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Colorectal Cancer Screening Among South Asians: Focus Group Findings on Attitudes, Knowledge, Barriers and Facilitators
Colorectal cancer (CRC) screening rates are low among South Asians. Understanding barriers and facilitators about CRC screening among South Asians may inform effective messaging and interventions. We conducted eight focus groups (FGs) among South Asians to gather contextual information about CRC cau...
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Published in: | Journal of health care for the poor and underserved 2018-11, Vol.29 (4), p.1416-1437 |
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container_end_page | 1437 |
container_issue | 4 |
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container_title | Journal of health care for the poor and underserved |
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creator | Ivey, Susan L Mukherjea, Arnab Patel, Aashna Kapoor, Nilesh Rau, Sameeha Kazi, Eiman Bhatia, Jaskirat Somsouk, Ma Tseng, Winston |
description | Colorectal cancer (CRC) screening rates are low among South Asians. Understanding barriers and facilitators about CRC screening among South Asians may inform effective messaging and interventions.
We conducted eight focus groups (FGs) among South Asians to gather contextual information about CRC causes, screening barriers and facilitators, and cultural factors affecting screening.
An overarching sentiment across Asian Indian and Bangladeshi FGs was that cancer is considered a death sentence. However, many participants were unaware that CRC was a problem in their communities, and considered CRC screening as a low priority. Women often thought of CRC as mostly affecting men. Physician influence on screening decisions was most frequently discussed among Bangladeshis, as were sentiments of shame and modesty that may prevent screening.
Findings highlight that physicians should provide culturally-appropriate CRC information for South Asian patients, and the importance of access to CRC screening for South Asians. |
doi_str_mv | 10.1353/hpu.2018.0104 |
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We conducted eight focus groups (FGs) among South Asians to gather contextual information about CRC causes, screening barriers and facilitators, and cultural factors affecting screening.
An overarching sentiment across Asian Indian and Bangladeshi FGs was that cancer is considered a death sentence. However, many participants were unaware that CRC was a problem in their communities, and considered CRC screening as a low priority. Women often thought of CRC as mostly affecting men. Physician influence on screening decisions was most frequently discussed among Bangladeshis, as were sentiments of shame and modesty that may prevent screening.
Findings highlight that physicians should provide culturally-appropriate CRC information for South Asian patients, and the importance of access to CRC screening for South Asians.</description><identifier>ISSN: 1049-2089</identifier><identifier>ISSN: 1548-6869</identifier><identifier>EISSN: 1548-6869</identifier><identifier>DOI: 10.1353/hpu.2018.0104</identifier><identifier>PMID: 30449755</identifier><language>eng</language><publisher>United States: Johns Hopkins University Press</publisher><subject>Age ; Asian Americans ; Barriers ; Breast cancer ; Cancer ; Cardiovascular disease ; Census of Population ; Colorectal cancer ; Colorectal carcinoma ; Community ; Content analysis ; Contextual information ; Cultural factors ; Focus groups ; Health disparities ; Health promotion ; Mammography ; Medical screening ; Modesty ; Mortality ; Physicians ; Public health ; Qualitative research ; Shame ; Task forces ; Womens health</subject><ispartof>Journal of health care for the poor and underserved, 2018-11, Vol.29 (4), p.1416-1437</ispartof><rights>Copyright © Meharry Medical College.</rights><rights>Copyright Johns Hopkins University Press Nov 2018</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c366t-bb4568a9e1aee8b30bb95bfa631b4117e70057ddda5233eff989671d9d65e4343</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.proquest.com/docview/2161077716?pq-origsite=primo$$EHTML$$P50$$Gproquest$$H</linktohtml><link.rule.ids>314,780,784,12846,21394,21395,27924,27925,30999,33611,33612,34530,34531,43733,44115</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/30449755$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Ivey, Susan L</creatorcontrib><creatorcontrib>Mukherjea, Arnab</creatorcontrib><creatorcontrib>Patel, Aashna</creatorcontrib><creatorcontrib>Kapoor, Nilesh</creatorcontrib><creatorcontrib>Rau, Sameeha</creatorcontrib><creatorcontrib>Kazi, Eiman</creatorcontrib><creatorcontrib>Bhatia, Jaskirat</creatorcontrib><creatorcontrib>Somsouk, Ma</creatorcontrib><creatorcontrib>Tseng, Winston</creatorcontrib><title>Colorectal Cancer Screening Among South Asians: Focus Group Findings on Attitudes, Knowledge, Barriers and Facilitators</title><title>Journal of health care for the poor and underserved</title><addtitle>J Health Care Poor Underserved</addtitle><description>Colorectal cancer (CRC) screening rates are low among South Asians. Understanding barriers and facilitators about CRC screening among South Asians may inform effective messaging and interventions.
We conducted eight focus groups (FGs) among South Asians to gather contextual information about CRC causes, screening barriers and facilitators, and cultural factors affecting screening.
An overarching sentiment across Asian Indian and Bangladeshi FGs was that cancer is considered a death sentence. However, many participants were unaware that CRC was a problem in their communities, and considered CRC screening as a low priority. Women often thought of CRC as mostly affecting men. Physician influence on screening decisions was most frequently discussed among Bangladeshis, as were sentiments of shame and modesty that may prevent screening.
Findings highlight that physicians should provide culturally-appropriate CRC information for South Asian patients, and the importance of access to CRC screening for South Asians.</description><subject>Age</subject><subject>Asian Americans</subject><subject>Barriers</subject><subject>Breast cancer</subject><subject>Cancer</subject><subject>Cardiovascular disease</subject><subject>Census of Population</subject><subject>Colorectal cancer</subject><subject>Colorectal carcinoma</subject><subject>Community</subject><subject>Content analysis</subject><subject>Contextual information</subject><subject>Cultural factors</subject><subject>Focus groups</subject><subject>Health disparities</subject><subject>Health promotion</subject><subject>Mammography</subject><subject>Medical screening</subject><subject>Modesty</subject><subject>Mortality</subject><subject>Physicians</subject><subject>Public health</subject><subject>Qualitative research</subject><subject>Shame</subject><subject>Task 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Underserved</addtitle><date>2018-11-01</date><risdate>2018</risdate><volume>29</volume><issue>4</issue><spage>1416</spage><epage>1437</epage><pages>1416-1437</pages><issn>1049-2089</issn><issn>1548-6869</issn><eissn>1548-6869</eissn><abstract>Colorectal cancer (CRC) screening rates are low among South Asians. Understanding barriers and facilitators about CRC screening among South Asians may inform effective messaging and interventions.
We conducted eight focus groups (FGs) among South Asians to gather contextual information about CRC causes, screening barriers and facilitators, and cultural factors affecting screening.
An overarching sentiment across Asian Indian and Bangladeshi FGs was that cancer is considered a death sentence. However, many participants were unaware that CRC was a problem in their communities, and considered CRC screening as a low priority. Women often thought of CRC as mostly affecting men. Physician influence on screening decisions was most frequently discussed among Bangladeshis, as were sentiments of shame and modesty that may prevent screening.
Findings highlight that physicians should provide culturally-appropriate CRC information for South Asian patients, and the importance of access to CRC screening for South Asians.</abstract><cop>United States</cop><pub>Johns Hopkins University Press</pub><pmid>30449755</pmid><doi>10.1353/hpu.2018.0104</doi><tpages>22</tpages></addata></record> |
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subjects | Age Asian Americans Barriers Breast cancer Cancer Cardiovascular disease Census of Population Colorectal cancer Colorectal carcinoma Community Content analysis Contextual information Cultural factors Focus groups Health disparities Health promotion Mammography Medical screening Modesty Mortality Physicians Public health Qualitative research Shame Task forces Womens health |
title | Colorectal Cancer Screening Among South Asians: Focus Group Findings on Attitudes, Knowledge, Barriers and Facilitators |
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