Skip to main content

Advertisement

SpringerLink
Log in

Examining the Impact of Latino Nativity, Migration, and Acculturation Factors on Colonoscopy Screening

  • Original Paper
  • Published:
Journal of Community Health Aims and scope Submit manuscript

Abstract

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.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  1. US Census. (2012). The Hispanic population in the United States: 2012. Retrieved from: http://www.census.gov/population/hispanic/data/2012.html.

  2. US Census Bureau. Place of birth for the foreign-born population in the United States, 2006–2010.

  3. American Cancer Society. (2012). Cancer Facts & Figures for Hispanics/Latinos 2012–2014. American Cancer Society.

  4. Walsh, J. M., & Terdiman, J. P. (2003). Colorectal cancer screening: Scientific review. JAMA, 289(10), 1288–1296.

    Article  PubMed  Google Scholar 

  5. Center, M. M., Jemal, A., Smith, R. A., & Ward, E. (2009). Worldwide variations in colorectal cancer. CA Cancer Journal for Clinicians, 59, 366–378. doi:10.3322/caac.20038.

    Article  Google Scholar 

  6. Lawsin, C., Erwin, D., Bursac, Z., & Jandorf, L. (2011). Heterogeneity in breast and cervical cancer screening practices among female Hispanic immigrants in the United States. Journal of Immigrant and Minority Health, 13(5), 834–841.

    Article  PubMed  Google Scholar 

  7. Goel, M. S., Wee, C. C., McCarthy, E. P., Davis, R. B., Ngo-Metzger, Q., & Phillips, R. S. (2003). Racial and ethnic disparities in cancer screening: The importance of foreign birth as a barrier to care. Journal of General Internal Medicine, 18(12), 1028–1035.

    Article  PubMed  PubMed Central  Google Scholar 

  8. Shih, Y. C., Elting, L. S., & Levin, B. (2008). Disparities in colorectal screening between US-born and foreign-born populations: Evidence from the 2000 National Health Interview Survey. Journal of Cancer Education, 23(1), 18–25. doi:10.1080/08858190701634623.

    Article  PubMed  Google Scholar 

  9. Shelton, R. C., Jandorf, L., King, S., Thelemaque, L., & Erwin, D. O. (2012). Cervical cancer screening among immigrant Hispanics: An analysis by country of origin. Journal of Immigrant and Minority Health, 14(4), 715–720. doi:10.1007/s10903-011-9541-y.

    Article  PubMed  Google Scholar 

  10. Shelton, R. C., Jandorf, L., Thelemaque, L., King, S., & Erwin, D. O. (2012). Sociocultural determinants of breast and cervical cancer screening adherence: An examination of variation among immigrant Latinas by country of origin. Journal of Health Care for the Poor and Underserved, 23(4), 1768–1792.

    Article  PubMed  Google Scholar 

  11. Ellison, J., Jandorf, L., Villagra, C., Winkel, G., & DuHamel, K. (2011). Screening adherence for colorectal cancer among immigrant Hispanic women. Journal of the National Medical Association, 103(8), 681–688.

    Article  PubMed  PubMed Central  Google Scholar 

  12. Jibara, G., Jandorf, L., Fodera, M. B., & DuHamel, K. N. (2011). Adherence to physician recommendation to colorectal cancer screening colonoscopy among Hispanics. Journal of General Internal Medicine, 26(10), 1124–1130. doi:10.1007/s11606-011-1727-4.

    Article  PubMed  PubMed Central  Google Scholar 

  13. Jandorf, L., Ellison, J., Villagra, C., Winkel, G., Varela, A., Quintero-Canetti, Z., & Duhamel, K. (2010). Understanding the barriers and facilitators of colorectal cancer screening among low income immigrant Hispanics. Journal of Immigrant and Minority Health, 12(4), 462–469.

    Article  PubMed  PubMed Central  Google Scholar 

  14. Braschi, C. D., Sly, J. R., Singh, S., Villagra, C., & Jandorf, L. (2013). Increasing colonoscopy screening for Latino Americans through a patient navigation model: A randomized clinical trial. Journal of Immigrant and Minority Health,. doi:10.1007/s10903-013-9848-y.

    Google Scholar 

  15. O’Malley, A. S., Kerner, J., Johnson, A. E., & Mandelblatt, J. (1999). Acculturation and breast cancer screening among Hispanic women in New York City. American Journal of Public Health, 89(2), 219–227.

    Article  PubMed  PubMed Central  Google Scholar 

  16. Peragallo, N. P., Fox, P. G., & Alba, M. L. (2000). Acculturation and breast self-examination among immigrant Latina women in the USA. International Nursing Review, 47(1), 38–45.

    Article  CAS  PubMed  Google Scholar 

  17. Savas, L. S., Vernon, S. W., Atkinson, J. S., & Fernandez, M. E. (2014). Effect of acculturation and access to care on colorectal cancer screening in low-income Latinos. Journal of Immigrant and Minority Health,. doi:10.1007/s10903-014-0061-4.

    Google Scholar 

  18. Harmon, M. P., Castro, F. G., & Coe, K. (1996). Acculturation and cervical cancer: Knowledge, beliefs, and behaviors of Hispanic women. Women and Health, 24(3), 37–57.

    Article  CAS  PubMed  Google Scholar 

  19. Afable-Munsuz, A., Liang, S. Y., Ponce, N. A., & Walsh, J. M. (2009). Acculturation and colorectal cancer screening among older Latino adults: Differential associations by national origin. Journal of General Internal Medicine, 24(8), 963–970. doi:10.1007/s11606-009-1022-9.

    Article  PubMed  PubMed Central  Google Scholar 

  20. Parkin, D. M., & Bray, F. (2006). The burden of HPV-related cancers. Vaccine, 24, S11–S25. doi:10.1016/j.vaccine.2006.05.111.

    Article  Google Scholar 

  21. PAHO/WHO. (2013). Cancer in the Americas. Country profiles. Retrieved from: http://bit.ly/1b5chfx.

  22. Jandorf, L., Gutierrez, Y., Lopez, J., Christie, J., & Itzkowitz, S. H. (2005). Use of a patient navigator to increase colorectal cancer screening in an urban neighborhood health clinic. Journal of Urban Health-Bulletin of the New York Academy of Medicine, 82(2), 216–224. doi:10.1093/jurban/jti046.

    PubMed  PubMed Central  Google Scholar 

  23. Marin, G., Sabogal, F., Marin, B. V., Otero-Sabogal, R., et al. (1987). Development of a short acculturation scale for Hispanics. Hispanic Journal of Behavioral Sciences, 9(2), 183–205.

    Article  Google Scholar 

  24. Borrayo, E. A., & Guarnaccia, C. A. (2000). Differences in Mexican-born and U.S.-born women of Mexican descent regarding factors related to breast cancer screening behaviors. Health Care Women International, 21(7), 599–613. doi:10.1080/07399330050151842.

    Article  CAS  Google Scholar 

  25. Elder, J. P., Castro, F. G., de Moor, C., Mayer, J., Candelaria, J. I., Campbell, N., & Ware, L. M. (1991). Differences in cancer-risk-related behaviors in Latino and Anglo adults. Preventive Medicine, 20(6), 751–763.

    Article  CAS  PubMed  Google Scholar 

  26. Johnson-Kozlow, M. (2010). Colorectal cancer screening of Californian adults of Mexican origin as a function of acculturation. Journal of Immigrant and Minority Health, 12(4), 454–461. doi:10.1007/s10903-009-9236-9.

    Article  PubMed  Google Scholar 

  27. Hillyer, G. C., Basch, C. E., Schmitt, K. M., & Neugut, A. I. (2011). Feasibility and efficacy of pairing fecal immunochemical testing with mammography for increasing colorectal cancer screening among uninsured Latinas in northern Manhattan. Preventive Medicine, 53(3), 194–198. doi:10.1016/j.ypmed.2011.06.011.

    Article  PubMed  Google Scholar 

  28. Lara, M., Gamboa, C., Kahramanian, M. I., Morales, L. S., & Bautista, D. E. (2005). Acculturation and Latino health in the United States: A review of the literature and its sociopolitical context. Annual Review of Public Health, 26, 367–397. doi:10.1146/annurev.publhealth.26.021304.144615.

    Article  PubMed  Google Scholar 

Download references

Acknowledgments

This research was supported by the National Cancer Institute Grant NCI R01 CA140737-01A2 Improving CRC Screening for Diverse Hispanics in an Urban Primary Care Setting and the center Grant (P30 CA008748). The contents of this article are solely the responsibility of the authors and do not necessarily represent the views of the awarding agencies.

Author information

Authors and Affiliations

  1. Immigrant Health and Cancer Disparities Service, Department of Psychiatry and Behavioral Sciences, Memorial Sloan Kettering Cancer Center, 485 Lexington Avenue, 2nd Floor, New York, NY, 10017, USA

    Rosario Costas-Muñiz

  2. Department of Psychiatry and Behavioral Sciences, Memorial Sloan Kettering Cancer Center, 641 Lexington Avenue, 7th Floor, New York, NY, 10022, USA

    Elizabeth Schofield & Katherine DuHamel

  3. Department of Oncological Services, Icahn School of Medicine at Mount Sinai, 1425 Madison Ave, Suite 3-70, New York, NY, 10029, USA

    Lina Jandorf, Noah Cohen, Cristina Villagra, Pathu Sriphanlop & Katherine DuHamel

  4. Notre Dame Laboratory for Psycho-Oncology Research, University of Notre Dame, Notre Dame, IN, USA

    Errol Philip

  5. Department of Psychiatry, Weill Cornell Medical College, New York, NY, USA

    Rosario Costas-Muñiz & Katherine DuHamel

Authors
  1. Rosario Costas-Muñiz
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Lina Jandorf
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Errol Philip
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Noah Cohen
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Cristina Villagra
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. Pathu Sriphanlop
    View author publications

    You can also search for this author in PubMed Google Scholar

  7. Elizabeth Schofield
    View author publications

    You can also search for this author in PubMed Google Scholar

  8. Katherine DuHamel
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Rosario Costas-Muñiz.

Ethics declarations

Conflict of interest

The authors declare that they have no conflict of interest.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Costas-Muñiz, R., Jandorf, L., Philip, E. et al. Examining the Impact of Latino Nativity, Migration, and Acculturation Factors on Colonoscopy Screening. J Community Health 41, 903–909 (2016). https://doi.org/10.1007/s10900-016-0168-8

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10900-016-0168-8

Keywords

Search

Navigation