Journal
JOURNAL OF HEALTH CARE FOR THE POOR AND UNDERSERVED
Volume 26, Issue 3, Pages 824-838Publisher
JOHNS HOPKINS UNIV PRESS
DOI: 10.1353/hpu.2015.0075
Keywords
Colorectal cancer; minorities; health beliefs; prevention
Funding
- National Cancer Institute at the National Institutes of Health [R01CA106773]
- National Institutes of Diabetes and Digestive and Kidney Diseases at the National Institutes of Health [K24DK080941]
- National Center for Research Resources at the National Institutes of Health [UL1 RR024131]
- AHRQ NRSA (University of Washington School of Public Health, Department of Health Services) [5T32 HS 13853-9]
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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.
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