Immigrants

  Population considerations:

  • Low screening rates.  People who are foreign-born have a significantly lower rate of colorectal cancer screening than people who are born in the United States (Shih, 2008).
  • Lack of access to care. Having a usual source of health care is the most important protective factor for colorectal cancer screening among immigrants. However, many immigrants lack a usual source of health care, which significantly reduces the likelihood of colorectal cancer screening for foreign-born individuals (Shih, 2008).
  • Lack of health insurance. Lack of health insurance significantly reduces the likelihood of colorectal cancer screening for foreign-born individuals (Shih, 2008).

  Strategies to address these considerations:

  • Remove barriers to obtaining a usual source of health care. Since having a usual source of health care is found to be the most important protective factor for colorectal cancer screening among immigrants, an effective strategy to reduce the disparity among this group is to find out what barriers immigrants have to obtaining a usual source of health care and eliminating those barriers. Such barriers may include language, literacy and cultural issues. (Shih, 2008).
  • Increase access to low-cost or free options. In order to increase screening rates, it may be necessary to provide access to free or low-cost screening methods.

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