Barriers and facilitators of colorectal cancer screening among mid-Atlantic Latinos: Focus group findings

Michelle J. Goodman, Alexis Ogdie, Mariano Kanamori, Janet Cañar, Ann S. O'Malley

Research output: Contribution to journalArticle

53 Citations (Scopus)

Abstract

Objective: To examine patient and provider barriers and facilitators of colorectal cancer (CRC) screening among mid-Atlantic Latinos seeking care at urban primary care clinics and describe implications for the design of interventions in primary care. Design and Method: Nine focus groups were conducted with 70 Latino patients and 27 primary care providers. Content analysis of focus group transcripts was performed using established qualitative techniques. Results: Comments on CRC screening fell into 10 content areas: primary care site or provider characteristics (25% patient/21% provider comments); knowledge (18% patient/12% provider comments); cost/insurance coverage (10%/25%); attitudes (14%/7%); ordering of priorities (10%/11%); language (12%/7%); procedural issues regarding screenings (8%/10%); discrimination (2%/1%); and issues related to being a new immigrant (.2%/6%). Patient lack of understanding of the screening test procedures, inadequate knowledge about colorectal cancer, inadequate numbers of Spanish-speaking providers, and the cost of screening were most often cited as barriers by patients. Both providers and patients repeatedly mentioned the lack of funding and referral sources for colonoscopy as a key barrier to performing screening, even with lower-cost fecal occult blood tests, as colonoscopy follow-up would not be available. Patients favored receiving CRC screening recommendations from their usual continuity physician, but were open to receiving information on test procedures and indications from a Spanish-speaking health educator. Conclusions: Efforts to improve funding and availability of colonoscopy for low-income persons could proceed in tandem with linguistically and culturally appropriate clinic-based efforts to improve CRC screening among Latinos.

Original languageEnglish (US)
Pages (from-to)255-261
Number of pages7
JournalEthnicity and Disease
Volume16
Issue number1
StatePublished - Dec 1 2006
Externally publishedYes

Fingerprint

Focus Groups
Early Detection of Cancer
Hispanic Americans
Colorectal Neoplasms
Primary Health Care
Colonoscopy
Costs and Cost Analysis
Health Educators
Occult Blood
Insurance Coverage
Hematologic Tests
Language
Referral and Consultation
Physicians

Keywords

  • Colorectal neoplasm/prevention and control
  • Hispanic
  • Insurance
  • MeSH
  • Primary health care
  • Safety net

ASJC Scopus subject areas

  • Epidemiology

Cite this

Barriers and facilitators of colorectal cancer screening among mid-Atlantic Latinos : Focus group findings. / Goodman, Michelle J.; Ogdie, Alexis; Kanamori, Mariano; Cañar, Janet; O'Malley, Ann S.

In: Ethnicity and Disease, Vol. 16, No. 1, 01.12.2006, p. 255-261.

Research output: Contribution to journalArticle

Goodman, Michelle J. ; Ogdie, Alexis ; Kanamori, Mariano ; Cañar, Janet ; O'Malley, Ann S. / Barriers and facilitators of colorectal cancer screening among mid-Atlantic Latinos : Focus group findings. In: Ethnicity and Disease. 2006 ; Vol. 16, No. 1. pp. 255-261.
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