Abstract
Objective To qualitatively evaluate the views of Haitian immigrants on cancer and the influence of cultural and socio-ecological factors on cancer screening behavior. Methods Six focus groups, consisting of 4–10 individuals each, were conducted among Haitian adults at average risk for colorectal cancer. The interviews were conducted in Haitian Creole and featured questions that addressed beliefs and attitudes about general health, access to health care, colon cancer, and screening practices. Results The focus groups provided insight into the health service utilization patterns in the Haitian community, as well as the factors driving them including language and the pattern of accessing healthcare only for emergencies. Conclusions Many misconceptions regarding cancer and its development were evident in the discussions. However participants were willing to follow the recommendations of a physician. This highlighted the importance in this community of disseminating information at every opportunity about preventative care, including colorectal cancer screening.
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References
Jemal A, Murray T, Ward E, et al. Cancer statistics, 2005. CA Cancer J Clin 2005;55:10–30.
Francois F, Park J, Bini EJ. Colon pathology detected after a positive screening flexible sigmoidoscopy: a prospective study in an ethnically diverse cohort. Am J Gastroenterol 2006;101:823–30.
CDC. Colorectal cancer: The importance of prevention and early detection. Web 2004/2005 fact Sheet; 2005.
Vlahov D, Ahern J, Vazquez T, et al. Racial/ethnic differences in screening for colon cancer: report from the New York Cancer Project. Ethn Dis 2005;15:76–83.
Thorpe LE, Mostashari F, Hajat A, et al. Colon cancer screening practices in New York City, 2003: results of a large random-digit dialed telephone survey. Cancer 2005;104:1075–82.
James AS, Campbell MK, Hudson MA. Perceived barriers and benefits to colon cancer screening among African Americans in North Carolina: how does perception relate to screening behavior? Cancer Epidemiol Biomarkers Prev 2002;11:529–34.
Wee CC, McCarthy EP, Phillips RS. Factors associated with colon cancer screening: the role of patient factors and physician counseling. Prev Med 2005;41:23–9.
Busch S. Elderly African American women’s knowledge and belief about colorectal cancer. Abnf J 2003;14:99–103.
CIA. The World Factbook; 2006.
Farmer P. Political violence and public health in Haiti. N Engl J Med 2004;350:1483–6.
Mitacek EJ, St Vallieres D, Polednak AP. Cancer in Haiti 1979–84: distribution of various forms of cancer according to geographical area and sex. Int J Cancer 1986;38:9–16.
US Census Bureau, Census 2000; 2000.
Immigration and Naturalization Service Statistical Yearbook; 2003.
USA N. Haitian Refugee Immigration Fairness Act Amnesty; 2006.
Bureau UC. Census 2000; 2000.
Gany FM, Herrera AP, Avallone M, et al. Attitudes, knowledge, and health-seeking behaviors of five immigrant minority communities in the prevention and screening of cancer: a focus group approach. Ethn Health 2006;11:19–39.
Saint-Jean G, Crandall LA. Sources and barriers to health care coverage for Haitian immigrants in Miami-Dade county, Florida. J Health Care Poor Underserved 2005;16:29–41.
Krueger R. Focus groups: a practical guide for applied research. Newbury Park, CA: Sage;1994.
Camarota S. Immigrants at mid-decade. Center for Immigration Studies 2005.
Increased use of colorectal cancer tests–United States, 2002 and 2004. MMWR Morb Mortal Wkly Rep 2006;55:308–11.
Seeff LC, Manninen DL, Dong FB, et al. Is there endoscopic capacity to provide colorectal cancer screening to the unscreened population in the United States? Gastroenterology 2004;127:1661–9.
Lin JS, Finlay A, Tu A, et al. Understanding immigrant Chinese Americans’ participation in cancer screening and clinical trials. J Community Health 2005;30:451–66.
Acknowledgements
This work was funded by the Special Populations Network of the National Cancer Institute Grant # UA CA 86286-01. We thank the Flatbush Haitian Center, and Radio Tropicale for their support of this project.
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Francois, F., Elysée, G., Shah, S. et al. Colon Cancer Knowledge and Attitudes in an Immigrant Haitian Community. J Immigrant Minority Health 11, 319–325 (2009). https://doi.org/10.1007/s10903-008-9126-6
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DOI: https://doi.org/10.1007/s10903-008-9126-6