Cancer Knowledge Among Mexican Immigrant Farmworkers in North Carolina
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Latino farmworkers are exposed to a number of carcinogens in the workplace. Cancer survival rates for Latinos are below average. This paper describes Mexican immigrant farmworkers’ knowledge of colorectal, breast, and testicular cancer, and compares farmworkers’ cancer knowledge to that of other Mexican immigrants. Survey interviews for this study were conducted with 100 farmworkers and 100 non-farmworkers in 2015 in North Carolina as part of an ongoing community-based participatory research project. We found low to moderate levels of knowledge about colorectal, breast, and testicular cancer among farmworkers. Compared to non-farmworkers, farmworkers had similar levels of knowledge about breast and testicular cancer, but slightly lower knowledge about colorectal cancer (p = 0.0087). Few studies have used quantitative methods to assess farmworkers’ knowledge of specific types of cancer. Our results demonstrate a need for increased dissemination of existing cancer education programs and further research to develop additional educational tools.
KeywordsCancer Farmworkers Community-based participatory research Latino Knowledge
This research was supported by grant R01-ES008739 from the National Institute of Environmental Health Sciences.
Compliance with Ethical Standards
Conflict of interest
The authors declare they have no conflict of interest.
Research Involving Human Participants/Informed Consent
Informed consent was obtained from all individual participants included in the study.
- 1.Siegel RL, Fedwa SA, Millder KD, Goding-Sauer A, Pinheiro PS, Martinez-Tyson D, Jemal A. Cancer statistics for Hispanics/Latinos, 2015. CA Cancer J Clin. 2015;65:457–80.Google Scholar
- 2.Lantz PM, Dupuis L, Reding D, Krauska M, Lappe K. Peer discussions of cancer among Hispanic migrant farm workers. Public Health Rep. 1994;109(4):512–20.Google Scholar
- 3.Blair A, Freeman LB. Epidemiologic studies of cancer in agricultural populations: observations and future directions. J Agromed. 2009;14(2):125–31.Google Scholar
- 4.Mills PK, Dodge J, Yang R. Cancer in migrant and seasonal hired farm workers. J Agromed. 2009;14(2):185–91.Google Scholar
- 5.Dodge JL, Mills PK, Riordan DG. Cancer survival in California Hispanic farmworkers, 1988–2001. J Rural Health. 2007;23(1):33–41.Google Scholar
- 6.Arcury TA, Quandt SA. Delivery of health services to migrant and seasonal farmworkers. Annu Rev Public Health. 2007;28:345–63.Google Scholar
- 7.Centers for Disease Control and Prevention: Colorectal cancer statistics. https://www.cdc.gov/cancer/colorectal/statistics/index.htm (2017). Accessed 15 Aug 2017.
- 8.American Cancer Society: Cancer facts and figures for Hispanics/Latinos, 2015–2017. https://www.cancer.org/content/dam/cancer-org/research/cancer-facts-and-statistics/cancer-facts-and-figures-for-hispanics-and-latinos/cancer-facts-and-figures-for-hispanics-and-latinos-2015-2017.pdf (2015). Accessed 15 Aug 2017.
- 9.Centers for Disease Control and Prevention: Breast cancer statistics. https://www.cdc.gov/cancer/breast/statistics/index.htm (2017). Accessed 15 Aug 2017.
- 10.American Cancer Society: What are the key statistics about testicular cancer? https://www.cancer.org/cancer/testicular-cancer/about/key-statistics.html (2017). Accessed 15 Aug 2017.
- 11.DeRouen MC, Mujahid M, Srinivas S, Keegan TH. Disparities in adolescent and young adult survival after testicular cancer vary by histologic subtype: a population-based study in California 1988–2010. J Adolesc Young Adult Oncol. 2016;5(1):31–40.Google Scholar
- 12.Chien FL, Schwartz SM, Johnson RH. Increase in testicular germ cell tumor incidence among Hispanic adolescents and young adults in the United States. Cancer 2014;120(17):2728–34.Google Scholar
- 13.Coronado GD, Farias A, Thompson B, Godina R, Oderkirk W. Attitudes and beliefs about colorectal cancer among Mexican Americans in communities along the US-Mexico border. Ethn Dis. 2006;16(2):421–7.Google Scholar
- 14.Palmer RC, Fernandez ME, Tortolero-Luna G, Gonzales A, Mullen PD. Correlates of mammography screening among Hispanic women living in lower Rio Grande Valley farmworker communities. Health Educ Behav. 2005;32(4):488–503.Google Scholar
- 15.Meade CD, Calvo A, Cuthbertson D. Impact of culturally, linguistically, and literacy relevant cancer information among Hispanic farmworker women. J Cancer Educ. 2002;17(1):50–4.Google Scholar
- 16.Saab MM, Landers M, Hegarty J. Testicular cancer awareness and screening practice: a systematic review. Oncol Nurs Forum. 2016;43(1):E8–23.Google Scholar
- 17.Sunil TS, Thelma H, Deem C, Nevarez L, Guidry J, Rios R, Guerra H, Ortiz J, Jones L. Breast cancer knowledge, attitude and screening behaviors among Hispanics in South Texas colonias. J Community Health. 2014;39(1):60–71.Google Scholar
- 18.Crookes DM, Njoku O, Rodriguez MC, Mendez EI, Jandorf L. Promoting colorectal cancer screening through group education in community-based settings. J Cancer Educ. 2014;29(2):296–303.Google Scholar
- 19.Fernandez ME, Wippold R, Torres-Vigil I, Byrd T, Freeberg D, Bains Y, Guajardo J, Coughlin SS, Vernon SW. Colorectal cancer screening among Latinos from U.S. cities along the Texas-Mexico border. Cancer Causes Control. 2008;19(2):195–206.Google Scholar
- 20.Walsh JME, Kaplan CP, Nguyen B, Gildengorin G, McPhee SJ, Pérez-Stable EJ. Barriers to colorectal cancer screening in Latino and Vietnamese Americans. J Gen Intern Med. 2004;19(2):156–66.Google Scholar
- 21.Brandt HM, Dolinger HR, Sharpe PA, Hardin JW, Berger FG. Relationship of colorectal cancer awareness and knowledge with colorectal cancer screening. Colorectal Cancer. 2012;1(5):383–96.Google Scholar
- 22.Katz RC, Meyers K, Walls J. Cancer awareness and self-examination practices in young men and women. J Behav Med. 1995;18(4):377–84.Google Scholar
- 23.Breslow RA, Sorkin JD, Frey CM, Kessler LG. Americans’ knowledge of cancer risk and survival. Prev Med. 1997;26(2):170–7.Google Scholar
- 24.Fagerlin A, Sepucha KR, Couper MP, Levin CA, Singer E, Zikmund-Fisher BJ. Patients’ knowledge about 9 common health conditions: the DECISIONS survey. Med Decis Making. 2010;30(5 Suppl):35–52.Google Scholar
- 25.Harris PA, Taylo R, Thielke R, Payne J, Gonzalez N, Conde JG. Research electronic data capture (REDCap): a metadata-driven methodology and workflow process for providing translational research informatics support. J Biomed Inform. 2009;42(2):377–81.Google Scholar
- 26.Kratzke C, Amatya A, Vilchis H. Differences among college women for breast cancer prevention acquired information-seeking, desired apps and texts, and daughter-initiated information to mothers. J Community Health. 2014;39(2):291–300.Google Scholar
- 27.Sacks L, Nakaji M, Harry KM, Oen M, Malcarne VL, Sadler GR. Testicular cancer knowledge among deaf and hearing men. J Cancer Educ. 2013;28(3):503–8.Google Scholar
- 28.Taber JM, Klein WM, Suls JM, Ferrer RA. Lay awareness of the relationship between age and cancer risk. Ann Behav Med. 2017;51:214–25.Google Scholar
- 29.Goldsmith DF, Sisneros GC. Cancer prevention strategies among California farmworkers: preliminary findings. J Rural Health. 1996;12(4 Suppl):343–8.Google Scholar
- 30.Luque JS, Tarasenko YN, Maupin JN, Alfonso ML, Watson LC, Reyes-Garcia C, Ferris DG. Cultural beliefs and understandings of cervical cancer among Mexican immigrant women in Southeast Georgia. J Immigr Minor Health. 2015;17(3):713–21.Google Scholar
- 31.Moralez EA, Rao SP, Livaudais JC, Thompson B. Improving knowledge and screening for colorectal cancer among Hispanics: overcoming barriers through a promotora-led home-based educational intervention. J Cancer Educ. 2012;27(3):533–9.Google Scholar
- 32.Ramirez AG, Suarez L, Laufman L, Barroso C, Chalela P. Hispanic women’s breast and cervical cancer knowledge, attitudes, and screening behaviors. Am J Health Promot. 2000;14(5):292–300.Google Scholar
- 33.Goldenring JM, Purtell E. Knowledge of testicular cancer risk and need for self-examination in college students: a call for equal time for men in teaching of early cancer detection techniques. Pediatrics 1984;74(6):1093–6.Google Scholar
- 34.White AL, Vernon SW, Franzini L, Du XL. Racial disparities in colorectal cancer survival: to what extent are racial disparities explained by differences in treatment, tumor or hospital characteristics? Cancer 2010;116(19):4622–31.Google Scholar
- 35.White A, Thompson TD, White MC, Sabatino SA, de Moor J, Doria-Rose PV, Geiger AM, Richardson LC. Cancer screening test use—United States, 2015. MMWR Morb Mortal Wkly Rep. 2017;66(8):201–6.Google Scholar
- 36.US Preventive Services Task Force: Screening for testicular cancer: US Preventive Services Task Force reaffirmation recommendation statement. Ann Intern Med 2011;154;483–6.Google Scholar
- 37.National Center for Farmworker Health: Colorectal cancer screening test—in Spanish. https://www.youtube.com/watch?v=UDgAezposV4 (2016). Accessed 15 Aug 2017.
- 38.Fernández ME, Gonzales A, Tortolero-Luna G, Williams J, Saavedra-Embesi M, Chan W, Vernon SW. Effectiveness of Cultivando La Salud: a breast and cervical cancer screening promotion program for low-income Hispanic women. Am J Public Health. 2009;99(5):936–43.Google Scholar
- 39.Bachman L. Breast cancer, health centers and U.S. agricultural workers. National Center for Farmworker Health. http://www.ncfh.org/1/post/2015/10/breast-cancer-health-centers-and-us-agricultural-workers.html (2015). Accessed 15 Aug 2017.