Screening adherence for colorectal cancer among immigrant Hispanic women

Jennie Ellison, Lina Jandorf, Cristina Villagra, Gary Winkel, Katherine DuHamel

Research output: Contribution to journalArticlepeer-review

13 Scopus citations


Purpose: We sought to assess factors related to colorectal cancer (CRC) screening adherence among immigrant, Hispanic women in Harlem, New York City. Method: Adherence for colonoscopy and fecal occult blood test (FOBT) screening was measured among 255 women based on self-reported screening behaviors using American Cancer Society guidelines. Results: Univariate results showed that age, language of the interview (English/Spanish), years in the United States, physician recommendation for either test, marital status (living alone/living with someone), and mammography adherence were associated with CRC screening adherence (p's < .05). In the multivariate analysis, having an age greater than 65 years, being interviewed in Spanish, having lived in the United States longer, having a regular doctor and a physician recommendation, and being currently adherent for mammography were associated with higher CRC screening adherence. Conclusion: Among this sample, there proved to be differences between having ever been screened and adherence with a greater proportion of women having ever completed either colonoscopy and/or FOBT compared to women who were adherent (72.9% vs 58.8%). Therefore, it is important to determine factors associated with adherence, not just screening utilization, in order to design strategies to increase adherence among immigrant Hispanic women.

Original languageEnglish
Pages (from-to)681-688
Number of pages8
JournalJournal of the National Medical Association
Issue number8
StatePublished - Aug 2011


  • Cancer
  • Colorectal
  • Latinos
  • Screening


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