Colorectal Cancer Screening Among Adults in Zuni Pueblo: Factors Associated with FOBT and Colonoscopy Utilization.
Although strategies to mitigate barriers to colorectal cancer (CRC) screening have proven successful in some parts of the US, few of these strategies have been studied in rural, American Indian communities that may exhibit unique culturally driven attitudes toward and knowledge of colorectal cancer...
| Publicado en: | Journal of Community Health Vol. 48; no. 4; pp. 565 - 576 |
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| Autores principales: | , , , , , , , |
| Formato: | Artículo |
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Springer Nature
Aug2023
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| Materias: | |
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ssf&AN=164900835&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 164900835 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 00945145 JCH jtl: Journal of Community Health issn: 00945145 maglogo: N pubinfo: dt: Aug2023 vid: 48 iid: 4 pid: 237 pub: Springer Nature artinfo: ui: 164900835 10.1007/s10900-023-01196-7 ppf: 565 ppct: 11 formats: fmt: – @attributes: type: T – @attributes: type: P size: 1MB tig: atl: Colorectal Cancer Screening Among Adults in Zuni Pueblo: Factors Associated with FOBT and Colonoscopy Utilization. aug: au: Edwardson, Nicholas Cartwright, Kate Sheche, Judith Pankratz, V. Shane Kosich, Mikaela Kanda, Deborah Leekity, Samantha Mishra, Shiraz I. affil: School of Public Administration, University of New Mexico, Albuquerque, USA University of New Mexico Health Sciences Center, Albuquerque, USA Department of Internal Medicine, Health Sciences Center, University of New Mexico, University of New Mexico Comprehensive Cancer Center, Albuquerque, USA Departments of Pediatrics and Family and Community Medicine, Comprehensive Cancer Center, University of New Mexico Comprehensive Cancer Center, University of New Mexico Health Sciences Center and University of New Mexico, Albuquerque, USA University of New Mexico Comprehensive Cancer Center, Albuquerque, USA su: New Mexico Health services accessibility Social support Disease risk factors Adults Fecal analysis Access to primary care Colonoscopy Early detection of cancer Evidence-based medicine Colorectal cancer Surveys Risk assessment Research funding Descriptive statistics Fecal occult blood tests sug: subj: Health services accessibility Social support Disease risk factors Adults New Mexico Other Individual and Family Services Fecal analysis Access to primary care Colonoscopy Early detection of cancer Evidence-based medicine Colorectal cancer Surveys Risk assessment Research funding Descriptive statistics Fecal occult blood tests keyword: American Indian/Alaska Native health Colorectal cancer screening Fecal occult blood test American Indian/Alaska Native health Colorectal cancer screening Fecal occult blood test ab: Although strategies to mitigate barriers to colorectal cancer (CRC) screening have proven successful in some parts of the US, few of these strategies have been studied in rural, American Indian communities that may exhibit unique culturally driven attitudes toward and knowledge of colorectal cancer and experience increased barriers to healthcare access. In this study, we describe the results of a survey among CRC screen-eligible members of Zuni Pueblo (N = 218) on an array of questions regarding CRC screening behaviors, knowledge, satisfaction with and access to healthcare services, social support for CRC screening, perceptions toward FOBT, and preference for evidence-based interventions or strategies for improving CRC screening rates. Results from the multivariable model suggest age, having a regular healthcare provider, and harboring fewer negative perceptions toward FOBT are key drivers of ever completing CRC screening. Respondents reported strong support for Community Guide-recommended interventions and strategies for increasing CRC screening for nearly all proposed interventions. Results confirm the need for multilevel, multicomponent interventions, with a particular focus on improving Zuni Pueblo community members' access to a regular source of care, improving knowledge of CRC risk factor, and addressing negative perceptions toward CRC screening. These results provide critical, community-specific insight into better understanding the drivers of low guideline-adherent screening rates and inform local healthcare providers and community leaders of context-specific strategies to improve CRC screening in Zuni Pueblo. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
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