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

Patricia I. Moreno; Betina Yanez; Steven J. Schuetz; Katy Wortman; Linda C. Gallo; Catherine Benedict; Carrie E. Brintz; Jianwen Cai; Sheila F. Castaneda; Krista M. Perreira; Patricia Gonzalez; Franklyn Gonzalez; Carmen R. Isasi; Frank J. Penedo

doi:10.1016/j.canep.2019.03.003

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

Patricia I. Moreno, Betina Yanez, Steven J. Schuetz, Katy Wortman, Linda C. Gallo, Catherine Benedict, Carrie E. Brintz, Jianwen Cai, Sheila F. Castaneda, Krista M. Perreira, Patricia Gonzalez, Franklyn Gonzalez, Carmen R. Isasi, Frank J. Penedo^*

^*Corresponding author for this work

Medical Social Sciences

Research output: Contribution to journal › Article › peer-review

31 Scopus citations

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.

Original language	English (US)
Pages (from-to)	39-45
Number of pages	7
Journal	Cancer Epidemiology
Volume	60
DOIs	https://doi.org/10.1016/j.canep.2019.03.003
State	Published - Jun 2019

Funding

The Hispanic Community Health Study/Study of Latinos (HCHS/SOL) was carried out as a collaborative study supported by contracts from the National Heart, Lung, and Blood Institute (NHLBI) to the University of North Carolina ( N01-HC65233 ), University of Miami ( N01-HC65234 ), Albert Einstein College of Medicine ( N01-HC65235 ), Northwestern University ( N01-HC65236 ), and San Diego State University ( N01-HC65237 ). The following Institutes/Centers/Offices contribute to the HCHS/SOL through a transfer of funds to the NHLBI: National Center on Minority Health and Health Disparities , the National Institute of Deafness and Other Communications Disorders , the National Institute of Dental and Craniofacial Research , the National Institute of Diabetes and Digestive and Kidney Diseases , the National Institute of Neurological Disorders and Stroke , and the Office of Dietary Supplements . The HCHS/SOL Sociocultural Ancillary Study (HCHS/SOL SCAS) was funded by NHLBI ( RC2 HL101649 ). P.I.M and S.J.S. was supported through a National Cancer Institute Training Grant ( 5T32CA193193 ). S.F.C. was supported by the SDSU/UCSD Cancer Center Comprehensive Partnership ( U54 CA13238406A1/U54 CA13237906A1 ). The Hispanic Community Health Study/Study of Latinos (HCHS/SOL) was carried out as a collaborative study supported by contracts from the National Heart, Lung, and Blood Institute (NHLBI) to the University of North Carolina (N01-HC65233), University of Miami (N01-HC65234), Albert Einstein College of Medicine (N01-HC65235), Northwestern University (N01-HC65236), and San Diego State University (N01-HC65237). The following Institutes/Centers/Offices contribute to the HCHS/SOL through a transfer of funds to the NHLBI: National Center on Minority Health and Health Disparities, the National Institute of Deafness and Other Communications Disorders, the National Institute of Dental and Craniofacial Research, the National Institute of Diabetes and Digestive and Kidney Diseases, the National Institute of Neurological Disorders and Stroke, and the Office of Dietary Supplements. The HCHS/SOL Sociocultural Ancillary Study (HCHS/SOL SCAS) was funded by NHLBI (RC2 HL101649). P.I.M and S.J.S. was supported through a National Cancer Institute Training Grant (5T32CA193193). S.F.C. was supported by the SDSU/UCSD Cancer Center Comprehensive Partnership (U54 CA13238406A1/U54 CA13237906A1). The authors thank the staff and participants of the Hispanic Community Health Study/Study of Latinos (HCHS/SOL) and the HCHS/SOL Sociocultural Ancillary Study (HCHS/SOL SCAS) for their important contributions.

Keywords

Adherence
Cancer prevention
Cancer screening
Fatalism
Health beliefs
Hispanic
Latino

ASJC Scopus subject areas

Epidemiology
Oncology
Cancer Research

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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10.1016/j.canep.2019.03.003

Cite this

Moreno, P. I., Yanez, B., Schuetz, S. J., Wortman, K., Gallo, L. C., Benedict, C., Brintz, C. E., Cai, J., Castaneda, S. F., Perreira, K. M., Gonzalez, P., Gonzalez, F., Isasi, C. R., & Penedo, F. J. (2019). Cancer fatalism and adherence to national cancer screening guidelines: Results from the Hispanic Community Health Study/Study of Latinos (HCHS/SOL). Cancer Epidemiology, 60, 39-45. https://doi.org/10.1016/j.canep.2019.03.003

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

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.",

keywords = "Adherence, Cancer prevention, Cancer screening, Fatalism, Health beliefs, Hispanic, Latino",

author = "Moreno, {Patricia I.} and Betina Yanez and Schuetz, {Steven J.} and Katy Wortman and Gallo, {Linda C.} and Catherine Benedict and Brintz, {Carrie E.} and Jianwen Cai and Castaneda, {Sheila F.} and Perreira, {Krista M.} and Patricia Gonzalez and Franklyn Gonzalez and Isasi, {Carmen R.} and Penedo, {Frank J.}",

note = "Publisher Copyright: {\textcopyright} 2019",

year = "2019",

month = jun,

doi = "10.1016/j.canep.2019.03.003",

language = "English (US)",

volume = "60",

pages = "39--45",

journal = "Cancer Epidemiology",

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Moreno, PI, Yanez, B, Schuetz, SJ, Wortman, K, Gallo, LC, Benedict, C, Brintz, CE, Cai, J, Castaneda, SF, Perreira, KM, Gonzalez, P, Gonzalez, F, Isasi, CR & Penedo, FJ 2019, 'Cancer fatalism and adherence to national cancer screening guidelines: Results from the Hispanic Community Health Study/Study of Latinos (HCHS/SOL)', Cancer Epidemiology, vol. 60, pp. 39-45. https://doi.org/10.1016/j.canep.2019.03.003

TY - JOUR

T1 - Cancer fatalism and adherence to national cancer screening guidelines

T2 - Results from the Hispanic Community Health Study/Study of Latinos (HCHS/SOL)

AU - Moreno, Patricia I.

AU - Yanez, Betina

AU - Schuetz, Steven J.

AU - Wortman, Katy

AU - Gallo, Linda C.

AU - Benedict, Catherine

AU - Brintz, Carrie E.

AU - Cai, Jianwen

AU - Castaneda, Sheila F.

AU - Perreira, Krista M.

AU - Gonzalez, Patricia

AU - Gonzalez, Franklyn

AU - Isasi, Carmen R.

AU - Penedo, Frank J.

PY - 2019/6

Y1 - 2019/6

N2 - 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.

AB - 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.

KW - Adherence

KW - Cancer prevention

KW - Cancer screening

KW - Fatalism

KW - Health beliefs

KW - Hispanic

KW - Latino

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ER -

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

Abstract

Funding

Keywords

ASJC Scopus subject areas

UN SDGs

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