TY - JOUR
T1 - Predicting Colonoscopy Completion Among African American and Latino/a Participants in a Patient Navigation Program
AU - Pelto, Debra J.
AU - Sly, Jamilia R.
AU - Winkel, Gary
AU - Redd, William
AU - Thompson, Hayley S.
AU - Itzkowitz, Steven H.
AU - Jandorf, Lina
N1 - Funding Information:
The research reported in this analysis was supported by the National Cancer Institute, grant number CA 120658 and the Icahn School of Medicine at Mount Sinai. Colonoscopy for uninsured patients was funded by the American Cancer Society. This analysis was partially supported by a National Institutes of Health Postdoctoral Fellowship in Cancer Prevention and Control, grant number CA 81137. Jamilia Sly, PhD was supported by a Postdoctoral Fellowship, PF-13-018-01-CPPB from the American Cancer Society.
PY - 2015/3/1
Y1 - 2015/3/1
N2 - Patient navigation (PN) effectively increases screening colonoscopy (SC) rates, a key to reducing deaths from colorectal cancer (CRC). Ethnic minority populations have disproportionately low SC rates and high CRC mortality rates and, therefore, especially stand to benefit from PN. Adapting the Health Belief Model as an explanatory model, the current analysis examined predictors of SC rates in two randomized studies that used PN to increase SC among 411 African American and 461 Latino/a patients at a large urban medical center. Speaking Spanish but not English (odds ratio (OR), 2.192; p < 0.005), having a higher income (OR, 1.218; p < 0.005), and scoring higher on the Pros of Colonoscopy scale (OR, 1.535; p = 0.023) independently predicted colonoscopy completion. Health education and PN programs that increase awareness of the benefits of getting a colonoscopy may encourage colonoscopy completion. In the context of language-appropriate PN programs for African American and Latino/a individuals, those with lower incomes and English speakers may require additional education and counseling to support their decision-making around colonoscopy.
AB - Patient navigation (PN) effectively increases screening colonoscopy (SC) rates, a key to reducing deaths from colorectal cancer (CRC). Ethnic minority populations have disproportionately low SC rates and high CRC mortality rates and, therefore, especially stand to benefit from PN. Adapting the Health Belief Model as an explanatory model, the current analysis examined predictors of SC rates in two randomized studies that used PN to increase SC among 411 African American and 461 Latino/a patients at a large urban medical center. Speaking Spanish but not English (odds ratio (OR), 2.192; p < 0.005), having a higher income (OR, 1.218; p < 0.005), and scoring higher on the Pros of Colonoscopy scale (OR, 1.535; p = 0.023) independently predicted colonoscopy completion. Health education and PN programs that increase awareness of the benefits of getting a colonoscopy may encourage colonoscopy completion. In the context of language-appropriate PN programs for African American and Latino/a individuals, those with lower incomes and English speakers may require additional education and counseling to support their decision-making around colonoscopy.
UR - http://www.scopus.com/inward/record.url?scp=85018214971&partnerID=8YFLogxK
U2 - 10.1007/s40615-014-0053-z
DO - 10.1007/s40615-014-0053-z
M3 - Article
C2 - 25893157
AN - SCOPUS:85018214971
SN - 2197-3792
VL - 2
SP - 101
EP - 111
JO - Journal of racial and ethnic health disparities
JF - Journal of racial and ethnic health disparities
IS - 1
ER -