scholarly journals Changes in colorectal cancer knowledge and screening intention among Ohio African American and Appalachian participants: The screen to save initiative

2021 ◽  
Author(s):  
Andrew S. Boutsicaris ◽  
James L. Fisher ◽  
Darrell M. Gray ◽  
Toyin Adeyanju ◽  
Jacquelin S. Holland ◽  
...  
Keyword(s):  
Colorectal Cancer ◽  
African Americans ◽  
Underserved Populations ◽  
Educational Interventions ◽  
Cancer Knowledge ◽  
College Graduate ◽  
Logistic Regression Models ◽  
Incidence And Mortality ◽  
Before And After ◽  
Screening Intention

AbstractAfrican Americans and Appalachians experience greater incidence and mortality rates of colorectal cancer due to factors, such as reduced prevalence of screening. An educational session (the Screen to Save Initiative) was conducted to increase intent to screen for colorectal cancer among African Americans and Appalachians in Ohio. Using a community-based approach, from April to September 2017, 85 eligible participants were recruited in Franklin County and Appalachia Ohio. Participants completed a knowledge assessment on colorectal cancer before and after participating in either an educational PowerPoint session or a guided tour through an Inflatable Colon. Logistic regression models were used to determine what factors were associated with changes in colorectal cancer knowledge and intent to screen for colorectal cancer. The majority (71.79%) of participants gained knowledge about colorectal cancer after the intervention. Multivariate results showed that race (OR = 0.30; 95% CI: 0.11–0.80 for African Americans versus White participants) and intervention type (OR = 5.97; 95% CI: 1.94–18.43 for PowerPoint versus Inflatable Colon) were associated with a change in knowledge. The association between education and intent to screen was marginally statistically significant (OR = 0.42; 95% CI: 0.16–1.13 for college graduate versus not a college graduate). A change in colorectal cancer knowledge was not associated with intent to screen. Future educational interventions should be modified to increase intent to screen and screening for colorectal cancer. Further research with these modified interventions should aim to reduce disparities in CRC among underserved populations while listening to the voices of the communities.

scholarly journals Colorectal cancer disparities and African Americans: is it time to narrow the gap?

2021 ◽  
Vol 9 (40) ◽  
pp. 27-30
Author(s):  
Kenneth Iwuji ◽  
Briget Hyde ◽  
Nkemjika Uke
Keyword(s):  
Colorectal Cancer ◽  
African Americans ◽  
Health Outcomes ◽  
Survival Rates ◽  
Healthcare Providers ◽  
Contributing Factors ◽  
Low Socioeconomic ◽  
Psychosocial Barriers ◽  
Keywords Colorectal Cancer ◽  
Incidence And Mortality

Colorectal cancer is the second most common cause of cancer death in both men and women. Although the overall incidence and mortality rates of colorectal cancer are declining, African Americans have significantly higher rates of colorectal cancer than Caucasians, and they have worse 5-year survival rates. This article reviews some of the contributing factors that lead to this racial disparity in colorectal cancer between these groups. The increase in poor health outcomes among African Americans is due to low socioeconomic standing, poor compliance, psychosocial barriers, and patient mistrust of healthcare providers and the healthcare system. Research on interventions to improve health outcomes is important to reduce the causes of these disparities. Keywords: colorectal cancer; screening; African Americans; Blacks; health disparities; interventions; public health

The effect of aspirin on colorectal cancer incidence in African Americans.

2020 ◽  
Vol 38 (15_suppl) ◽  
pp. 4085-4085
Author(s):  
Oluwadunni Emiloju ◽  
Djeneba Audrey Djibo ◽  
Jean G Ford
Keyword(s):  
Colorectal Cancer ◽  
African Americans ◽  
Secondary Analysis ◽  
Mortality Data ◽  
Atherosclerosis Risk In Communities ◽  
Incidence And Mortality ◽  
Using Data ◽  
Cox Proportional Hazard Regression ◽  
The Relationship

4085 Background: From 2011 to 2016, the incidence and mortality rate of colorectal cancer(CRC) were highest among African Americans(AA), compared to other US racial/ethnic groups. Long-term aspirin use is recommended as a strategy to reduce the risk of CRC. Yet, there is scant information on the chemopreventive effect of aspirin among AA. It is imperative to assess whether the reported chemo-preventive effect also occurs in AA. Our central hypothesis is that aspirin use in AA is associated with a lower incidence of CRC, irrespective of race/ethnicity. Methods: We conducted a secondary analysis, using data from AA participants in the Atherosclerosis Risk in Communities(ARIC) longitudinal study, who did not have CRC at enrollment, from 1987 to 1998. We extracted demographic, clinical and mortality data to compare the incidence of CRC among participants taking aspirin compared to those who were not taking aspirin, stratified by age, tobacco use, and body mass index. All-cause mortality and CRC mortality will also be assessed, and we will use Cox proportional hazard regression to determine the relationship between aspirin use and CRC incidence, and mortality. Results: At baseline in 1987, 15,026 participants enrolled in the ARIC study, 25% of whom were AA, median age 54(range 44-66), including 46.7% who reported using aspirin. We analyzed follow-up data from 10,960 participants in 1996-1998, 20% of whom were AA, and 56.9% of whom were taking aspirin. Non-AA participants were more likely to report using aspirin at baseline and follow-up, compared to AA, 53% vs 30% and 59% vs 50% respectively. After 10years, the total incidence of CRC in AA participants was 1% compared with 1.1% in non-AA(p = 0.7). There was no difference in CRC incidence by aspirin use among all participants, and when stratified by race(among all participants p = 0.81, amongAA p = 0.68, among non-AA p = 0.94). Conclusions: We found no difference in the incidence of CRC among AA compared to Caucasians, by aspirin use. Investigation of consistency and/or dose of aspirin use by race may provide further insights on the relationship between aspirin use and CRC incidence, comparing AA to Caucasians.

Predictors of Colorectal Cancer Knowledge and Screening Among Church-Attending African Americans and Whites in the Deep South

2008 ◽  
Vol 34 (2) ◽  
pp. 90-97 ◽  
Author(s):  
Tung-Sung Tseng ◽  
Cheryl L. Holt ◽  
Michele Shipp ◽  
Mohamad Eloubeidi ◽  
Kristi Britt ◽  
...  
Keyword(s):  
Colorectal Cancer ◽  
African Americans ◽  
Deep South ◽  
Cancer Knowledge

scholarly journals Colorectal cancer knowledge and screening adherence among low-income Hispanic employees

2019 ◽  
Vol 34 (4) ◽  
pp. 400-414
Author(s):  
Judy Y Ou ◽  
Echo L Warner ◽  
Gina E Nam ◽  
Laura Martel ◽  
Sara Carbajal-Salisbury ◽  
...  
Keyword(s):  
Colorectal Cancer ◽  
Low Income ◽  
Educational Interventions ◽  
Manual Labor ◽  
Cancer Knowledge ◽  
Post Intervention ◽  
Chi Square ◽  
Crc Screening ◽  
Hispanic Workers ◽  
Screening Adherence

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.

Colorectal Cancer Knowledge, Perceptions, and Behaviors in African Americans

2004 ◽  
Vol 27 (3) ◽  
pp. 206-215 ◽  
Author(s):  
Pauline M. Green ◽  
Beatrice Adderley Kelly
Keyword(s):  
Colorectal Cancer ◽  
African Americans ◽  
Cancer Knowledge ◽  
And Behaviors

scholarly journals Pacific Islander Organization’s Approach towards Increasing Community Colorectal Cancer Knowledge and Beliefs

2013 ◽  
Vol 11 (2) ◽  
pp. 12-20 ◽  
Author(s):  
Roger Sur ◽  
Ruth Peters ◽  
Leah Leilani Beck ◽  
Melevesi Fifita ◽  
Maria Gonzalez ◽  
...  
Keyword(s):  
Colorectal Cancer ◽  
Knowledge Score ◽  
Female Gender ◽  
Positive Change ◽  
Cancer Knowledge ◽  
Chi Square ◽  
Logistic Regression Models ◽  
Crc Screening ◽  
Knowledge And Beliefs ◽  
Post Test

Purpose: Evaluate the educational intervention and determine if changes in knowledge and beliefs are associated with positive intentions to screen among Pacific Islanders (PIs). Design: Pre- and post-test surveys were utilized to evaluate the intervention. Educational materials included an in-language presentation, educational videos, and bookmarks with screening re-enforcement messages for communitybased PI groups. Methods: One hundred and ninety-six PIs aged 50 years and older residing in Orange County completed the educational workshop. The dependent variable is intention and the independent variables are demographic, enabling, and predisposing characteristics. Statistical analyses included paired samples t-tests, chi-square tests, and two logistic regression models. Results: Knowledge and belief scores increased pre- to post-test. A majority intended to (1) talk to a doctor about colorectal cancer (CRC) screening (74.5%), and (2) participate in CRC screening (73.5%). Positive change in knowledge score was a significant predictor for intending to talk to a doctor about CRC screening; female gender and positive change in knowledge score were significant predictors for intending to participate in screening. Conclusion: The study highlighted the effectiveness of tailored education in addressing cultural and linguistic needs of the community. Moreover, it demonstrated the education’s potential for moving participants with limited CRC screening knowledge to intend to screen.

scholarly journals Disparities in colorectal cancer in African-Americans vs Whites: Before and after diagnosis

2009 ◽  
Vol 15 (30) ◽  
pp. 3734 ◽  
Author(s):  
Anastasios Dimou ◽  
Kostas N Syrigos ◽  
Muhammad Wasif Saif
Keyword(s):  
Colorectal Cancer ◽  
African Americans ◽  
Before And After
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