Colorectal cancer screening uptake among US Latino subgroups

2019 ◽  
Vol 15 (4) ◽  
pp. 285-293
Author(s):  
Benjamin W. Barrett ◽  
T. Elizabeth Durden
Keyword(s):  
Colorectal Cancer ◽  
Healthcare Access ◽  
Migrant Health ◽  
Minority Population ◽  
Holistic View ◽  
Content Type ◽  
Logistic Regression Models ◽  
Individual Level ◽  
Crc Screening ◽  
The Usa

Purpose The purpose of this paper is to study the colorectal cancer (CRC) screening practices of Latinos in the USA, a traditionally disadvantaged group regarding health, while operating within the theoretical lens of segmented acculturation. Differential acculturation experiences influence migrant health and healthcare access, including CRC screening. Design/methodology/approach Latinos are categorized into subgroups and are referenced against non-Latino whites and non-Latino blacks. Descriptive statistics and binomial logistic regression models are used to analyze the data from the 2008 and 2010–2014 National Health Interview Survey. Findings Latinos and respondents born outside of the non-territorial USA exhibit disparities in CRC screening participation. Screening discrepancies are not uniform across Latino subgroups, reflecting the importance of a segmented acculturation theoretical lens. Practical implications A discrepancy exists in CRC screening utilization among the largest minority population in the USA. These inconsistencies among US Latinos must be addressed directly to avoid serious health consequences in a large and growing population. Originality/value Interventions should be tailored to address the unique situational contexts of Latino subgroups suffering the health disparities. These distinct contexts are only elucidated through the use of a theoretical lens of segmented acculturation in studies of Latino health, which explicitly considers the historical and contemporary social forces acting upon the subgroups. This study extends beyond individual-level exposures to provide a more holistic view of the health behaviors and outcomes among Latino subgroups in the USA. Insight gained from this study is invaluable to improving the health of these traditionally disadvantaged groups.

Colorectal cancer screening in a rural US population

2017 ◽  
Vol 22 (4) ◽  
pp. 283-291 ◽  
Author(s):  
Pamela Schlauderaff ◽  
Tracy Baldino ◽  
K.C. Graham ◽  
Katie Hackney ◽  
Rebecca Hendryx ◽  
...  
Keyword(s):  
Colorectal Cancer ◽  
Clinic Visit ◽  
Health Clinic ◽  
Dramatic Improvement ◽  
Content Type ◽  
Crc Screening ◽  
Standard Work ◽  
The Usa ◽  
Immunochemical Test ◽  
Colorectal Screening

Purpose Colorectal cancer (CRC) screening saves patient suffering and health system expenses if the pathology is found in its early stages. Utilizing rapid process improvement cycles, the purpose of this paper is to improve the rate of CRC screening in a rural community in the USA. Design/methodology/approach Data were gathered from the authors’ electronic medical record. Non provider staff were trained to do the majority of the work utilizing population health, clinic visit checklists, and standard work. The two tests used were colonoscopy and fecal immunochemical test testing. Findings Dramatic improvement in the rates of colorectal screening were achieved. The base rate of documented CRC screening was 22 percent, with the rate two years later being 62.7 percent. Originality/value This work is of interest to those working in primary care, gastroenterology, general surgery, or if interested in designing standard work.

scholarly journals Effect of Neighborhood and Individual-Level Socioeconomic Factors on Colorectal Cancer Screening Adherence

2021 ◽  
Vol 18 (9) ◽  
pp. 4398
Author(s):  
Kiara N. Mayhand ◽  
Elizabeth A. Handorf ◽  
Angel G. Ortiz ◽  
Evelyn T. Gonzalez ◽  
Amie Devlin ◽  
...  
Keyword(s):  
Colorectal Cancer ◽  
Study Participant ◽  
Socioeconomic Indicators ◽  
Cross Sectional ◽  
Mixed Effect ◽  
Total Study Population ◽  
Screening Guidelines ◽  
Individual Level ◽  
Crc Screening ◽  
Screening Adherence

Despite the effectiveness of screenings in reducing colorectal cancer (CRC) mortality, ~25% of US adults do not adhere to screening guidelines. Prior studies associate socioeconomic status (SES) with low screening adherence and suggest that neighborhood deprivation can influence CRC outcomes. We comprehensively investigated the effect of neighborhood SES circumstances (nSES), individual SES, and race/ethnicity on adherence to CRC screening in a multiethnic cross-sectional study. Participant surveys assessing 32 individual-level socioeconomic and healthcare access measures were administered from 2017 to 2018. Participant data were joined with nine nSES measures from the US Census at the census tract level. Univariate, LASSO, and multivariable mixed-effect logistic regression models were used for variable reduction and evaluation of associations. The total study population included 526 participants aged 50–85; 29% of participants were non-adherent. In the final multivariable model, age (p = 0.02) and Non-Hispanic Black race (p = 0.02) were associated with higher odds of adherence. Factors associated with lower adherence were home rental (vs. ownership) (p = 0.003), perception of low healthcare quality (p = 0.006), no routine checkup within two years (p = 0.002), perceived discrimination (p = 0.02), and nSES deprivation (p = 0.02). After comprehensive variable methods were applied, socioeconomic indicators at the neighborhood and individual level were found to contribute to low CRC screening adherence.

Preferences of Iranian average risk population for colorectal cancer screening tests

2019 ◽  
Vol 32 (4) ◽  
pp. 677-687
Author(s):  
Vajiheh Ramezani_Doroh ◽  
Alireza Delavari ◽  
Mehdi Yaseri ◽  
Sara Emamgholipour Sefiddashti ◽  
Ali Akbarisari
Keyword(s):  
Colorectal Cancer ◽  
Health Status ◽  
Discrete Choice ◽  
Choice Model ◽  
Screening Tests ◽  
Average Risk ◽  
Risk Population ◽  
Content Type ◽  
Crc Screening ◽  
Complication Risk

Purpose The purpose of this paper is to explore the preferences of the average risk Iranian population for colorectal cancer (CRC) screening tests. Design/methodology/approach A standard stated-preferences method with discrete choice models was used to identify the preferences. Data about socio-demographic status, health status and preferences for CRC screening tests were collected by a structured questionnaire that was completed by 500 people aged 50–75 years. Mixed logit model was used to analyze the preferences. Findings The regression model showed that the test process, pain, place, frequency, preparation, sensitivity, complication risk, mortality rate and cost were the final attributes; that had a statistically significant correlation with the preferences of the people in choosing CRC screening tests. The socio-demographic and health status of participants had no significant correlation with the individuals’ preferences. Practical implications This study provides insight into how different characteristics of a CRC screening test might influence the preferences of individuals about that test. Originality/value This was the first study of this type in Iran to elicit the preferences of the average risk population for CRC screening tests using a discrete choice model.

Talent development: a systematic literature review of empirical studies

2018 ◽  
Vol 42 (1/2) ◽  
pp. 75-90 ◽  
Author(s):  
Fatemeh Rezaei ◽  
Michael Beyerlein
Keyword(s):  
Literature Review ◽  
Organizational Development ◽  
Systematic Literature Review ◽  
Empirical Studies ◽  
Talent Development ◽  
Content Type ◽  
Individual Level ◽  
Development Interventions ◽  
The Usa ◽  
The Individual

Purpose The purpose of this study is to identify and examine findings from empirical research regarding organizations’ talent development (TD) strategies, taking into consideration the countries in which the studies were conducted and the TD-approach organizations adopted, and recognize the positive outcomes of TD implementation, as well as potential issues and challenges. Design/methodology/approach This systematic literature review used Garrard’s matrix method to organize the review of publications. It identified 31 empirical articles from the total of 551 publications. Findings The findings indicate that a majority of the studies were conducted in countries other than the USA and that they were all published recently, after 2007. The results show that organizations have mostly applied organizational development interventions at the individual level for developing talented employees, followed by formal training and development. Additionally, managerial issues were identified as the most common issue on the way of implementing TD interventions. Research limitations/implications Trying to define TD as a discrete concept from HRD could be considered as both differentiating the current literature review and a limitation. Originality/value This article is among the first to identify TD interventions through a systematic literature review and provides a model of TD’s intervention antecedents and outcomes for the follow-up empirical works.

scholarly journals Society of Behavioral Medicine Update: retain support for the National Colorectal Cancer Roundtable’s call to action to reach 80% colorectal cancer screening

2020 ◽  
Author(s):  
Lisa Tussing-Humphreys ◽  
Joanna Buscemi ◽  
Jacqueline M Kanoon ◽  
Elizabeth A Watts ◽  
Karriem Watson ◽  
...  
Keyword(s):  
Colorectal Cancer ◽  
Behavioral Medicine ◽  
Health Care Systems ◽  
Call To Action ◽  
Crc Screening ◽  
Screening Uptake ◽  
Legislative Action ◽  
The Third ◽  
Care Systems ◽  
The Usa

Abstract Colorectal cancer (CRC) remains the third most commonly diagnosed cancer and the third leading cause of cancer-related death in the USA. CRC can be prevented through regular screening and removal of precancerous polyps. However, roughly one third of eligible adults in the USA are not up to date with recommended CRC screening. To increase timely CRC screening uptake in the USA, in 2014, the National Colorectal Cancer Roundtable (NCCRT) launched 80% by 2018. This multilevel effort involved more than 1,500 pledged organizations targeting patients, providers, health care systems, and policymakers to increase U.S. CRC screening rates to 80% by 2018. Concurrent with this campaign, between 2012 and 2018, CRC screening rates increased nationwide by 3.6% from 65.2% to 68.8%, meaning that about 9.3 million more U.S. adults are being screened. NCCRT attributes these successes to widespread implementation of center- and system-wide evidence-based interventions to increase screening uptake, including direct patient communication, provider reminders via electronic health records, and patient navigation, among others. Moving beyond 2018, NCCRT has rebranded the initiative as the 80% Pledge and has since identified several targeted campaigns, including increased outreach to Hispanics, Latinos, and Asians, whose CRC screening uptake remains less than 50%; encouragement of Medicaid outreach activities around CRC screening in all 50 states; and advocacy for screening right at 50 years of age. Society of Behavioral Medicine continues to support NCCRT and encourages policymakers to do the same by taking legislative action to assure funding for Medicaid outreach, research innovations, and clinical quality improvement that supports the 80% Pledge.

scholarly journals The ShaRInK framework: a holistic perspective on key categories of influences shaping individual perceptions of knowledge sharing

2015 ◽  
Vol 19 (4) ◽  
pp. 770-790 ◽  
Author(s):  
Alexander Schauer ◽  
Ana Cristina Vasconcelos ◽  
Barbara Sen
Keyword(s):  
Knowledge Sharing ◽  
Design Methodology ◽  
Content Type ◽  
Individual Level ◽  
Individual Perceptions ◽  
Information Technology Services ◽  
Technology Services ◽  
The Usa ◽  
The Uk

Purpose – This paper aims to present a holistic framework, termed ShaRInK (Sharer, Relations, Institution, Knowledge), that depicts key categories of influences that shape individual perceptions of knowledge sharing within an organisational setting. Design/methodology/approach – An exploratory and qualitative case study strategy in which empirical data were gathered from 24 interviewees that were based in four different branches (i.e. China, The Netherlands, the UK and the USA) of a single information technology services organisation. Findings – The findings led to a holistic framework that depicts four key categories of influences that shape knowledge sharing from an individual perspective: attitudes and characteristics of the sharers, relations between the sharers, institutions which act as a united entity on sharer perceptions and knowledge itself. Furthermore, the four key influences not only shape knowledge sharing independently but are intertwined and have a synergistic effect. The ShaRInK framework is formed by combining these. Originality/value – The findings indicate that knowledge sharing from an individual-level perspective is a more complex phenomenon than currently portrayed in the literature. All four key influences, each being fundamentally different in nature, and their relationships should be taken into account. Equally, the ShaRInK framework can be applied by organisations when developing a knowledge-sharing strategy or auditing existing strategies.

scholarly journals Colorectal cancer screening behaviors among South Asian immigrants in Canada: a qualitative study

2015 ◽  
Vol 11 (2) ◽  
pp. 130-146 ◽  
Author(s):  
Joanne Crawford ◽  
Farah Ahmad ◽  
Dorcas E. Beaton ◽  
Arlene S. Bierman
Keyword(s):  
Colorectal Cancer ◽  
Focus Groups ◽  
South Asian ◽  
Cultural Context ◽  
Future Research ◽  
Average Risk ◽  
Collaborative Partnerships ◽  
Structural Barriers ◽  
Content Type ◽  
Crc Screening

Purpose – The purpose of this paper is to gain an in-depth understanding of beliefs, attitudes, and reasons for decision making about colorectal cancer (CRC) screening among South Asian (SA) immigrants. Design/methodology/approach – Six focus groups conducted in English, Punjabi, and Urdu were held with 42 SA immigrants, 50-74 years old and at average risk for CRC, from November 2012 to May 2013. All focus group discussions were audio-taped and transcribed verbatim. Data analysis used an inductive and systematic approach employing constant comparison techniques. Findings – Three dominant themes emerged. Beliefs and attitudes towards cancer and screening represented SA immigrant’s perceptions that early detection was beneficial; screening was not necessary in the absence of symptoms; cancer was scary; and the loss of previously established bowel practices upon immigration as potential risks for CRC. Knowledge and awareness focused on unscreened participants’ cancer stories; screened participants’ knowledge of CRC, risk factors, and screening; experiential learning from focus groups; and screened participants’ strategies to promote screening. Support and accessibility concentrated on physician support and responsibility to provide information, explanation, and recommend screening to facilitate access. Originality/value – Findings provide novel insights on socio-cultural context, beliefs, and barriers to CRC screening among SA immigrants. Culturally appropriate community-based strategies included story-telling, the use of social networks, and greater physician engagement. Enhancing collaborative partnerships with physicians and public health may minimize structural barriers and reduce health disparities. Future research could explore effectiveness of outreach strategies including these collaborations.

scholarly journals The impact of information about different absolute benefits and harms on intention to participate in colorectal cancer screening: A think-aloud study and online randomised experiment

PLoS ONE ◽  
2021 ◽  
Vol 16 (2) ◽  
pp. e0246991
Author(s):  
Juliet A. Usher-Smith ◽  
Katie M. Mills ◽  
Christiane Riedinger ◽  
Catherine L. Saunders ◽  
Lise M. Helsingen ◽  
...  
Keyword(s):  
Colorectal Cancer ◽  
Screening Tests ◽  
Baseline Risk ◽  
Prior History ◽  
Think Aloud ◽  
Individual Level ◽  
Risk Levels ◽  
Crc Screening ◽  
History Of ◽  
The Impact

Background There is considerable heterogeneity in individuals’ risk of disease and thus the absolute benefits and harms of population-wide screening programmes. Using colorectal cancer (CRC) screening as an exemplar, we explored how people make decisions about screening when presented with information about absolute benefits and harms, and how those preferences vary with baseline risk, between screening tests and between individuals. Method We conducted two linked studies with members of the public: a think-aloud study exploring decision making in-depth and an online randomised experiment quantifying preferences. In both, participants completed a web-based survey including information about three screening tests (colonoscopy, sigmoidoscopy, and faecal immunochemical testing) and then up to nine scenarios comparing screening to no screening for three levels of baseline risk (1%, 3% and 5% over 15 years) and the three screening tests. Participants reported, after each scenario, whether they would opt for screening (yes/no). Results Of the 20 participants in the think-aloud study 13 did not consider absolute benefits or harms when making decisions concerning CRC screening. In the online experiment (n = 978), 60% expressed intention to attend at 1% risk of CRC, 70% at 3% and 77% at 5%, with no differences between screening tests. At an individual level, 535 (54.7%) would attend at all three risk levels and 178 (18.2%) at none. The 27% whose intention varied by baseline risk were more likely to be younger, without a family history of CRC, and without a prior history of screening. Conclusions Most people in our population were not influenced by the range of absolute benefits and harms associated with CRC screening presented. For an appreciable minority, however, magnitude of benefit was important.

Fun in the workplace and training climate: impact on the turnover of young adults in the hospitality industry

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Keyword(s):  
Organizational Support ◽  
Online Survey ◽  
Climate Impact ◽  
Management Support ◽  
Content Type ◽  
Individual Level ◽  
The Usa ◽  
Training Climate ◽  
The Impact ◽  
And Training

Purpose The purpose of this study is to examine the impact of fun in the workplace and training climate on turnover in a European context. Design/methodology/approach Data is gathered from the responses of 902 hotels, restaurant and café workers from Belgium, Germany and the Netherlands to an online survey alongside organizational records of turnover. All employees work part-time and are primarily of college age. This is then analyzed using logistic regression. Findings The findings reported suggest that management support for fun and co-worker socializing at the office level are negatively and significantly related to turnover but not fun activities. In addition, individual level job support is significantly related to turnover but not manager support and organizational support. Practical implications Therefore, to promote retention managers should encourage the integration of employees with one another, promote fun on the job and create meaningful job responsibilities for young employees. Originality/value This paper has an original approach by examining the impact of fun in the workplace on turnover in a setting outside the USA and by examining this in relation to training climate.

How cultural differences in uncertainty avoidance affect product perceptions

2007 ◽  
Vol 24 (3) ◽  
pp. 330-349 ◽  
Author(s):  
Julie Anne Lee ◽  
Ellen Garbarino ◽  
Dawn Lerman
Keyword(s):  
Large Scale ◽  
Uncertainty Avoidance ◽  
Diverse Range ◽  
Content Type ◽  
Behavioural Intentions ◽  
Individual Level ◽  
Quality Perceptions ◽  
The Usa ◽  
Large Scale Survey ◽  
Highly Correlated

PurposeTo examine how people from countries that vary in uncertainty avoidance (UA) use information about product uncertainty when evaluating products.Design/methodology/approachTwo studies were conducted that vary in methodology, sampling and analysis. First, an experiment was designed to manipulate product uncertainty through the use of country of origin (COO) quality‐stereotypes. It was administered to university students from a diverse range of countries, all studying in the USA. Next, data from a large‐scale survey of consumers from ten countries was submitted to hierarchical binary regression analyses to include variables at the country and individual level.FindingsThe studies support an interaction between product uncertainty (PU) and cultural UA on quality perceptions and behavioural intentions. Consumers from high UA countries evaluated high PU offerings less positively and held weaker behavioural intentions than those from low UA countries, but for low PU offerings, no difference was found. The effect of UA was reduced for people with more experience and those who were younger.Research limitations/implicationsAlthough we isolated the effects of UA from other cultural and individual level variables, it would be useful to directly cross individualism with UA in an experimental design, as these two variables are highly correlated.Practical implicationsThis study suggests products with higher levels of PU will have more opportunity to prove themselves in low uncertainty cultures.Originality/valueThis study should be valuable for marketing managers devising rollout strategies for products with higher levels of PU or weaker quality stereotypes.

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