Colorectal Cancer Knowledge and Screening Adherence among Low-Income Hispanic Employees

Autor/inn/en	Ou, Judy Y.; Warner, Echo L.; Nam, Gina E.; Martel, Laura; Carbajal-Salisbury, Sara; Fuentes, Vicky; Wetter, David W.; Kirchhoff, Anne C.; Kepka, Deanna
Titel	Colorectal Cancer Knowledge and Screening Adherence among Low-Income Hispanic Employees
Quelle	In: Health Education Research, 34 (2019) 4, S.400-414 (15 Seiten)Infoseite zur Zeitschrift PDF als Volltext Verfügbarkeit
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	0268-1153
DOI	10.1093/her/cyz013
Schlagwörter	Screening Tests; Cancer; Health Promotion; Health Behavior; Hispanic Americans; Employees; Knowledge Level; Program Effectiveness; At Risk Persons; Intervention; Predictor Variables; Health Insurance; Socioeconomic Status; Income; Community Health Services; Low Income Groups + Suchen Sie Ihr Suchwort? Screening-Verfahren; Carcinoma; Karzinom; Krebs (med); Krebserkrankung; Gesundheitsfürsorge; Gesundheitshilfe; Reihenuntersuchung; Health behaviour; Gesundheitsverhalten; Hispanic; Hispanoamerikaner; Employee; Arbeitnehmer; Beschäftigter; Wissensbasis; Risikogruppe; Prädiktor; Krankenversicherung; Socio-economic status; Sozioökonomischer Status; Einkommen
Abstract	Hispanics have the lowest colorectal cancer (CRC) screening rates of all racial/ethnic groups and comprise the largest proportion of low-income manual laborers in the nation. We partnered with businesses to implement a community health worker (CHW)-led intervention among Hispanic workers in service-related and manual labor occupations, which often pay low wages and do not provide health insurance. CHWs measured knowledge, screening adherence and perceptions of CRC risk before and after educational interventions via interview. CHWs provided fecal immunochemical tests (FITs) to participants aged =50 years. Chi-square tests and logistic regression identified pre-intervention predictors of CRC knowledge of all participants and adherence among eligible participants. Adherence among participants increased from 40% (n = 307) pre-intervention to 66% post-intervention. Knowledge about CRC was associated with age =50 years (OR = 8.90 [95% CI = 2.61-30.35]; ref = 18-30) and perceived personal risk for CRC (Likely, OR = 3.06 [95% CI = 1.40-6.67]; ref = Not likely). Insurance status was associated with screening adherence pre-intervention (OR = 3.00 [95% CI 1.10-8.12]; ref = No insurance). Improvement in adherence post-intervention was associated with income between $25 000 and =$55 000 (OR = 8.49 [95% CI 1.49-48.32]; ref = $5000-<$10 000). Community-based health programs can improve CRC screening adherence among Hispanic workers in service-related and manual labor positions, but lowest-income workers may need additional support. (As Provided).
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Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2020/1/01