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Cancer fatalism and adherence to national cancer screening guidelines: Results from the Hispanic Community Health Study/Study of Latinos (HCHS/SOL).

TitleCancer fatalism and adherence to national cancer screening guidelines: Results from the Hispanic Community Health Study/Study of Latinos (HCHS/SOL).
Publication TypePublication
Year2019
AuthorsMoreno PI, Yanez B, Schuetz SJ, Wortman K, Gallo LC, Benedict C, Brintz CE, Cai J, Castañeda SF, Perreira KM, Gonzalez P, Gonzalez F, Isasi CR, Penedo FJ
JournalCancer Epidemiol
Volume60
Pagination39-45
Date Published2019 06
ISSN1877-783X
KeywordsAcculturation, Adult, Aged, early detection of cancer, Female, Guideline Adherence, Hispanic Americans, Humans, Male, Middle Aged, Neoplasms, Public Health, Risk Factors, United States
Abstract

BACKGROUND: Sociocultural factors, such as health insurance status, income, education, and acculturation, predict cancer screening among U.S. Hispanics/Latinos. However, these factors can be difficult to modify. More research is needed to identify individual-level modifiable factors that may improve screening and subsequent cancer outcomes in this population. The aim of this study was to examine cancer fatalism (i.e., the belief that there is little or nothing one can do to lower his/her risk of developing cancer) as a determinant of adherence to national screening guidelines for colorectal, breast, prostate, and cervical cancer among Hispanics/Latinos.METHODS: Participants were from the multi-site Hispanic Community Health Study/Study of Latinos (HCHS/SOL) Sociocultural Ancillary Study (N = 5313). The National Cancer Institute (NCI) Health Interview National Trends Survey was used to assess cancer fatalism and receipt of cancer screening. Adherence was defined as following screening guidelines from United States Preventive Services Task Force and the American Cancer Society during the study period.RESULTS: Adjusting for well-established determinants of cancer screening and covariates (health insurance status, income, education, acculturation, age, Hispanic/Latino background), lower cancer fatalism was marginally associated with greater adherence to screening for colorectal (OR 1.13, 95% CI [.99-1.30], p = .07), breast (OR 1.16, 95% CI [.99-1.36], p = .08) and prostate cancer (OR 1.18, 95% CI [.97-1.43], p = .10), but not cervical cancer.CONCLUSIONS: The associations of cancer fatalism were small and marginal, underlining that sociocultural factors are more robust determinants of cancer screening adherence among Hispanics/Latinos.

DOI10.1016/j.canep.2019.03.003
Alternate JournalCancer Epidemiol
PubMed ID30904827
Grant ListN01HC65233 / HL / NHLBI NIH HHS / United States
N01HC65234 / HL / NHLBI NIH HHS / United States
N01HC65235 / HL / NHLBI NIH HHS / United States
N01HC65236 / HL / NHLBI NIH HHS / United States
N01HC65237 / HL / NHLBI NIH HHS / United States
RC2 HL101649 / HL / NHLBI NIH HHS / United States
T32 CA193193 / CA / NCI NIH HHS / United States
MS#: 
0232
Manuscript Lead/Corresponding Author Affiliation: 
Field Center: Miami (University of Miami)
ECI: 
Yes
Manuscript Status: 
Published