196254 An innovative colorectal cancer screening promotion intervention for low-income, older Latinos

Monday, November 9, 2009: 11:15 AM

Armando Valdez, PhD , HealthPoint Institute, Mountain View, CA
Rene Salazar, MD , Division of General Internal Medicine, Department of Medicine, University of California, San Francisco, San Francisco, CA
Marilyn A. Winkleby, MPH, PhD , Stanford Prevention Research Center, Stanford University, Stanford, CA
Susan Stewart, PhD , UCSF Comprehensive Cancer Center, University of California-San Francisco, San Francisco, CA
According to 2006 CDC data, only 24.4% of Latinos over age 50 had received a FOBT within the past two years and 46.6% had ever had a sigmoidoscopy; the screening rates for low-income Latinos were even lower. These screening rates are significantly below the Healthy People 2010 benchmark for colorectal cancer screening and place Latinos at high risk for diagnoses at an advanced stage of the disease and thus lower chances of survival. Regular colorectal cancer screening remains the pivotal obstacle to improved Latino colorectal cancer survival. The need for interventions to improve screening and early detection is an urgent public health problem, yet the challenge is to effectively overcome cultural, linguistic and attitudinal barriers with an intervention that promotes adoption of recommended screening and risk reduction behaviors by low-income Latinos.

This presentation describes an education intervention designed to deliver culturally and linguistically appropriate colorectal cancer information to low-income, low literacy Latinos. The intervention uses interactive, multimedia touchscreen kiosks to effectively overcome attention, linguistic and cultural barriers in delivering cancer education messages. The education intervention presents screening and prevention strategies, corrects misconceptions about colorectal cancer risk factors, improves attitudes toward screening, and models recommended screening and risk reduction behaviors. The design of the intervention was guided by formative research that identified barriers to screening among non-adherent, low-income Latinos as well as pathways to screening among low-income Latinos adherent to the 2005 USPSTF recommendations for colorectal cancer screening.

Learning Objectives:
At the conclusion of this presentation, participants will be able to (1) describe an intervention designed to overcome barriers to screening, (2) identify the health literacy elements of the intervention, and (3) discuss the measures of efficacy for the intervention.

Keywords: Cancer Screening, Latino Health

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am the Principal Investigator of the study that will be described in the presentation.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.