Colorectal cancer screening uptake among US Latino subgroups

Abstract

Purpose The purpose of this paper is to study the colorectal cancer (CRC) screening practices of Latinos in the USA, a traditionally disadvantaged group regarding health, while operating within the theoretical lens of segmented acculturation. Differential acculturation experiences influence migrant health and healthcare access, including CRC screening. Design/methodology/approach Latinos are categorized into subgroups and are referenced against non-Latino whites and non-Latino blacks. Descriptive statistics and binomial logistic regression models are used to analyze the data from the 2008 and 2010–2014 National Health Interview Survey. Findings Latinos and respondents born outside of the non-territorial USA exhibit disparities in CRC screening participation. Screening discrepancies are not uniform across Latino subgroups, reflecting the importance of a segmented acculturation theoretical lens. Practical implications A discrepancy exists in CRC screening utilization among the largest minority population in the USA. These inconsistencies among US Latinos must be addressed directly to avoid serious health consequences in a large and growing population. Originality/value Interventions should be tailored to address the unique situational contexts of Latino subgroups suffering the health disparities. These distinct contexts are only elucidated through the use of a theoretical lens of segmented acculturation in studies of Latino health, which explicitly considers the historical and contemporary social forces acting upon the subgroups. This study extends beyond individual-level exposures to provide a more holistic view of the health behaviors and outcomes among Latino subgroups in the USA. Insight gained from this study is invaluable to improving the health of these traditionally disadvantaged groups.