학술논문

Comparing Latino Community Members’ and Clinical Staff’s Perspectives on Barriers and Facilitators to Colorectal Cancer Screening
Document Type
article
Source
Journal of Cancer Education. 37(6)
Subject
Health Services and Systems
Biomedical and Clinical Sciences
Public Health
Health Sciences
Aging
Prevention
Cancer
Clinical Research
Colo-Rectal Cancer
Digestive Diseases
Female
Humans
United States
Middle Aged
Adult
Male
Early Detection of Cancer
Patient Acceptance of Health Care
Health Knowledge
Attitudes
Practice
Hispanic or Latino
Colorectal Neoplasms
Mass Screening
Hispanic Americans
Latinos
Colorectal cancer screening
Adherence
Colorectal neoplasms
Nursing
Public Health and Health Services
Oncology and carcinogenesis
Public health
Language
Abstract
Latinos in the United States have low rates of colorectal cancer (CRC) screening even though CRC is the third leading cause of cancer death among Latinos. This qualitative study aimed to understand and compare the perspectives of clinical staff (CS) and Latino community members (LCMs) in an urban Southern California community regarding barriers and facilitators of CRC screening. Through purposive sampling, 39 LCMs (mean age: 59.4 years, 79.5% female) were recruited to participate in one of five focus groups, and 17 CS (mean age: 38.8 years, 64.7% female) were recruited to participate in semi-structured in-depth interviews, along with a demographic survey. Interviews and focus group recordings were transcribed verbatim, translated, and analyzed using direct content analysis. Demographic data were summarized using descriptive statistics. Findings suggest that CS and LCMs have both similar and opposing perspectives with regard to barriers and facilitators of CRC screening. Themes discussed included attitudes towards CRC screening, CRC knowledge, access to resources, commitments and responsibilities, social support, vicarious learning, patient-provider communication, trust, and social relationships. Study findings can be used to guide interventions and policies to improve access to CRC screening among LCMs.