Nursing (Chinomso Nwozichi)
Using a Structural Equation Model to Predict Colorectal Cancer Screening Behaviors
Among African Immigrants in the United States
First-Year Scholars: Diana Baidoo, Ogechi Eke, Janet Konneh, Isaac Kuhn, Aniyah Mays, Emilio Meza Ortiz,
Diamond Ogletree, & Glenkeith Phillip
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Despite the benefits of screening in lowering CRC incidence, morbidity, and mortality,
screening rates remain below 70% among United States adults aged 50 to 75 (Puli et
al., 2023). These poor screening rates are especially noticeable in immigrants, who
now account for about 14% of the US population.(Rogers et al., 2020) Immigrant groups
(especially those from Africa) have significantly lower screening rates than those
born in the United States, which may put them at a disadvantage in terms of early
diagnosis and treatment of precancerous polyps (Chibindu et al., 2021).
African-born immigrants in the United States came from a continent where colorectal cancer is regarded rare and routine colorectal cancer screening is not widespread (Onigbogi et al., 2024). As African-born immigrants acculturate, they adopt a western lifestyle and dietary patterns that are associated with higher colorectal cancer risks, necessitating more colorectal cancer screenings. Cancer preventive efforts by African national governments are inadequate since no country in Africa has an organized population-based colorectal cancer screening program ( Puli et al., 2023).These factors may have a negative impact on African-born immigrants' perceptions of the need of getting screened for colorectal cancer while living in the US. Participation in colorectal cancer (CRC) screening among African immigrants in the United States is hindered by several factors, including cultural beliefs that view cancer fatalistically, language barriers that complicate communication with healthcare providers, and socioeconomic challenges such as lack of health insurance and limited financial resources (Demb & Gupta, 2020). Additionally, mistrust in the healthcare system due to past experiences of discrimination further discourages engagement with preventive services.
There is a need to understand the behavior of immigrants towards colorectal cancer screening. Therefore, this study aims to structural equation model to assess how the individual constructs of the Health Belief Model (HBM) will predict colorectal cancer screening behavior among African immigrants in United States. This study utilizes a structural equation model to assess how the individual constructs of the Health Belief Model (HBM) will predict colorectal cancer screening behavior among African immigrants in United States. The study population consists of African immigrants within the United States. A non-probability sampling technique will be used to recruit participants using online surveys. Data analysis for this study will be conducted using the Statistical Package for Social Sciences (SPSS) version 29.
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Students will learn how to design a research study, including formulating research
questions, identifying variables, and selecting appropriate methodologies. They will
become familiar with different research approaches, particularly in the context of
public health and behavioral studies.
Students will enhance their ability to conduct comprehensive literature reviews, which
involves searching for, evaluating, and synthesizing existing research related to
colorectal cancer screening and health behaviors among immigrant populations.
Students will gain hands-on experience with advanced statistical techniques, particularly
structural equation modeling (SEM), which is used to explore complex relationships
between multiple variables.
Students will learn how to collect, organize, and manage data, which may involve designing
surveys, conducting interviews, or handling existing data sets. They will also become
familiar with ethical considerations in data collection, especially when working with
human subjects.
Students will develop a strong understanding of ethical principles in research, including
confidentiality, informed consent, and the protection of vulnerable populations.
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The student can conduct a thorough literature review to identify existing research
on colorectal cancer screening behaviors, particularly among African immigrants. This
will help in understanding the background, identifying gaps in the literature, and
refining the research question.
The student can assist in or independently collect data, which might include designing
surveys, conducting interviews, or gathering existing data sets. They may also be
involved in the ethical review process, such as preparing Institutional Review Board
(IRB) submissions.
The student can learn and apply statistical methods, particularly structural equation
modeling (SEM), to analyze the data. They might use software like SPSS, AMOS, or R
to perform the analysis, under the supervision of a mentor.
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Modality (Face-to-Face, Hybrid, Online)
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