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Barriers to Healthcare among African Immigrants in Georgia, USA

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Abstract

African-born immigrants are among the fastest growing immigrant groups in the US, yet they are underrepresented in healthcare research, particularly, cancer research and tend to be categorized as African American or Black, obscuring any cultural nuances that exist. A survey designed to provide insight on the barriers to healthcare, knowledge of common cancers, and cancer risks was utilized during a health fair. Data analyses included descriptive statistics to examine participant demographics and other study variables of interest. Most of the participants reported African origin (approximately 97%), were males (59%), were aged 18–40 years (49%), had a minimum of some college education (78%), a household income of >$50,000 (35%) and were mostly uninsured (45%). The cost of medical treatment 19 (45.2%) was reported as a major barrier to healthcare access. The Health Fair presented the opportunity to provide free health screenings, education/awareness, and referral to follow-up resources. The findings are evidence of the importance and impact of health fairs in communities of greatest need.

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References

  1. Hurtado-de-Mendoza A, Song M, Kigen O, Jennings Y, Nwabukwu I, Sheppard VB. Addressing cancer control needs of African-born immigrants in the US: a systematic literature review. Prev Med. 2014;67:89–99.

    Article  PubMed  Google Scholar 

  2. Gambino CP TEFJ. The Foreign-Born population from Africa: 2008–2012. 2014.

  3. Elizabeth M., Grieco YDA, G. Patricia de la Cruz, Christine Gambino, Thomas Gryn, Luke J. Larsen, Edward N. Trevelyan, and Nathan P. Walters. The Foreign-Born Population in the United States: 2010. Accessed 15 Aug 2014. U.S. Census Bureau, May 2012.

  4. Center IP. African Immigrants in America: a demographic overview. http://www.immigrationpolicy.org/just-facts/african-immigrants-americademographic-overview/ 2014.

  5. Goel MS, Wee CC, McCarthy EP, Davis RB, Ngo-Metzger Q, Phillips RS. Racial and ethnic disparities in cancer screening: the importance of foreign birth as a barrier to care. J Gen Intern Med. 2003;18(12):1028–35.

    Article  PubMed  PubMed Central  Google Scholar 

  6. Seeff LC, McKenna MT. Cervical cancer mortality among foreign-born women living in the United States, 1985 to 1996. Cancer Detect Prev. 2003;27(3):203–8.

    Article  PubMed  Google Scholar 

  7. Zhao X. Cancer information disparities between U.S.- and foreign-born populations. J Health Commun. 2010;15(Suppl 3):5–21.

    Article  PubMed  Google Scholar 

  8. Bazargan M, Bazargan SH, Farooq M, Baker RS. Correlates of cervical cancer screening among underserved Hispanic and African-American women. Prev Med. 2004;39(3):465–73.

    Article  PubMed  Google Scholar 

  9. Swan J, Breen N, Coates RJ, Rimer BK, Lee NC. Progress in cancer screening practices in the United States: results from the 2000 National Health Interview Survey. Cancer. 2003;97(6):1528–40.

    Article  PubMed  Google Scholar 

  10. Hyacinth HI, Adekeye OA, Ibeh JN, Osoba T. Cervical cancer and pap smear awareness and utilization of pap smear test among Federal civil servants in North Central Nigeria. PLoS One. 2012;7(10):e46583.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  11. Kouri EM, He Y, Winer EP, Keating NL. Influence of birthplace on breast cancer diagnosis and treatment for Hispanic women. Breast Cancer Res Treat. 2010;121(3):743–51.

    Article  PubMed  Google Scholar 

  12. Nielsen SS, He Y, Ayanian JZ, Gomez SL, Kahn KL, West DW, et al. Quality of cancer care among foreign-born and US-born patients with lung or colorectal cancer. Cancer. 2010;116(23):5497–506.

    Article  PubMed  PubMed Central  Google Scholar 

  13. Creque A, Taioli E, Attong-Rogers A, Ragin C. Disparities in uterine cancer survival in a Brooklyn cohort of black women. Future Oncol. 2010;6(2):319–27.

    Article  PubMed  Google Scholar 

  14. De Alba I, Hubbell FA, McMullin JM, Sweningson JM, Saitz R. Impact of U.S. citizenship status on cancer screening among immigrant women. J Gen Intern Med. 2005;20(3):290–6.

    Article  PubMed  PubMed Central  Google Scholar 

  15. Echeverria SE, Carrasquillo O. The roles of citizenship status, acculturation, and health insurance in breast and cervical cancer screening among immigrant women. Med Care. 2006;44(8):788–92.

    Article  PubMed  Google Scholar 

  16. Shahidi NC, Homayoon B, Cheung WY. Factors associated with suboptimal colorectal cancer screening in US immigrants. Am J Clin Oncol. 2013;36(4):381–7.

    Article  PubMed  Google Scholar 

  17. Consedine NS, Horton D, Ungar T, Joe AK, Ramirez P, Borrell L. Fear, knowledge, and efficacy beliefs differentially predict the frequency of digital rectal examination versus prostate specific antigen screening in ethnically diverse samples of older men. Am J Men’s Health. 2007;1(1):29–43.

    Article  Google Scholar 

  18. Consedine NS, Ladwig I, Reddig MK, Broadbent EA. The many faeces of colorectal cancer screening embarrassment: preliminary psychometric development and links to screening outcome. Br J Health Psychol. 2011;16(3):559–79.

    Article  PubMed  Google Scholar 

  19. Shih YC, Elting LS, Levin B. Disparities in colorectal screening between US-born and foreign-born populations: evidence from the 2000 National Health Interview Survey. J Cancer Educ. 2008;23(1):18–25.

    Article  PubMed  Google Scholar 

  20. Taylor VM, Yasui Y, Nguyen TT, Woodall E, Do HH, Acorda E, et al. Pap smear receipt among Vietnamese immigrants: the importance of health care factors. Ethn Health. 2009;14(6):575–89.

    Article  PubMed  PubMed Central  Google Scholar 

  21. Jandorf L, Ellison J, Villagra C, Winkel G, Varela A, Quintero-Canetti Z, et al. Understanding the barriers and facilitators of colorectal cancer screening among low income immigrant hispanics. J Immigr Minor Health. 2010;12(4):462–9.

    Article  PubMed  PubMed Central  Google Scholar 

  22. Brown WM, Consedine NS, Magai C. Time spent in the United States and breast cancer screening behaviors among ethnically diverse immigrant women: evidence for acculturation? J Immigr Minor Health. 2006;8(4):347–58.

    Article  PubMed  Google Scholar 

  23. Consedine NS, Tuck NL, Ragin CR, Spencer BA. Beyond the black box: a systematic review of breast, prostate, colorectal, and cervical screening among native and immigrant African-descent Caribbean populations. J Immigr Minor Health. 2014; 17(3):905–24.

    Article  Google Scholar 

  24. Ndukwe EG, Williams KP, Sheppard V. Knowledge and perspectives of breast and cervical cancer screening among female African immigrants in the Washington D.C. metropolitan area. J Cancer Educ. 2013;28(4):748–54.

    Article  PubMed  Google Scholar 

  25. Newman LA. Breast cancer in African-American women. Oncologist. 2005;10(1):1–14.

    Article  PubMed  Google Scholar 

  26. Newman LA. Breast cancer disparities: high-risk breast cancer and African ancestry. Surg Oncol Clin N Am. 2014;23(3):579–92.

    Article  PubMed  Google Scholar 

  27. Mutetwa B, Taioli E, Attong-Rogers A, Layne P, Roach V, Ragin C. Prostate cancer characteristics and survival in males of African Ancestry according to place of birth: data from Brooklyn-New York, Guyana, Tobago and Trinidad. Prostate. 2010;70(10):1102–9.

    Article  PubMed  PubMed Central  Google Scholar 

  28. Carethers JM. Screening for colorectal cancer in African Americans: determinants and rationale for an earlier age to commence screening. Dig Dis Sci. 2014; 60(3):711–21

    Google Scholar 

  29. Seo DC. Lessons learned from a black and minority health fair’s 15-month follow-up counseling. J Natl Med Assoc. 2011;103(9–10):897–906.

    Article  PubMed  Google Scholar 

  30. Medicine MSo. Community Health Leadership Program Atlant, GA2016. http://satcherinstitute.org/community-health-leadership-program/ (2010).

  31. Adekeye O, Kimbrough J, Obafemi B, Strack RW. Health Literacy from the Perspective of African Immigrant Youth and Elderly: A PhotoVoice Project. J Health Care Poor Underserved. 2014;25(4):1730–47.

    Article  PubMed  Google Scholar 

  32. Murray K, Liang A, Barnack-Tavlaris J, Navarro AM. The reach and rationale for community health fairs. J Cancer Educ. 2014;29(1):19–24.

    Article  PubMed  PubMed Central  Google Scholar 

  33. Gwede CK, Jean-Francois E, Quinn GP, Wilson S, Tarver WL, Thomas KB, et al. Perceptions of colorectal cancer among three ethnic subgroups of US blacks: a qualitative study. J Natl Med Assoc. 2011;103(8):669–80.

    Article  PubMed  PubMed Central  Google Scholar 

  34. Hurtado-de-Mendoza A, Song MN, Kigen O, Jennings Y, Nwabukwu I, Sheppard VB. Addressing cancer control needs of African-born immigrants in the US: a systematic literature review. Prev Med. 2014;67:89–99.

    Article  PubMed  Google Scholar 

  35. Status of State Action on the Medicaid Expansion Decision: The Henry J. Kaiser Family Foundation. http://kff.org/health-reform/state-indicator/state-activity-around-expanding-medicaid-under-the-affordable-care-act/ (2016).

  36. Doty MM, Blumenthal D, Collins SR. The Affordable Care Act and health insurance for Latinos. JAMA. 2014;312(17):1735–6.

    Article  CAS  PubMed  Google Scholar 

  37. Dover Wilson RE, Elgoghail N. BRONX HEALTH EDUCATION PROJECT FOR WEST AFRICAN IMMIGRANTS. J Cult Divers. 2016;23(1):34.

    Google Scholar 

  38. Doty MM RP, Collins SR. Catching up: coverage opportunities and challenges for Latino adults under the Affordable Care Act. New York: The Commonwealth Foundation; 2014.

  39. Holt CL, Tagai EK, Scheirer MA, Santos SLZ, Bowie J, Haider M, et al. Translating evidence-based interventions for implementation: experiences from Project HEAL in African American churches. Implement Sci. 2014;9(1):66.

    Article  PubMed  PubMed Central  Google Scholar 

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Acknowledgements

This work was produced with support from the Marguerite Casey Foundation and the Redeemer’s Medical Center.

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Correspondence to Oluwatoyosi A. Adekeye.

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Adekeye, O.A., Adesuyi, B.F. & Takon, J.G. Barriers to Healthcare among African Immigrants in Georgia, USA. J Immigrant Minority Health 20, 188–193 (2018). https://doi.org/10.1007/s10903-017-0549-9

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  • DOI: https://doi.org/10.1007/s10903-017-0549-9

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