The Open Epidemiology
A Population Based Study Examining Language as a Predictor
of Colorectal Cancer Screening Among Overweight and Obese Hispanic
Adults in the United States
William S. Pearson, Shanta R. Dube, Laura C. Seeff, Earl S.
Ford, Ali H. Mokdad and Michael F. Dulin Pp
Objective: Colorectal cancer (CRC) is one of the top two
leading causes of cancer deaths in Hispanic/Latino adults living
in the U.S., and CRC risk increases in people who are overweight.
As the U.S. Hispanic population increases along with a growing prevalence
of overweight and obesity, studies are needed to determine if overweight
Hispanic adults suffer from disparities in their rates of CRC screening.
Our study was able to examine the correlation between a preference
for using the Spanish language and rates of screening for CRC using
national survey data.
Design: 4,730 Hispanic participants, ≥
50 years, with a BMI ≥
25 kg/m2 from the 2006 Behavioral
Risk Factor Surveillance System were stratified by survey language
choice (English, n = 3,499; or Spanish, n = 1,231). Using adjusted
logistic regression models, differences in receiving the recommended
Fecal Occult Blood Test (F.O.B.T.) and/or either a colonoscopy or
sigmoidoscopy were determined by language preference groups.
Results: Men who chose surveys in Spanish were significantly
less likely to have received F.O.B.T. (0.29 O.R.; 0.13-0.64 95%
C.I.), sigmoidoscopy/colonoscopy (0.49 O.R.; 0.28-0.84 95% C.I.)
or either test (0.46 O.R.; 0.27-0.79 95% C.I.) within the recommended
time frames, compared to men choosing English. No significant differences
were found among women.
Conclusions: Findings suggest that men with an elevated
BMI who choose Spanish to complete a survey are less likely to receive
the recommended CRC screening. Public health programs designed to
improve access to CRC screening need to target this population in
order to reduce the morbidity and mortality related to colorectal