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Rawl SM, Maupome G, Golzarri-Arroyo L, Parker E, O'Leary HA, Espinoza-Gutarra MR, Valenzuela RE, Malloy C, Haunert L, Haggstrom DA. Factors Associated with Cancer Prevention/Risk Reduction Behaviors among Latinos. J Racial Ethn Health Disparities 2023:10.1007/s40615-023-01895-w. [PMID: 38117442 DOI: 10.1007/s40615-023-01895-w] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/11/2023] [Revised: 10/23/2023] [Accepted: 12/11/2023] [Indexed: 12/21/2023]
Abstract
Improving understanding of behaviors that increase or reduce cancer risk for different Hispanic groups is a public health priority; such knowledge is sparse in new gateway immigration locations such as Indiana. The aims of this study were to: 1) describe cancer beliefs and cancer preventive/risk reduction behaviors (physical activity, tobacco, and alcohol use) among Hispanic adults; 2) examine differences in cancer beliefs and preventive behaviors by country/territory of birth, socioeconomic status, and area of residence (urban vs. rural); and 3) determine predictors of engagement in cancer prevention and risk reduction behaviors in this population. A cross-sectional online survey targeted adult Indiana residents who identified as Latino, Hispanic, or Spanish recruited using Facebook-targeted advertising. Complete survey data from 1520 respondents were analyzed using descriptive, unadjusted, and adjusted models. The majority of respondents believed they were unlikely to get cancer but held many other fatalistic beliefs about cancer. Only 35.6% of respondents had received the HPV vaccine, 37.6% reported they were currently smoking cigarettes, and 64% reported occasional or frequent drinking of alcohol. Respondents spent an average of 3.55 days per week engaged in moderate exercise. Differences were observed by country/territory of birth, income, and education but not by rural residence status. Predictors of cancer risk/risk reduction behaviors were identified. The Hispanic population in Indiana is diverse and effective interventions for cancer prevention should be culturally targeted based on country/territory of birth and individually tailored based on cancer-related beliefs.
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Affiliation(s)
- Susan M Rawl
- School of Nursing, Indiana University Indianapolis, Indianapolis, IN, USA.
- Indiana University Simon Comprehensive Cancer Center, Indianapolis, IN, USA.
| | - Gerardo Maupome
- Richard M. Fairbanks School of Public Health, Indiana University Indianapolis, Indianapolis, IN, USA
| | | | - Erik Parker
- School of Public Health, Indiana University Bloomington, Bloomington, IN, USA
| | - Heather A O'Leary
- Department of Integrative Medicine, Northeast Ohio Medical University, Rootstown, OH, USA
| | | | | | - Caeli Malloy
- School of Nursing, Indiana University Indianapolis, Indianapolis, IN, USA
| | - Laura Haunert
- School of Nursing, Indiana University Indianapolis, Indianapolis, IN, USA
| | - David A Haggstrom
- Center for Health Services Research, Regenstrief Institute, Indianapolis, IN, USA
- VA HSR&D Center for Health Information and Communication, Richard L. Roudebush Veterans Affairs Medical Center, Indianapolis, IN, USA
- Division of General Internal Medicine and Geriatrics, Indiana University School of Medicine, Indianapolis, IN, USA
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Luquis RR, Rodriguez-Colon SM, Ramirez SI, Lengerich EJ. Assessing the Feasibility of a Faith-Based Colorectal Cancer Education and Screening Intervention for Latino Men in Pennsylvania. HISPANIC HEALTH CARE INTERNATIONAL 2023:15404153231214714. [PMID: 37964548 DOI: 10.1177/15404153231214714] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2023]
Abstract
Introduction: Limited health knowledge, literacy, engagement in preventive health services, participation in health promotion behaviors, and cultural factors place Latino men at high risk for colorectal cancer (CRC). This pilot study aimed to determine the feasibility and acceptability of a faith-based cancer education intervention focusing on Latino men between 45 and 74 years old. Methods: This pilot study used a single group pre- and post-intervention research design to compare changes in knowledge, perceived benefit of screening, perceived susceptibility and severity of CRC, and the completion of CRC screening after the intervention. Results: In this study, Latino men were willing to participate in a CRC educational intervention supported by a faith-based institution. The participants had limited knowledge about CRC, yet most recognized that screening is beneficial and that getting CRC is serious. Sixty percent of the participants completed the fecal immunochemical screening test, which showed that the intervention impacted the screening uptake among this group. Conclusion: The findings of this study support the further development of faith-based interventions focusing on Latino men.
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Affiliation(s)
- Raffy R Luquis
- School of Behavioral Sciences and Education, Penn State Harrisburg, Middletown, PA, USA
| | | | - Sarah Ines Ramirez
- Department of Family and Community Medicine, College of Medicine, Penn State University, Hershey, PA, USA
| | - Eugene J Lengerich
- Penn State Cancer Institute, Penn State University, Hershey, PA, USA
- Department of Family and Community Medicine, College of Medicine, Penn State University, Hershey, PA, USA
- Department of Public Health Sciences, College of Medicine, Penn State University, Hershey, PA, USA
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