The impact of cultural characteristics on colorectal cancer screening adherence among Filipinos in the United States: a pilot study
Corresponding Author
Rizaldy R. Ferrer
California School of Professional Psychology, Alliant International University, Alhambra, CA, USA
Alliant International University, 1000 South Fremont Avenue, Unit 5, Alhambra, CA 91803, USASearch for more papers by this authorMarizen Ramirez
Department of Occupational and Environmental Health, University of Iowa, Iowa City, IA, USA
Search for more papers by this authorLinda J. Beckman
California School of Professional Psychology, Alliant International University, Alhambra, CA, USA
Search for more papers by this authorLeda L. Danao
Division of Cancer Prevention and Control Research, School of Public Health/Jonsson Comprehensive Cancer Center, University of California, Los Angeles, CA, USA
Search for more papers by this authorKimlin T. Ashing-Giwa
Center of Community Alliance for Research and Education, Division of Population Sciences, City of Hope National Medical Center, Duarte, CA, USA
Search for more papers by this authorCorresponding Author
Rizaldy R. Ferrer
California School of Professional Psychology, Alliant International University, Alhambra, CA, USA
Alliant International University, 1000 South Fremont Avenue, Unit 5, Alhambra, CA 91803, USASearch for more papers by this authorMarizen Ramirez
Department of Occupational and Environmental Health, University of Iowa, Iowa City, IA, USA
Search for more papers by this authorLinda J. Beckman
California School of Professional Psychology, Alliant International University, Alhambra, CA, USA
Search for more papers by this authorLeda L. Danao
Division of Cancer Prevention and Control Research, School of Public Health/Jonsson Comprehensive Cancer Center, University of California, Los Angeles, CA, USA
Search for more papers by this authorKimlin T. Ashing-Giwa
Center of Community Alliance for Research and Education, Division of Population Sciences, City of Hope National Medical Center, Duarte, CA, USA
Search for more papers by this authorAbstract
Objectives: Studies on colorectal cancer screening among specific Asian American groups are limited despite the fact that Asians are comprised of culturally distinct subgroups. The purpose of this study was to investigate the impact of cultural characteristics on colorectal cancer screening adherence among Filipinos in the United States.
Methods: One hundred and seventeen Filipino men and women aged 50 years or older participated in the cross-section research design. Lifetime proportion of immigration, language preference and cultural beliefs of personal control regarding health outcomes measured cultural characteristics. Demographic and healthcare variables were also measured to describe the study sample. Participant recruitment employed culturally responsive sampling methods.
Results: There was no significant association between language preference and screening. Likewise, perceived personal internal control of health outcome was not related to screening. However, personal external control revealed a marginally significant association. The percent of lifetime residence in the United States was significantly greater among those who were adherent to screening than those who were not adherent. After adjusting for demographic and healthcare variables, the relationship between length of immigration and screening adherence was no longer significant. Finally, age and doctor's recommendation showed significant impact on colorectal cancer screening adherence.
Discussion: This pilot study adds to the knowledge regarding cultural factors associated with colorectal cancer screening behaviors among Filipino Americans. Future research is needed to confirm findings that will be useful in developing culturally appropriate strategies to increase screening adherence. Copyright © 2010 John Wiley & Sons, Ltd.
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