Cancer-related knowledge, beliefs, and behaviors among Hispanic/Latino residents of Indiana.


Journal

Cancer medicine
ISSN: 2045-7634
Titre abrégé: Cancer Med
Pays: United States
ID NLM: 101595310

Informations de publication

Date de publication:
03 2023
Historique:
revised: 28 09 2022
received: 01 04 2022
accepted: 11 11 2022
medline: 5 4 2023
pubmed: 23 1 2023
entrez: 22 1 2023
Statut: ppublish

Résumé

Cancer is the leading cause of death for Hispanics in the USA. Screening and prevention reduce cancer morbidity and mortality. This study administered a cross-sectional web-based survey to self-identified Hispanic residents in the state of Indiana to assess their cancer-related knowledge, beliefs, and behaviors, as well as to identify what factors might be associated with cancer screening and prevention. Chi-square and Fisher's exact test were used to compare associations and logistic regression used to develop both univariate and multivariate regression models. A total of 1520 surveys were completed, median age of respondents was 53, 52% identified as men, 50.9% completed the survey in Spanish, and 60.4% identified the USA as their country of birth. Most were not able to accurately identify ages to begin screening for breast, colorectal, or lung cancer, and there were significant differences in cancer knowledge by education level. US-born individuals with higher income and education more often believed they were likely to develop cancer and worry about getting cancer. Sixty eight percent of respondents were up-to-date with colorectal, 44% with breast, and 61% with cervical cancer screening. Multivariate models showed that higher education, lack of fatalism, older age, lower household income, and unmarried status were associated with cervical cancer screening adherence. Among a Hispanic population in the state of Indiana, factors associated with cervical cancer screening adherence were similar to the general population, with the exceptions of income and marital status. Younger Hispanic individuals were more likely to be adherent with breast and colorectal cancer screening, and given the higher incidence of cancer among older individuals, these results should guide future research and targeted outreach.

Sections du résumé

BACKGROUND
Cancer is the leading cause of death for Hispanics in the USA. Screening and prevention reduce cancer morbidity and mortality.
METHODS
This study administered a cross-sectional web-based survey to self-identified Hispanic residents in the state of Indiana to assess their cancer-related knowledge, beliefs, and behaviors, as well as to identify what factors might be associated with cancer screening and prevention. Chi-square and Fisher's exact test were used to compare associations and logistic regression used to develop both univariate and multivariate regression models.
RESULTS
A total of 1520 surveys were completed, median age of respondents was 53, 52% identified as men, 50.9% completed the survey in Spanish, and 60.4% identified the USA as their country of birth. Most were not able to accurately identify ages to begin screening for breast, colorectal, or lung cancer, and there were significant differences in cancer knowledge by education level. US-born individuals with higher income and education more often believed they were likely to develop cancer and worry about getting cancer. Sixty eight percent of respondents were up-to-date with colorectal, 44% with breast, and 61% with cervical cancer screening. Multivariate models showed that higher education, lack of fatalism, older age, lower household income, and unmarried status were associated with cervical cancer screening adherence.
CONCLUSIONS
Among a Hispanic population in the state of Indiana, factors associated with cervical cancer screening adherence were similar to the general population, with the exceptions of income and marital status. Younger Hispanic individuals were more likely to be adherent with breast and colorectal cancer screening, and given the higher incidence of cancer among older individuals, these results should guide future research and targeted outreach.

Identifiants

pubmed: 36683200
doi: 10.1002/cam4.5466
pmc: PMC10067073
doi:

Types de publication

Journal Article Research Support, Non-U.S. Gov't Research Support, N.I.H., Extramural

Langues

eng

Sous-ensembles de citation

IM

Pagination

7470-7484

Subventions

Organisme : NIGMS NIH HHS
ID : P20 GM121176
Pays : United States

Informations de copyright

© 2023 The Authors. Cancer Medicine published by John Wiley & Sons Ltd.

Références

Miller KD, Goding Sauer A, Ortiz AP, et al. Cancer statistics for Hispanics/Latinos, 2018. CA Cancer J Clin. 2018;68(6):425-445.
Health, I.S.D.o. Indiana Cancer Facts & Figures 2018. 2018. Accessed June 06, 2021. https://www.in.gov/health/files/Indiana-Cancer-Facts-and-Figures-2018.pdf
Bailey ZD, Krieger N, Agénor M, Graves J, Linos N, Bassett MT. Structural racism and health inequities in the USA: evidence and interventions. Lancet. 2017;389(10077):1453-1463.
Bandera EV, Alfano CM, Qin B, Kang DW, Friel CP, Dieli-Conwright CM. Harnessing nutrition and physical activity for breast cancer prevention and control to reduce racial/ethnic cancer health disparities. Am Soc Clin Oncol Educ Book. 2021;41:1-17.
Pomenti S, Gandle C, Abu Sbeih H, et al. Hepatocellular carcinoma in Hispanic patients: trends and outcomes in a large United States cohort. Hepatol Commun. 2020;4(11):1708-1716.
Control, C.f.D. Adult Obesity Prevalence Maps. 2020. https://www.cdc.gov/obesity/data/prevalence-maps.html.
Nelson HD, Fu R, Cantor A, Pappas M, Daeges M, Humphrey L. Effectiveness of breast cancer screening: systematic review and meta-analysis to update the 2009 U.S. preventive services task force recommendation. Ann Intern Med. 2016;164(4):244-255.
Peirson L, Fitzpatrick-Lewis D, Ciliska D, Warren R. Screening for cervical cancer: a systematic review and meta-analysis. Syst Rev. 2013;2:35.
Yang DX, Gross CP, Soulos PR, Yu JB. Estimating the magnitude of colorectal cancers prevented during the era of screening: 1976 to 2009. Cancer. 2014;120(18):2893-2901.
Benavidez GA, Zgodic A, Zahnd WE, Eberth JM. Disparities in meeting USPSTF breast, cervical, and colorectal cancer screening guidelines among women in the United States. Prev Chronic Dis. 2021;18:E37.
Institutes, N.C. State Cancer Profiles. 2018. https://statecancerprofiles.cancer.gov/
Richardson LC, King JB, Thomas CC, Richards TB, Dowling NF, King SC. Adults who have never been screened for colorectal cancer, behavioral risk factor surveillance system, 2012 and 2020. Prev Chronic Dis. 2022;19:E21.
Institute, N.C. Breast Cancer Screening. 2022. https://progressreport.cancer.gov/detection/breast_cancer#field_healthy_people_2020_target
Institute, N.C. Cervical Cancer Screening. 2022. https://progressreport.cancer.gov/detection/cervical_cancer
Rawl SM, Dickinson S, Lee JL, et al. Racial and socioeconomic disparities in cancer-related knowledge, beliefs, and behaviors in Indiana. Cancer Epidemiol Biomarkers Prev. 2019;28(3):462-470.
Haggstrom DA, Lee JL, Dickinson SL, et al. Rural and urban differences in the adoption of new health information and medical technologies. J Rural Health. 2019;35(2):144-154.
Census, U.S. 2019. https://data.census.gov/cedsci/
Lee JL, Rawl SM, Dickinson S, et al. Communication about health information technology use between patients and providers. J Gen Intern Med. 2020;35(9):2614-2620.
Gage-Bouchard EA, Rawl SM. Standardizing measurement of social and behavioral dimensions of cancer prevention and control to enhance outreach and engagement in NCI-designated cancer centers. Cancer Epidemiol Biomarkers Prev. 2019;28(3):431-434.
Moreno PI, Yanez B, Schuetz SJ, et al. Cancer fatalism and adherence to national cancer screening guidelines: results from the Hispanic community health study/study of Latinos (HCHS/SOL). Cancer Epidemiol. 2019;60:39-45.
Willis G. Cognitive interviewing as a tool for improving the informed consent process. J Empir Res Hum Res Ethics. 2006;1(1):9-23.
Carter-Harris L. Facebook targeted advertisement for research recruitment: a primer for nurse researchers. Appl Nurs Res. 2016;32:144-147.
Curry SJ, Krist AH, Owens DK, et al. Screening for cervical cancer. JAMA. 2018;320(7):674-686.
Siu AL. Screening for breast cancer: U.S. preventive services task force recommendation statement. Ann Intern Med. 2016;164(4):279.
US Preventive Services Task Force. Screening for colorectal cancer: US preventive services task force recommendation statement. JAMA. 2016;315(23):2564-2575.
Fox J, Friendly M, Weisberg S. Hypothesis tests for multivariate linear models using the car package. R Journal. 2013;5:39-52.
Mullings L, Schulz AJ. Intersectionality and health: an introduction. Gender, Race, Class, & Health: Intersectional Approaches. Jossey-Bass/Wiley; 2006:3-17.
Shariff-Marco S, Yang J, John EM, et al. Intersection of race/ethnicity and socioeconomic status in mortality after breast cancer. J Community Health. 2015;40(6):1287-1299.
U, P. Indiana Population 2020/2021. 2021 [cited 2021 November 22, 2021]. https://www.populationu.com/us/indiana-population
FLORES, L.N.-B.A.A. Facts on Latinos in the U.S. Pew Research Center's Hispanic Trends Project. 2019 [cited 2021 November 22, 2021]. https://www.pewresearch.org/hispanic/fact-sheet/latinos-in-the-u-s-fact-sheet/
Javed Z, Maqsood MH, Amin Z, Nasir K. Race and ethnicity and cardiometabolic risk profile: disparities across income and health Insurance in a National Sample of US adults. J Public Health Manag Pract. 2022;28(Suppl 1):S91-s100.
Deere BP, Ferdinand KC. Hypertension and race/ethnicity. Curr Opin Cardiol. 2020;35(4):342-350.
Aguayo-Mazzucato C, Diaque P, Hernandez S, Rosas S, Kostic A, Caballero AE. Understanding the growing epidemic of type 2 diabetes in the Hispanic population living in the United States. Diabetes Metab Res Rev. 2019;35(2):e3097.
Scaglione S, Kliethermes S, Cao G, et al. The epidemiology of cirrhosis in the United States: a population-based study. J Clin Gastroenterol. 2015;49(8):690-696.
Benabe JE, Rios EV. Kidney disease in the Hispanic population: facing the growing challenge. J Natl Med Assoc. 2004;96(6):789-798.
Zamora SM, Pinheiro PS, Gomez SL, et al. Disaggregating Hispanic American cancer mortality burden by detailed ethnicity. Cancer Epidemiol Biomarkers Prev. 2019;28(8):1353-1363.
Christy SM, Cousin LA, Sutton SK, et al. Characterizing health literacy among Spanish language-preferring Latinos ages 50-75. Nurs Res. 2021;70(5):344-353.
Tan KK, Lopez V, Wong ML, Koh GC. Uncovering the barriers to undergoing screening among first degree relatives of colorectal cancer patients: a review of qualitative literature. J Gastrointest Oncol. 2018;9(3):579-588.
Davidson KW, Barry MJ, Mangione CM, et al. Screening for colorectal cancer: US preventive services task force recommendation statement. JAMA. 2021;325(19):1965-1977.
Davidson KW, Barry MJ, Mangione CM, et al. Screening for colorectal cancer. JAMA. 2021;325(19):1965-1977.
Shaukat A, Kahi CJ, Burke CA, Rabeneck L, Sauer BG, Rex DK. ACG clinical guidelines: colorectal cancer screening 2021. Am J Gastroenterol. 2021;116(3):458-479.
Makoul G, Cameron KA, Baker DW, Francis L, Scholtens D, Wolf MS. A multimedia patient education program on colorectal cancer screening increases knowledge and willingness to consider screening among Hispanic/Latino patients. Patient Educ Couns. 2009;76(2):220-226.
Santamaría-Ulloa C, Quirós-Rojas I, Montero-López M, Quesada-Leitón H. Women's participation in pap smear screening in a developing country: evidence for improving health systems. Front Oncol. 2021;11:642841.
Dominic OG, Chinchilli V, Wasserman E, et al. Impact of social support on colorectal cancer screening among adult Hispanics/Latinos: a randomized community-based study in Central Pennsylvania. Cancer Prev Res (Phila). 2020;13(6):531-542.
Kelly TA, Kim S, Jemmott LS, Jemmott JB. Predictors of colorectal cancer screening among African American men living with HIV. J Community Health. 2021;46(6):1099-1106.
Gorina Y, Elgaddal N. Patterns of mammography, pap smear, and colorectal cancer screening services among women aged 45 and over. Natl Health Stat Rep. 2021;157:1-18.
Satoh M, Sato N. Relationship of attitudes toward uncertainty and preventive health behaviors with breast cancer screening participation. BMC Womens Health. 2021;21(1):171.
Núñez ER, Caverly TJ, Zhang S, et al. Adherence to follow-up testing recommendations in US veterans screened for lung cancer, 2015-2019. JAMA Netw Open. 2021;4(7):e2116233.
López EB, Yamashita T. Acculturation, income and vegetable consumption behaviors among Latino adults in the U.S.: a mediation analysis with the bootstrapping technique. J Immigr Minor Health. 2017;19(1):155-161.
Buscemi CP, Williams C, Tappen RM, Blais K. Acculturation and health status among Hispanic American elders. J Transcult Nurs. 2012;23(3):229-236.
Liyanage-Don NA, Cornelius T, Romero EK, Alcántara C, Kronish IM. Association of Hispanic ethnicity and linguistic acculturation with cardiovascular medication adherence in patients with suspected acute coronary syndrome. Prev Med Rep. 2021;23:101455.
Abraído-Lanza AF, Chao MT, Gates CY. Acculturation and cancer screening among Latinas: results from the National Health Interview Survey. Ann Behav Med. 2005;29(1):22-28.
Shete S, Deng Y, Shannon J, et al. Differences in breast and colorectal cancer screening adherence among women residing in urban and rural communities in the United States. JAMA Netw Open. 2021;4(10):e2128000.
Doescher MP, Jackson JE. Trends in cervical and breast cancer screening practices among women in rural and urban areas of the United States. J Public Health Manag Pract. 2009;15(3):200-209.
Mackillop WJ, Zhang-Salomons J, Boyd CJ, Groome PA. Associations between community income and cancer incidence in Canada and the United States. Cancer. 2000;89(4):901-912.
Clegg LX, Reichman ME, Miller BA, et al. Impact of socioeconomic status on cancer incidence and stage at diagnosis: selected findings from the surveillance, epidemiology, and end results: National Longitudinal Mortality Study. Cancer Causes Control. 2009;20(4):417-435.
Chalian H, Khoshpouri P, Assari S. Demographic, Social, and Behavioral Determinants of Lung Cancer Perceived Risk and Worries in a National Sample of American Adults Does Lung Cancer Risk Matter? Medicina (Kaunas). 2018;54(6):97.
Peretti-Watel P, Seror V, Verger P, Guignard R, Legleye S, Beck F. Smokers' risk perception, socioeconomic status and source of information on cancer. Addict Behav. 2014;39(9):1304-1310.
Haggstrom DA, Schapira MM. Black-white differences in risk perceptions of breast cancer survival and screening mammography benefit. J Gen Intern Med. 2006;21(4):371-377.
Haas JS, Kaplan CP, Des Jarlais G, Gildengoin V, Pérez-Stable EJ, Kerlikowske K. Perceived risk of breast cancer among women at average and increased risk. J Womens Health (Larchmt). 2005;14(9):845-851.
Brodersen J, Siersma V, Ryle M. Breast cancer screening: “reassuring” the worried well? Scand J Public Health. 2011;39(3):326-332.
Kobayashi LC, Smith SG. Cancer fatalism, literacy, and cancer information seeking in the American public. Health Educ Behav. 2016;43(4):461-470.
Keller KG, Toriola AT, Schneider JK. The relationship between cancer fatalism and education. Cancer Causes Control. 2021;32(2):109-118.
Hendryx M, Luo J. Increased cancer screening for low-income adults under the affordable care act Medicaid expansion. Med Care. 2018;56(11):944-949.
Walsh B, O'Neill C. Socioeconomic disparities across ethnicities: an application to cervical cancer screening. Am J Manag Care. 2015;21(9):e527-e536.

Auteurs

Manuel R Espinoza-Gutarra (MR)

Division of Hematology and Oncology, Department of Medicine, University of Alabama at Birmingham, Birmingham, Alabama, USA.

Susan M Rawl (SM)

Indiana University Melvin and Bren Simon Comprehensive Cancer Center, Indianapolis, Indiana, USA.
Indiana University School of Nursing, Indianapolis, Indiana, USA.

Gerardo Maupome (G)

Indiana University Purdue University Indianapolis, Richard M. Fairbanks School of Public Health, Indianapolis, Indiana, USA.

Heather A O'Leary (HA)

Northeast Ohio Medical University, Rootstown, Ohio, USA.

Robin E Valenzuela (RE)

Indiana University Purdue University Fort Wayne, Fort Wayne, Indiana, USA.

Caeli Malloy (C)

Indiana University School of Nursing, Indianapolis, Indiana, USA.

Lilian Golzarri-Arroyo (L)

School of Public Health, Indiana University Bloomington, Bloomington, Indiana, USA.

Erik Parker (E)

School of Public Health, Indiana University Bloomington, Bloomington, Indiana, USA.

Laura Haunert (L)

Indiana University School of Nursing, Indianapolis, Indiana, USA.
Indiana University School of Medicine, Indianapolis, Indiana, USA.

David A Haggstrom (DA)

Center for Health Services Research, Regenstrief Institute, Indianapolis, Indiana, USA.
VA HSR&D Center for Health Information and Communication, Richard L. Roudebush Veterans Affairs Medical Center, Indianapolis, Indiana, USA.
Division of General Internal Medicine and Geriatrics, Indiana University School of Medicine, Indianapolis, Indiana, USA.

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