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Feasibility and efficacy of pairing fecal immunochemical testing with mammography for increasing colorectal cancer screening among uninsured Latinas in northern Manhattan

doi: 10.1016/j.ypmed.2011.06.011. Epub 2011 Jun 22. Feasibility and efficacy of pairing fecal immunochemical testing with mammography for increasing colorectal cancer screening among uninsured Latinas in northern Manhattan

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Feasibility and efficacy of pairing fecal immunochemical testing with mammography for increasing colorectal cancer screening among uninsured Latinas in northern Manhattan

Grace Clarke Hillyer et al. Prev Med. 2011 Sep.

doi: 10.1016/j.ypmed.2011.06.011. Epub 2011 Jun 22. Affiliation

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Abstract

Objectives: We evaluated the feasibility and efficacy of a program to promote colorectal cancer screening (CRC) among uninsured Latinas receiving mammography through a cancer screening clinic in northern Manhattan.

Methods: Between August 2009 and March 2010, unscreened, average CRC risk, uninsured Latinas, aged 50-64 years, undergoing mammography received a screening recommendation, education, and fecal immunochemical test (FIT). Socio-demographic information and level of acculturation was collected. Screening compliance was assessed.

Results: Of 651 Latinas evaluated, 210 were eligible and, of these, 94% (n=197) consented to participate; 441 were excluded because they were up-to-date with CRC screening (n=130), < 50 (n=285) or >64 (n=26) years of age. After intervention, 177 (90%) completed FIT. Within 2 weeks, 87% completed the FIT, and 69% did so with no reminder calls. Acculturation was significantly lower among screeners (p=0.014). Compared with non-screeners, screeners were more likely to be foreign-born (p=0.009), to speak only Spanish (p=0.043), and to prefer to read (p=0.037), and think (p=0.015) in Spanish.

Conclusion: This study suggests that pairing CRC education and screening with mammography is both feasible and efficacious.

Copyright © 2011 Elsevier Inc. All rights reserved.

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