Colorectal cancer screening among Latinos from U.S. cities along the Texas-Mexico border

Maria E. Fernandez, Rosario Wippold, Isabel Torres-Vigil, Theresa Byrd, Diamond Freeberg, Yadvindera Bains, Jessica Guajardo, Steven Scott Coughlin, Sally W. Vernon

Research output: Contribution to journalArticle

61 Citations (Scopus)

Abstract

Colorectal cancer (CRC) screening rates are comparatively low for U.S. Hispanics. To learn more about the factors influencing CRC screening among Hispanics living along the U.S.-Mexico border, 12 focus groups were conducted with Hispanic men and women aged 50 years and older in three Texas counties; Cameron County (Brownsville), Webb County (Laredo), and El Paso County, (El Paso). The focus group guide contained questions about health care behavior, knowledge about CRC, experiences with cancer, and factors that influence CRC screening. A total of 92 individuals participated with the majority aged 50-69 (75%). Twenty percent were born in the United States and 51% had lived in the United States for more than 20 years. Participants had low levels of education, income, and insurance coverage. The analysis revealed several overarching and contextual themes relating to knowledge, attitudes, beliefs, and emotions about cancer and CRC screening. A prevalent theme that emerged from all groups was frustration and a lack of confidence in the U.S. healthcare system. Few participants had been advised by their providers to obtain CRC screening. Lack of patient knowledge about colorectal cancer and screening appeared to be a critical factor influencing screening. Themes about death and pain due to cancer were prevalent as were cultural factors such as machismo and embarrassment. System level barriers such as cost, medical insurance and transportation also impacted screening. These findings suggest that strategies are needed to educate Hispanic residents of border communities about CRC and to motivate them to undergo CRC screening.

Original languageEnglish (US)
Pages (from-to)195-206
Number of pages12
JournalCancer Causes and Control
Volume19
Issue number2
DOIs
StatePublished - Mar 1 2008

Fingerprint

Mexico
Early Detection of Cancer
Hispanic Americans
Colorectal Neoplasms
Focus Groups
Delivery of Health Care
Neoplasms
Frustration
Insurance Coverage
Insurance
Emotions
Education
Costs and Cost Analysis
Pain

Keywords

  • Cancer screening
  • Colorectal cancer
  • Health literacy
  • Hispanics
  • Qualitative research

ASJC Scopus subject areas

  • Oncology
  • Cancer Research

Cite this

Fernandez, M. E., Wippold, R., Torres-Vigil, I., Byrd, T., Freeberg, D., Bains, Y., ... Vernon, S. W. (2008). Colorectal cancer screening among Latinos from U.S. cities along the Texas-Mexico border. Cancer Causes and Control, 19(2), 195-206. https://doi.org/10.1007/s10552-007-9085-6

Colorectal cancer screening among Latinos from U.S. cities along the Texas-Mexico border. / Fernandez, Maria E.; Wippold, Rosario; Torres-Vigil, Isabel; Byrd, Theresa; Freeberg, Diamond; Bains, Yadvindera; Guajardo, Jessica; Coughlin, Steven Scott; Vernon, Sally W.

In: Cancer Causes and Control, Vol. 19, No. 2, 01.03.2008, p. 195-206.

Research output: Contribution to journalArticle

Fernandez, ME, Wippold, R, Torres-Vigil, I, Byrd, T, Freeberg, D, Bains, Y, Guajardo, J, Coughlin, SS & Vernon, SW 2008, 'Colorectal cancer screening among Latinos from U.S. cities along the Texas-Mexico border', Cancer Causes and Control, vol. 19, no. 2, pp. 195-206. https://doi.org/10.1007/s10552-007-9085-6
Fernandez ME, Wippold R, Torres-Vigil I, Byrd T, Freeberg D, Bains Y et al. Colorectal cancer screening among Latinos from U.S. cities along the Texas-Mexico border. Cancer Causes and Control. 2008 Mar 1;19(2):195-206. https://doi.org/10.1007/s10552-007-9085-6
Fernandez, Maria E. ; Wippold, Rosario ; Torres-Vigil, Isabel ; Byrd, Theresa ; Freeberg, Diamond ; Bains, Yadvindera ; Guajardo, Jessica ; Coughlin, Steven Scott ; Vernon, Sally W. / Colorectal cancer screening among Latinos from U.S. cities along the Texas-Mexico border. In: Cancer Causes and Control. 2008 ; Vol. 19, No. 2. pp. 195-206.
@article{780af55ec9ff47bf81d14ae64b6474ba,
title = "Colorectal cancer screening among Latinos from U.S. cities along the Texas-Mexico border",
abstract = "Colorectal cancer (CRC) screening rates are comparatively low for U.S. Hispanics. To learn more about the factors influencing CRC screening among Hispanics living along the U.S.-Mexico border, 12 focus groups were conducted with Hispanic men and women aged 50 years and older in three Texas counties; Cameron County (Brownsville), Webb County (Laredo), and El Paso County, (El Paso). The focus group guide contained questions about health care behavior, knowledge about CRC, experiences with cancer, and factors that influence CRC screening. A total of 92 individuals participated with the majority aged 50-69 (75{\%}). Twenty percent were born in the United States and 51{\%} had lived in the United States for more than 20 years. Participants had low levels of education, income, and insurance coverage. The analysis revealed several overarching and contextual themes relating to knowledge, attitudes, beliefs, and emotions about cancer and CRC screening. A prevalent theme that emerged from all groups was frustration and a lack of confidence in the U.S. healthcare system. Few participants had been advised by their providers to obtain CRC screening. Lack of patient knowledge about colorectal cancer and screening appeared to be a critical factor influencing screening. Themes about death and pain due to cancer were prevalent as were cultural factors such as machismo and embarrassment. System level barriers such as cost, medical insurance and transportation also impacted screening. These findings suggest that strategies are needed to educate Hispanic residents of border communities about CRC and to motivate them to undergo CRC screening.",
keywords = "Cancer screening, Colorectal cancer, Health literacy, Hispanics, Qualitative research",
author = "Fernandez, {Maria E.} and Rosario Wippold and Isabel Torres-Vigil and Theresa Byrd and Diamond Freeberg and Yadvindera Bains and Jessica Guajardo and Coughlin, {Steven Scott} and Vernon, {Sally W.}",
year = "2008",
month = "3",
day = "1",
doi = "10.1007/s10552-007-9085-6",
language = "English (US)",
volume = "19",
pages = "195--206",
journal = "Cancer Causes and Control",
issn = "0957-5243",
publisher = "Springer Netherlands",
number = "2",

}

TY - JOUR

T1 - Colorectal cancer screening among Latinos from U.S. cities along the Texas-Mexico border

AU - Fernandez, Maria E.

AU - Wippold, Rosario

AU - Torres-Vigil, Isabel

AU - Byrd, Theresa

AU - Freeberg, Diamond

AU - Bains, Yadvindera

AU - Guajardo, Jessica

AU - Coughlin, Steven Scott

AU - Vernon, Sally W.

PY - 2008/3/1

Y1 - 2008/3/1

N2 - Colorectal cancer (CRC) screening rates are comparatively low for U.S. Hispanics. To learn more about the factors influencing CRC screening among Hispanics living along the U.S.-Mexico border, 12 focus groups were conducted with Hispanic men and women aged 50 years and older in three Texas counties; Cameron County (Brownsville), Webb County (Laredo), and El Paso County, (El Paso). The focus group guide contained questions about health care behavior, knowledge about CRC, experiences with cancer, and factors that influence CRC screening. A total of 92 individuals participated with the majority aged 50-69 (75%). Twenty percent were born in the United States and 51% had lived in the United States for more than 20 years. Participants had low levels of education, income, and insurance coverage. The analysis revealed several overarching and contextual themes relating to knowledge, attitudes, beliefs, and emotions about cancer and CRC screening. A prevalent theme that emerged from all groups was frustration and a lack of confidence in the U.S. healthcare system. Few participants had been advised by their providers to obtain CRC screening. Lack of patient knowledge about colorectal cancer and screening appeared to be a critical factor influencing screening. Themes about death and pain due to cancer were prevalent as were cultural factors such as machismo and embarrassment. System level barriers such as cost, medical insurance and transportation also impacted screening. These findings suggest that strategies are needed to educate Hispanic residents of border communities about CRC and to motivate them to undergo CRC screening.

AB - Colorectal cancer (CRC) screening rates are comparatively low for U.S. Hispanics. To learn more about the factors influencing CRC screening among Hispanics living along the U.S.-Mexico border, 12 focus groups were conducted with Hispanic men and women aged 50 years and older in three Texas counties; Cameron County (Brownsville), Webb County (Laredo), and El Paso County, (El Paso). The focus group guide contained questions about health care behavior, knowledge about CRC, experiences with cancer, and factors that influence CRC screening. A total of 92 individuals participated with the majority aged 50-69 (75%). Twenty percent were born in the United States and 51% had lived in the United States for more than 20 years. Participants had low levels of education, income, and insurance coverage. The analysis revealed several overarching and contextual themes relating to knowledge, attitudes, beliefs, and emotions about cancer and CRC screening. A prevalent theme that emerged from all groups was frustration and a lack of confidence in the U.S. healthcare system. Few participants had been advised by their providers to obtain CRC screening. Lack of patient knowledge about colorectal cancer and screening appeared to be a critical factor influencing screening. Themes about death and pain due to cancer were prevalent as were cultural factors such as machismo and embarrassment. System level barriers such as cost, medical insurance and transportation also impacted screening. These findings suggest that strategies are needed to educate Hispanic residents of border communities about CRC and to motivate them to undergo CRC screening.

KW - Cancer screening

KW - Colorectal cancer

KW - Health literacy

KW - Hispanics

KW - Qualitative research

UR - http://www.scopus.com/inward/record.url?scp=38949092275&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=38949092275&partnerID=8YFLogxK

U2 - 10.1007/s10552-007-9085-6

DO - 10.1007/s10552-007-9085-6

M3 - Article

C2 - 18038186

AN - SCOPUS:38949092275

VL - 19

SP - 195

EP - 206

JO - Cancer Causes and Control

JF - Cancer Causes and Control

SN - 0957-5243

IS - 2

ER -