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. Author manuscript; available in PMC: 2019 Nov 1.
Published in final edited form as: Ethn Health. 2017 Feb 25;23(8):847–866. doi: 10.1080/13557858.2017.1296559

Table 6.

Cultural barriers and facilitators of CRC screening identified from qualitative analysis.

Cultural Factors Barriers Facilitators
Language
  • Difficulty with English

  • Low health literacy

  • Reliance on children for translation

  • Having linguistically appropriate services

  • Having a patient navigatora

Health-Related Attitudes And Beliefs
  • Prevention not being a priority

  • No need to see a doctor if asymptomatic

  • Fear of finding CRC

  • Fatalism

  • Self-care

  • Stigma towards cancer

Views about Susceptibility
  • CRC seen as a western disease

Other
  • Having a high tolerance for pain

  • Use of CAM instead of western medicine

  • Lack of emphasis on preventive healthcare in China [Chinese]

  • Lack of exposure to American mediaa

  • Use of ethnic media to promote CRC screening

  • Respect for eldersa

Note: [] Brackets indicate racial subgroup specific themes.

a

Themes were mentioned only in the key informant interviews.