• Grace Clarke Hillyer, Charles E Basch, Karen M Schmitt, and Alfred I Neugut.
• Department of Health and Behavior Studies, Teachers College of Columbia University in New York City, 525 W. 120th Street, New York, NY 10027, USA. gah28@columbia.edu
• Prev Med. 2011 Sep 1; 53 (3): 194-8.

ObjectivesWe evaluated the feasibility and efficacy of a program to promote colorectal cancer screening (CRC) among uninsured Latinas receiving mammography through a cancer screening clinic in northern Manhattan.MethodsBetween August 2009 and March 2010, unscreened, average CRC risk, uninsured Latinas, aged 50-64 years, undergoing mammography received a screening recommendation, education, and fecal immunochemical test (FIT). Socio-demographic information and level of acculturation was collected. Screening compliance was assessed.ResultsOf 651 Latinas evaluated, 210 were eligible and, of these, 94% (n=197) consented to participate; 441 were excluded because they were up-to-date with CRC screening (n=130), < 50 (n=285) or >64 (n=26) years of age. After intervention, 177 (90%) completed FIT. Within 2 weeks, 87% completed the FIT, and 69% did so with no reminder calls. Acculturation was significantly lower among screeners (p=0.014). Compared with non-screeners, screeners were more likely to be foreign-born (p=0.009), to speak only Spanish (p=0.043), and to prefer to read (p=0.037), and think (p=0.015) in Spanish.ConclusionThis study suggests that pairing CRC education and screening with mammography is both feasible and efficacious.Copyright © 2011 Elsevier Inc. All rights reserved.

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