Document Detail

Improving knowledge and screening for colorectal cancer among Hispanics: overcoming barriers through a PROMOTORA-led home-based educational intervention.
MedLine Citation:
PMID:  22488199     Owner:  NLM     Status:  MEDLINE    
In the U.S., nearly 67 % of Hispanics ages 50 and older report that they have never had a screening colonoscopy. Barriers to screening include cost, lack of health insurance, anticipation of pain, embarrassment, mistrust of medical/healthcare systems and institutions, a fatalistic belief system, as well as fear and lack of knowledge regarding cancer survival. These barriers are significantly more problematic among Hispanics who are poor and those who live in underserved rural and border communities. This study addressed barriers by using promotoras and a home-based educational intervention to improve knowledge of cancer and screening for colorectal cancer (CRC) among Hispanics in Yakima Valley, Washington. Study participants attended a promotora led home-based educational intervention consisting of home-health parties (HHPs) and completed baseline and follow-up surveys on general cancer knowledge and knowledge specific to CRC and related screening practices. Results suggest increase in knowledge of cancer and participation in screening for CRC. Promotora facilitated home-based interventions offer culturally appropriate ways to reach Hispanics in rural and other underserved communities to reduce barriers and improve access to CRC and other cancer screenings.
Ernesto A Moralez; Satya P Rao; Jennifer C Livaudais; Beti Thompson
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Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Extramural    
Journal Detail:
Title:  Journal of cancer education : the official journal of the American Association for Cancer Education     Volume:  27     ISSN:  1543-0154     ISO Abbreviation:  J Cancer Educ     Publication Date:  2012 Jun 
Date Detail:
Created Date:  2012-09-11     Completed Date:  2013-02-05     Revised Date:  2014-03-19    
Medline Journal Info:
Nlm Unique ID:  8610343     Medline TA:  J Cancer Educ     Country:  England    
Other Details:
Languages:  eng     Pagination:  533-9     Citation Subset:  IM    
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MeSH Terms
Colorectal Neoplasms / diagnosis*,  prevention & control
Early Detection of Cancer / economics,  psychology,  statistics & numerical data*
Health Education / methods,  organization & administration*
Health Knowledge, Attitudes, Practice / ethnology*
Health Services Accessibility
Hispanic Americans / psychology,  statistics & numerical data*
Middle Aged
Socioeconomic Factors
Grant Support
P30 CA015704/CA/NCI NIH HHS; U01 CA114633/CA/NCI NIH HHS; U54 CA132381/CA/NCI NIH HHS; U54 CA132381/CA/NCI NIH HHS; UO1 CA114633/CA/NCI NIH HHS

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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