Presentation Title (IN ALL CAPS)

Colorectal Cancer Knowledge and Screening Habits among Refugee Populations in DFW

Departmental Affiliation and City, State, Zip for All Authors

Department of Obstetrics and Gynecology, Fort Worth, TX 76107

Classification

SPH Student (For Competition)

Research Presentation Category

Health Disparities

Brief Narrative or Summary

According to the American Cancer Society, the 5 year survival rate for colon cancer is significantly higher during Stage I (74%), compared to Stage IV (6%). Researchers have found that foreign birthplace influences late access to care for colorectal cancer (CRC), contributing to a decreased rate of survival. Refugee populations are no exception. In addition to late access to care, other barriers impede their access to secondary CRC prevention in the forms of language, socioeconomic conditions, lack of CRC knowledge on behalf of the patient and health care providers, and lack of awareness of available screening methods. Giving refugees the opportunity to prevent the development of colon cancer, or to seek treatment early, can ensure that the health disparity of terminal colon cancer is reduced. Education and screening efforts are imperative to help refugees understand what colon cancer is, increase familiarity with the screening process, and learn how to seek help early if cancerous cells are found.

Scientific Abstract

COLORECTAL CANCER KNOWLEDGE AND SCREENING HABITS AMONG REFUGEE POPULATIONS IN DFW Victoria Kwentua*, Amy Raines-Milenkov, DrPH**, Eva Baker, MPH**, Emelda Thein**, Radhika Subedi**, Iram Qureshi* *School of Public Health, **Department of Obstetrics and Gynecology, UNT Health Science Center, 3500 Camp Bowie Blvd., Fort Worth, Texas 76107 Colorectal cancer (CRC) is the fourth most common cancer worldwide. Although resources are available to screen for and to treat CRC, refugees living in the United States report low levels of screening. Over the past several years, Texas has resettled the largest numbers of refugees, yet little research has investigated the need for colorectal cancer screening in refugee populations. This study aimed to assess local refugees’ current knowledge of and experience with colon/rectal cancer and screening. This information is needed to guide effective CRC education and screening efforts among this underserved population. Refugees, previously enrolled in a community-based refugee health program, the Building Bridges Initiative (BBI), were contacted by bilingual lay health educators to complete a 23-question phone interview on their familiarity with CRC. The survey was translated into Nepali and Karen by a professional translator, and included detailed descriptions of colon cancer and available screening methods. Descriptive statistics were compiled using statistical analysis software. Twenty-nine of the 43 eligible participants (ages 50-75) agreed to participate. 72% of participants were unaware of colon cancer, and 97% wanted more education on the subject. Familiarity with the screening process and physician recommendation were strong motivators to complete a CRC screening. Local refugee populations are receptive to CRC screening. Programs such as BBI have the structure in place to provide culturally and linguistically appropriate education and tailored evidence-based interventions, which are necessary to reduce health disparities when it comes to CRC screening. Keywords: colon cancer, screening, education

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Colorectal Cancer Knowledge and Screening Habits among Refugee Populations in DFW

COLORECTAL CANCER KNOWLEDGE AND SCREENING HABITS AMONG REFUGEE POPULATIONS IN DFW Victoria Kwentua*, Amy Raines-Milenkov, DrPH**, Eva Baker, MPH**, Emelda Thein**, Radhika Subedi**, Iram Qureshi* *School of Public Health, **Department of Obstetrics and Gynecology, UNT Health Science Center, 3500 Camp Bowie Blvd., Fort Worth, Texas 76107 Colorectal cancer (CRC) is the fourth most common cancer worldwide. Although resources are available to screen for and to treat CRC, refugees living in the United States report low levels of screening. Over the past several years, Texas has resettled the largest numbers of refugees, yet little research has investigated the need for colorectal cancer screening in refugee populations. This study aimed to assess local refugees’ current knowledge of and experience with colon/rectal cancer and screening. This information is needed to guide effective CRC education and screening efforts among this underserved population. Refugees, previously enrolled in a community-based refugee health program, the Building Bridges Initiative (BBI), were contacted by bilingual lay health educators to complete a 23-question phone interview on their familiarity with CRC. The survey was translated into Nepali and Karen by a professional translator, and included detailed descriptions of colon cancer and available screening methods. Descriptive statistics were compiled using statistical analysis software. Twenty-nine of the 43 eligible participants (ages 50-75) agreed to participate. 72% of participants were unaware of colon cancer, and 97% wanted more education on the subject. Familiarity with the screening process and physician recommendation were strong motivators to complete a CRC screening. Local refugee populations are receptive to CRC screening. Programs such as BBI have the structure in place to provide culturally and linguistically appropriate education and tailored evidence-based interventions, which are necessary to reduce health disparities when it comes to CRC screening. Keywords: colon cancer, screening, education