TY - JOUR
T1 - Barriers and facilitators of colorectal cancer screening among East African men in Minnesota
T2 - a qualitative investigation
AU - Nakajima, Motohiro
AU - Mohamud, Sakhaudiin
AU - Haji, Abdifatah
AU - Pratt, Rebekah
AU - al’Absi, Mustafa
N1 - Publisher Copyright:
© 2023 Informa UK Limited, trading as Taylor & Francis Group.
PY - 2024
Y1 - 2024
N2 - Objective: This study aimed to explore barriers and facilitators to colorectal cancer (CRC) screening among East African men in Minnesota. Design: Six focus groups were conducted in Minneapolis and St. Paul, MN, USA. Participants were asked to describe individual and structural barriers to CRC screening, and discuss strategies that would address individual and structural barriers to screening. Audio-recorded conversations were transcribed verbatim and translated to English. The transcriptions were analyzed using a thematic analysis. Major themes that emerged on individual barriers were lack of knowledge, fear, and privacy. Results: Themes that emerged on structural barriers were distrust in the medical system, lack of health care coverage, and access to the health care system. Education, client reminders, mass media, increased clarity in communication with the provider and translator, and increased access to health care were frequently mentioned strategies to increase CRC screening in the East African community. Participants expressed favorable views toward the concept of patient navigation. Conclusion: Our findings indicate the need to develop culturally appropriate, multi-faced, intervention programs that are aimed at eliminating personal, cultural, and structural barriers.
AB - Objective: This study aimed to explore barriers and facilitators to colorectal cancer (CRC) screening among East African men in Minnesota. Design: Six focus groups were conducted in Minneapolis and St. Paul, MN, USA. Participants were asked to describe individual and structural barriers to CRC screening, and discuss strategies that would address individual and structural barriers to screening. Audio-recorded conversations were transcribed verbatim and translated to English. The transcriptions were analyzed using a thematic analysis. Major themes that emerged on individual barriers were lack of knowledge, fear, and privacy. Results: Themes that emerged on structural barriers were distrust in the medical system, lack of health care coverage, and access to the health care system. Education, client reminders, mass media, increased clarity in communication with the provider and translator, and increased access to health care were frequently mentioned strategies to increase CRC screening in the East African community. Participants expressed favorable views toward the concept of patient navigation. Conclusion: Our findings indicate the need to develop culturally appropriate, multi-faced, intervention programs that are aimed at eliminating personal, cultural, and structural barriers.
KW - Colorectal cancer
KW - East Africa
KW - cancer screening
KW - health disparity
KW - immigrant
UR - http://www.scopus.com/inward/record.url?scp=85177029581&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85177029581&partnerID=8YFLogxK
U2 - 10.1080/13557858.2023.2271189
DO - 10.1080/13557858.2023.2271189
M3 - Article
C2 - 37968812
AN - SCOPUS:85177029581
SN - 1355-7858
VL - 29
SP - 112
EP - 125
JO - Ethnicity and Health
JF - Ethnicity and Health
IS - 1
ER -