TAILIEUCHUNG - Mediators of screening uptake in a colorectal cancer screening intervention among Hispanics

Colorectal cancer (CRC) is the second leading cause of cancer deaths in the USA. Although a number of CRC screening tests have been established as being effective for CRC prevention and early detection, rates of CRC screening test completion in the US population remain suboptimal, especially among the uninsured, recent immigrants and Hispanics. | Shokar et al. BMC Cancer 2022 22 37 https s12885-021-09092-w RESEARCH Open Access Mediators of screening uptake in a colorectal cancer screening intervention among Hispanics Navkiran K. Shokar1 Jennifer Salinas2 and Alok Dwivedi3 Abstract Background Colorectal cancer CRC is the second leading cause of cancer deaths in the USA. Although a number of CRC screening tests have been established as being effective for CRC prevention and early detection rates of CRC screening test completion in the US population remain suboptimal especially among the uninsured recent immi- grants and Hispanics. In this study we used a structural equation modelling approach to identify factors influencing screening test completion in a successful CRC screening program that was implemented in an uninsured Hispanic population. This information will enhance our understanding of influences on CRC screening among historically underscreened populations. Methods We used generalized structural equation models SEM utilizing participant reported information collected through a series of surveys. We identified direct and indirect pathways through which cofactors CRC knowledge and individual Health Belief Model constructs perceived benefits barriers susceptibility fatalism and self-efficacy and a latent psychosocial health construct mediated screening in an effective prospective randomized CRC screening inter- vention that was tailored for uninsured Hispanic Americans. Results Seven hundred twenty-three participants were eligible for inclusion mean age was 56 years were female and were Hispanic. The total intervention effect was comparable in both models with both having a direct and indirect effect on screening completion n 715 Model 1 RC 95 CI p Shokar et al. BMC Cancer 2022 22 37 Page 2 of 13 approach to reducing CRC incidence and mortality is information collected through three longitudinal surveys universally endorsed by major professional organiza- during

• Y khoa - Dược
• BMC Cancer
• Colorectal neoplasms
• Mass screening
• Hispanic Americans
• Psychological theory
• Health behavior
• Cancer patient pathways
• Colorectal cancer
• Lung cancer
• Breast cancer
• Prostate cancer
• Ovarian cancer
• Cancer detection
• Ovarian cancer symptoms
• Ovarian cancer signs
• Ovarian cancer tests
• Cancer biomarkers
• Pediatric cancer
• Familial cancer predisposition
• Hereditary cancer syndrome
• Genetic cancer susceptibility
• Advanced cancer
• Biliary tract cancer
• Multimodal intervention
• Pancreatic cancer
• Physical activity
• Breast cancer screening
• Familial breast cancer
• Young breast cancer survivors
• High risk relatives
• Randomized trial
• Childhood cancer
• Childhood cancer survivor
• Thyroid cancer screening
• Secondary cancer
• Cancer screening
• Community awareness
• Cancer education
• Cervical cancer
• Prior cancer
• Cancer survivors
• Cancer registry
• Second cancer
• Surgical oncology
• Cancer imaging
• Radiation oncologists
• Medical oncologists
• Oesophagogastric cancer
• Liver cancer
• Hepatobiliary cancer
• Multidisciplinary rehabilitation
• EGFR mutation
• Family history of cancer
• Inherited susceptibility
• Cancer predisposition genes
• Lung cancer aetiology
• Cancer stem cells
• Oct4 overexpressing lung cancer
• Human lung cancer xenograft model
• Disease free survivals
• Cancer hallmarks
• Cancer genesis
• Defiant disease
• Mutational signature
• Cancer diagnosis
• Cancer genomics
• Molecular medicine
• Whole genome sequencing
• Cancer susceptibility gene
• Breast cancer prognosis
• Next generation sequencing
• Quality of care
• Quality indicators
• Shifting cancer care
• German cancer society
• Colorectal cancer screening
• Stomach cancer screening
• Lung cancer survivor
• Physician recommendation
• Total number of lymph nodes
• Lymph node ratio
• Left colon cancer
• Right colon cancer
• Overall survival
• Cumulative incidence
• Esophageal cancer
• Head and neck cancer
• Metachronous cancer
• Young onset
• Reproductive cancer
• Risk factor
• Early detection of cancer
• Gastric cancer incidence
• Population based specialized registry
• Gastric cancer survival
• Gastric cancer clinical characteristics
• Gastric cancer pathological characteristics
• Lung Cancer Screening
• Racial disparities
• Lung Cancer diagnosis
• Screening adherence
• Second primary colorectal cancer
• Standardized incidence ratio
• Left sided colon cancer
• Right sided colon cancer
• Quality of cancer care
• Population based study