Barriers and Facilitators of Colonoscopy Screening Among Latino Men in a Colorectal Cancer Screening Promotion Program

被引:8
作者
Mojica, Cynthia M. [1 ,3 ]
Vargas, Nancy [1 ]
Bradley, Savannah [1 ]
Parra-Medina, Deborah [2 ]
机构
[1] Oregon State Univ, Coll Publ Hlth & Human Sci, Sch Social & Behav Hlth Sci, Corvallis, OR USA
[2] Univ Texas Austin, Coll Liberal Arts, Mexican Amer & Latinoa Studies, Austin, TX USA
[3] Oregon State Univ, Coll Publ Hlth & Human Sci, Sch Social & Behav Hlth Sci, 2250 SW Jefferson Way, Waldo 463, Corvallis, OR 97330 USA
基金
美国国家卫生研究院;
关键词
Latino men; colorectal cancer screening; barriers to screening; facilitators to screening; colonoscopy screening; RACIALLY DIVERSE; PREFERENCES; TRIAL;
D O I
10.1177/15579883231179325
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Colorectal cancer (CRC) is the second leading cause of cancer death among Latino men in the United States, yet they have low screening rates. This study explored barriers and facilitators of colonoscopy screening among Latino participants in a CRC screening promotion program. Six focus groups were conducted, in Spanish, with 45 Latino men, of which 28 had received and 17 had not received a colonoscopy. Analysis of the discussion transcripts identified barriers to CRC screening, facilitators to CRC screening, and recommendations for health information dissemination. There was consensus among all participants that they had not received adequate information on colonoscopy screening from their health care providers. Unscreened participants wanted more details about the colonoscopy procedure and bowel preparation. Screened men were more knowledgeable than unscreened men about CRC, the colonoscopy procedure, and the benefits of early detection. Participants also expressed their fears, concerns, and perceptions of stigma in relation to colonoscopy screening. They described family and personal testimonials as facilitators to engaging in colorectal cancer screening. Findings underscore the need for ongoing research and educational efforts to address personal and cultural stigma surrounding colonoscopy and CRC, particularly in underserved communities. Study findings also highlight the danger of missing out on opportunities to increase CRC screening when colonoscopy is the primary screening option offered. Additional research is needed to ensure trust in the health care system and to examine the effectiveness of testimonials on CRC screening among Latino men.
引用
收藏
页数:12
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