Colorectal Cancer Screening Among the Homeless Population of New York City Shelter-Based Clinics

Bibliographic Data

ID11039010
AuthorsRamin Asgary (0000-0001-7646-0976, Ramin Asgary is with the Department of Medicine, New York University School of Medicine, New York, NY. Victoria Garland and Blanca Sckell are with the Department of Community Medicine, Lutheran Family Health Centers, New York, NY. Andrea Jakubowski is with the Department of Medical Education, Mount Sinai School of Medicine, New York, NY.), Victoria Garland (0000-0001-6550-5403, Ramin Asgary is with the Department of Medicine, New York University School of Medicine, New York, NY. Victoria Garland and Blanca Sckell are with the Department of Community Medicine, Lutheran Family Health Centers, New York, NY. Andrea Jakubowski is with the Department of Medical Education, Mount Sinai School of Medicine, New York, NY.), Andrea Jakubowski (0000-0001-5651-5589, Ramin Asgary is with the Department of Medicine, New York University School of Medicine, New York, NY. Victoria Garland and Blanca Sckell are with the Department of Community Medicine, Lutheran Family Health Centers, New York, NY. Andrea Jakubowski is with the Department of Medical Education, Mount Sinai School of Medicine, New York, NY.), Blanca Sckell (0000-0002-5634-4107, Ramin Asgary is with the Department of Medicine, New York University School of Medicine, New York, NY. Victoria Garland and Blanca Sckell are with the Department of Community Medicine, Lutheran Family Health Centers, New York, NY. Andrea Jakubowski is with the Department of Medical Education, Mount Sinai School of Medicine, New York, NY.)
Year2014
Volume104
Issue7
Pages1307-1313
Publication date2014-07-01
Open AccessNo
TypeARTICLE
VenueAmerican Journal of Public Health (JOURNAL)
Journal identifiersISSN: 0090-0036 • E-ISSN: 1541-0048
PublisherAmerican Public Health Association (PUBLISHER • US)
DOI10.2105/ajph.2013.301792
PMID24832144
OpenAlexW1971366116
LanguageEN
Citations received5
References cited23

Objectives. We determined colorectal cancer (CRC) screening rates, predictors, and barriers in 2 major New York City shelter-based clinics. Methods. We extracted screening rates, sociodemographic characteristics, and factors associated with homelessness from medical records of domiciled and homeless patients aged 50 years and older (n = 443) with at least 3 clinic visits between 2010 and 2012. Results. The majority of patients were African American or Hispanic, 76% were male, and 60.7% were homeless (mean = 2.4 years; SD = 2.8 years). Domiciled patients were more likely than homeless patients to be screened (41.3% vs 19.7%; P Conclusions. Proposed interventions to improve CRC screening include respite shelter rooms for colonoscopy prepping, patient navigators to help navigate the health system and accompany patients to and from the procedure, counseling at all clinical encounters, and tailored patient education to address misconceptions

Cancer · Colonoscopy · Colorectal cancer · Environmental health · Family medicine · Logistic regression · Mental health · Population · Psychiatry · Psychological intervention · Respite care · Acute Lymphoblastic Leukemia research · Food Security and Health in Diverse Populations · Homelessness and Social Issues · Internal Medicine · Medicine · Nursing · Gerontology

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