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. 2021 Dec;42(6):603-623.
doi: 10.1007/s10935-021-00648-x. Epub 2021 Oct 15.

Psychosocial Correlates of Experience and Intention to Receive Colorectal Cancer Screening: A Cross-Sectional Study Among East African Men in the U.S

Motohiro Nakajima  1 , Abdifatah Haji  2 , Abdul Sero  2 , Sartu Taha  2 , Hileena Habte  2 , Shamso Jama  2 , James Hodges  3 , Sakhaudiin Mohamud  2 , Osman Ahmed  4 , Obsa Hassan  5 , Mustafa al'Absi  6
Affiliations

Psychosocial Correlates of Experience and Intention to Receive Colorectal Cancer Screening: A Cross-Sectional Study Among East African Men in the U.S

Motohiro Nakajima et al. J Prim Prev. 2021 Dec.

Abstract

Cancer screening is an important approach to reducing disease burden. The rate of colorectal cancer (CRC) screening among immigrants in the U.S. is very low. Our study's aim was to examine correlates of experience with, and intention to, receive CRC screening among East African men who were up-to-date (UTD) with CRC screening (n = 64, mean age 65) and those who had never been screened or were overdue for one (NOD; n = 47, mean age 60), compared on demographic characteristics, attitudes toward cancer, psychosocial stress, and health behaviors. UTD men had significantly less emotional concerns about cancer screening and experienced significantly greater distress and lower resiliency than NOD men. However, these results were attenuated after controlling for demographic confounders. Perceived risk, trust in the medical system, and PTSD symptoms were significantly associated with an intention to undertake CRC screening in the next 12 months. These results should be used to guide efforts toward increasing CRC screening rates among immigrant communities.

Keywords: African American; Colorectal cancer screening; East African; Health disparity; Immigrants.

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