Increasing Colonoscopy Screening for Latino Americans Through a Patient Navigation Model: A Randomized Clinical Trial

Latinos have a higher rate of mortality and lower rate of colorectal cancer (CRC) screening than most racial groups in the United States. This study examines the predictors of screening colonoscopy (SC) for CRC among Latinos in a patient navigation (PN) intervention. Participants were randomized to...

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Bibliographic Details
Published in:Journal of immigrant and minority health 2014-10, Vol.16 (5), p.934-940
Main Authors: Braschi, Caitlyn D., Sly, Jamilia R., Singh, Smriti, Villagra, Cristina, Jandorf, Lina
Format: Article
Language:English
Subjects:
Acculturation
Aged
Cancer
Clinical trials
Colonoscopy
Colonoscopy - statistics & numerical data
Colorectal cancer
Colorectal carcinoma
Colorectal Neoplasms - ethnology
Colorectal Neoplasms - prevention & control
Comparative Law
Drug abuse
Enrollments
Female
Health care access
Hispanic Americans
Hispanic Americans - statistics & numerical data
Humans
Immigrants
International & Foreign Law
Intervention
Language
Low income groups
Male
Medical referrals
Medical screening
Medicine
Medicine & Public Health
Middle Aged
Mortality
Noncitizens
ORIGINAL PAPER
Participation
Patient Navigation
Patients
Primary care
Private International Law
Public Health
Regression analysis
Screening Tests
Sociodemographics
Socioeconomic Factors
Sociology
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Description
Summary:Latinos have a higher rate of mortality and lower rate of colorectal cancer (CRC) screening than most racial groups in the United States. This study examines the predictors of screening colonoscopy (SC) for CRC among Latinos in a patient navigation (PN) intervention. Participants were randomized to either a culturally-targeted PN group (n = 225) or astandard PN group (n = 167). Each completed an interview assessing sociodemographic and intrapersonal information. There was no difference in SC completion between PN groups (80.9 and 79.0 %). Logistic regression revealed that low language acculturation (OR = 2.22) and annual income above $10,000 (OR = 1.97) were independent predictors of completion. Both standard and culturally-targeted PN successfully increased SC completion by nearly 30 % above the recent estimation for physician-referred patients. Our findings suggest a need to further reduce barriers to SC in low income and highly acculturated Latino groups.
ISSN:1557-1912
1557-1920
DOI:10.1007/s10903-013-9848-y