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Tytuł:
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Colorectal cancer knowledge and screening adherence among low-income Hispanic employees.
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Autorzy:
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Ou, Judy Y
Warner, Echo L
Nam, Gina E
Martel, Laura
Carbajal-Salisbury, Sara
Fuentes, Vicky
Wetter, David W
Kirchhoff, Anne C
Kepka, Deanna
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Temat:
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CHI-squared test
COLON tumors
CONFIDENCE intervals
ETHNIC groups
FISHER exact test
HISPANIC Americans
HEALTH insurance
INTERVIEWING
PATIENT compliance
POVERTY
RECTUM tumors
RESEARCH funding
WAGES
LOGISTIC regression analysis
HEALTH literacy
DATA analysis software
EARLY detection of cancer
ODDS ratio
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Źródło:
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Health Education Research; Aug2019, Vol. 34 Issue 4, p400-414, 15p, 6 Charts
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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. [ABSTRACT FROM AUTHOR]
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