their NHW counterparts.

CONCLUSIONS: Low CRC knowledge and limited physician-patient CRC interactions appear to contribute to low screening rates in this NM population. Expanding education and outreach efforts for this border population are essential to promote early CRC detection and thereby decrease overall CRC mortality rates.

Keywords: Colorectal Cancer; Health Disparity; Hispanics; Knowledge; Screening

References

  1. Arch Intern Med. 2008 Apr 14;168(7):728-34 - PubMed
  2. Am Fam Physician. 1999 Jun;59(11):3083-92 - PubMed
  3. J Community Health. 2012 Dec;37(6):1279-88 - PubMed
  4. Cancer. 2011 Aug 15;117(16):3850-9 - PubMed
  5. Colorectal Dis. 2008 Nov;10(9):887-90 - PubMed
  6. Prev Chronic Dis. 2005 Apr;2(2):A11 - PubMed
  7. Cancer Epidemiol Biomarkers Prev. 2011 Jul;20(7):1296-302 - PubMed
  8. Int J Cancer. 2009 Jul 1;125(1):171-80 - PubMed
  9. Am J Prev Med. 2006 Jul;31(1):80-9 - PubMed
  10. Prev Chronic Dis. 2011 Mar;8(2):A35 - PubMed
  11. J Natl Cancer Inst. 1997 Oct 1;89(19):1406-22 - PubMed
  12. CA Cancer J Clin. 2004 Jan-Feb;54(1):41-52 - PubMed
  13. Am J Prev Med. 2009 Jul;37(1):8-16 - PubMed
  14. Cancer Epidemiol Biomarkers Prev. 2012 Jun;21(6):895-904 - PubMed
  15. J Clin Oncol. 2009 Feb 10;27(5):694-8 - PubMed
  16. J Med Screen. 2002;9(3):104-8 - PubMed
  17. Cancer. 2011 Apr 15;117(8):1745-54 - PubMed
  18. J Health Commun. 2012;17 Suppl 3:252-64 - PubMed
  19. Cancer Epidemiol Biomarkers Prev. 2007 Mar;16(3):510-6 - PubMed
  20. Am J Prev Med. 2009 Dec;37(6 Suppl 1):S195-200 - PubMed
  21. MMWR Morb Mortal Wkly Rep. 2011 Jul 8;60(26):884-9 - PubMed
  22. J Clin Oncol. 2004 Jul 1;22(13):2617-22 - PubMed
  23. J Immigr Minor Health. 2010 Aug;12(4):454-61 - PubMed
  24. J Clin Oncol. 2009 Feb 10;27(5):686-93 - PubMed
  25. Gastroenterology. 2003 Feb;124(2):544-60 - PubMed
  26. Cancer Causes Control. 2008 May;19(4):339-59 - PubMed
  27. Cancer Epidemiol Biomarkers Prev. 2008 Aug;17(8):1950-62 - PubMed
  28. Ann Intern Med. 2008 Nov 4;149(9):627-37 - PubMed
  29. Prev Chronic Dis. 2011 Jan;8(1):A16 - PubMed
  30. Cancer Causes Control. 2008 Mar;19(2):195-206 - PubMed

Publication Types

Grant support