Examining the Impact of Latino Nativity, Migration, and Acculturation Factors on Colonoscopy Screening
Examining the Impact of Latino Nativity, Migration, and Acculturation Factors on Colonoscopy Screening
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DOI：
10.1007/s10900-016-0168-8
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发表时间：
2016-10-01
影响因子：
5.9
通讯作者：
DuHamel, Katherine
中科院分区：
文献类型：
--
作者：
Costas-Muniz, Rosario;Jandorf, Lina;DuHamel, Katherine
拉丁裔是一个多元化的群体，由来自多个不同国家的人组成，具有不同的文化特征。本研究在接受结肠镜检查筛查和引导服务建议后，对居住在纽约市的以多米尼加和波多黎各裔为主的拉丁裔样本中，出生地点和移民相关因素在结肠镜检查完成情况方面的差异进行了调查。该样本包括702名拉丁裔，他们是为两个针对有资格进行结肠镜检查且在纽约市寻求医疗保健的拉丁裔的癌症筛查项目招募的。参与者用西班牙语或英语完成了一项调查，其中包括社会人口统计学、健康相关问题、心理社会评估以及癌症筛查实践等内容。研究发现移民、文化适应和语言因素可预测结肠镜检查的完成情况。结果表明，在多米尼加共和国和中美洲出生的拉丁裔比在美国出生的拉丁裔更有可能完成结肠镜筛查。此外，那些年龄较大时移民、在美国居住不到20年、偏好使用西班牙语以及美国文化适应水平较低的人也更有可能完成结肠镜筛查。研究结果表明，对美国文化适应程度较低的拉丁裔在收到医生进行结肠镜筛查的建议后更有可能完成筛查。这些结果提供了重要信息，可为临床实践和公共卫生干预措施提供参考。持续关注文化和移民的影响是癌症筛查干预措施发展的重要领域。
Latinos are a diverse population comprised of multiple countries of origin with varying cultural profiles. This study examines differences in colonoscopy completion across place of birth and migration-related factors in a sample of predominantly Dominican and Puerto Rican Latinos living in New York City after receiving a recommendation for colonoscopy screening and navigation services. The sample included 702 Latinos recruited for two cancer screening projects targeting Latinos eligible for colonoscopy who seek healthcare in New York City. Participants completed a survey that included sociodemographic, health-related questions, psychosocial assessments and cancer screening practices, in Spanish or English. Migration, acculturation, and language factors were found to predict colonoscopy completion. The results indicated that Latinos born in the Dominican Republic and Central America were more likely to complete a screening colonoscopy than their counterparts born in the US. Further, those who emigrated at an older age, who have resided in the US for less than 20 years, preferred Spanish and those with lower US acculturation levels were also more likely to complete a screening colonoscopy. The findings suggest that Latinos who are less acculturated to the US are more likely to complete a screening colonoscopy after receiving a physician recommendation for colonoscopy screening. The results provide important information that can inform clinical practice and public health interventions. Continued attention to cultural and migration influences are important areas for cancer screening intervention development.