Identification of Priorities for Colorectal Cancer Screening Interventions Among US Hispanic/Latino Populations

To identify nationwide census tract‒level areas where improving colorectal cancer (CRC) screening uptake via targeted local preventive intervention may benefit Hispanic or Latino/a (H/L) groups defined by region or country of origin. Using 2021 Centers for Disease Control and Prevention PLACES and A...

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Bibliographic Details
Published in:	American journal of public health (1971) Vol. 114; no. S6; pp. S515 - S524
Main Authors:	Buchalter, R Blake, Stern, Mariana C, Mendez, Joel Sanchez, Kim, Michelle K, Rose, Johnie, Meade, Cathy D, Gwede, Clement K, Figueiredo, Jane C, Schmit, Stephanie L
Format:	Journal Article
Language:	English
Published:	United States American Public Health Association 01-07-2024
Subjects:	Aged Cancer Colorectal Neoplasms - diagnosis Colorectal Neoplasms - ethnology Colorectal Neoplasms - prevention & control Early Detection of Cancer - statistics & numerical data Epidemiology Female Hispanic or Latino - statistics & numerical data Hispanics/Latinas Humans Male Mass Screening - statistics & numerical data Middle Aged Race/Ethnicity Research & Analysis Screening Socioeconomic Factors United States United States
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Summary:	To identify nationwide census tract‒level areas where improving colorectal cancer (CRC) screening uptake via targeted local preventive intervention may benefit Hispanic or Latino/a (H/L) groups defined by region or country of origin. Using 2021 Centers for Disease Control and Prevention PLACES and American Community Survey data, we applied geographically weighted regression and Getis-Ord Gi* hot spot procedures to identify CRC screening priority zones for H/L groups in the United States. Priority zones can be conceptualized as census tracts with strong inverse associations between percentage of a particular H/L group in the population and CRC screening rate, after adjusting for socioeconomic deprivation and lack of insurance. We identified 6519, 3477, 3522, 1069, and 1424 census tract CRC screening priority zones for H/L communities of Mexican, Puerto Rican, Central/South American, Dominican, and Cuban heritage, respectively. Priority zones for H/L groups had strong spatial heterogeneity, and overlap of geographic patterns among H/L groups varied by region. Our findings and interactive web map may serve as a translational tool for public health authorities, policymakers, clinicians, and other stakeholders to target investment and interventions to increase guideline-concordant CRC screening uptake benefitting specific H/L communities in the United States. ( . 2024;114(S6):S515-S524. https://doi.org/10.2105/AJPH.2024.307733) [Formula: see text].
Bibliography:	ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23 R. B. Buchalter contributed to conceptualization, data curation, formal analysis, investigation, methodology, software, validation, visualization, writing the original draft, and interpretation. M. C. Stern, J Rose, and C. D. Meade contributed to supervision, review and editing of the article, and interpretation. J. S. Mendez, M. K. Kim, and C. K. Gwede contributed to review and editing of the article and interpretation. J. C. Figueiredo contributed to conceptualization, supervision, writing the original draft, and interpretation. S. L. Schmit contributed to conceptualization, investigation, resources, supervision, validation, writing the original draft, and interpretation. CONTRIBUTORS
ISSN:	0090-0036 1541-0048 1541-0048
DOI:	10.2105/AJPH.2024.307733