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Peer-reviewedCC BY 4.0Preventive Medicine Reports

Associations between health-related social needs and colorectal cancer screening among United States Hispanic/Latino and non-Hispanic white adults

  • Isaiah Casarez1
  • Humberto Parada1,2,3
  • Matthew P Banegas3,4
  • Benjamín Aceves1,5
5 affiliations
  1. 1San Diego State University Research Foundation, San Diego State University, San Diego, California, United States
  2. 2Division of Epidemiology and Biostatistics, School of Public Health, San Diego State University, San Diego, United States
  3. 3UC San Diego Health Moores Cancer Center, La Jolla, California, United States
  4. 4Department of Radiation Medicine and Applied Sciences, School of Medicine, University of California, San Diego, United States
  5. 5Division of Health Promotion and Behavioral Science, School of Public Health, San Diego State University, San Diego, United States
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Abstract

Objective: To examine associations between five health-related social need (HRSN) domains and receipt of a clinician recommendation for colorectal cancer (CRC) screening among Hispanic/Latino and non-Hispanic White adults, and whether associations differed by race and ethnicity.

Methods: We pooled 2021 and 2023 National Health Interview Survey data (United States) for 1477 Hispanic/Latino and 5413 non-Hispanic White adults aged 45–75 not up to date on screening. The outcome was a clinician screening recommendation in the past 12 months. Five HRSNs were examined: educational need, food insecurity, housing instability, medical financial hardship, and public cash assistance. Survey-weighted logistic regression estimated adjusted odds ratios (aOR) and 95% confidence intervals (CI), overall and by race and ethnicity.

Results: Very low food security (aOR 1.62; 95% CI 1.09, 2.40) and medical financial hardship (aOR 1.28; 95% CI 1.09, 1.49) were associated with higher odds of recommendation. Among Hispanic/Latino adults, low (aOR 2.12; 95% CI 1.04, 4.32) and very low food security (aOR 2.86; 95% CI 1.31, 6.23) were associated with recommendation; the food-by-race/ethnicity interaction was not significant (p = 0.09).

Conclusions: Health-related social needs were not uniformly associated with reduced recommendation; food insecurity predicted higher recommendation among Hispanic/Latino adults.

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Cite

BibTeXRIS
BibTeX
@article{casarez2026associations,
  title = {{Associations between health-related social needs and colorectal cancer screening among United States Hispanic/Latino and non-Hispanic white adults}},
  author = {Isaiah Casarez and Humberto Parada and Matthew P Banegas and Benjamín Aceves},
  journal = {Preventive Medicine Reports},
  year = {2026},
  month = oct,
  doi = {10.1016/j.pmedr.2026.103670},
  url = {https://doi.org/10.1016/j.pmedr.2026.103670},
  note = {CC BY 4.0},
}
RIS
TY  - JOUR
TI  - Associations between health-related social needs and colorectal cancer screening among United States Hispanic/Latino and non-Hispanic white adults
AU  - Isaiah Casarez
AU  - Humberto Parada
AU  - Matthew P Banegas
AU  - Benjamín Aceves
PY  - 2026
DA  - 2026/10/16
JO  - Preventive Medicine Reports
DO  - 10.1016/j.pmedr.2026.103670
UR  - https://doi.org/10.1016/j.pmedr.2026.103670
AB  - Objective: To examine associations between five health-related social need (HRSN) domains and receipt of a clinician recommendation for colorectal cancer (CRC) screening among Hispanic/Latino and non-Hispanic White adults, and whether associations differed by race and ethnicity.  Methods: We pooled 2021 and 2023 National Health Interview Survey data (United States) for 1477 Hispanic/Latino and 5413 non-Hispanic White adults aged 45–75 not up to date on screening. The outcome was a clinician screening recommendation in the past 12 months. Five HRSNs were examined: educational need, food insecurity, housing instability, medical financial hardship, and public cash assistance. Survey-weighted logistic regression estimated adjusted odds ratios (aOR) and 95% confidence intervals (CI), overall and by race and ethnicity.  Results: Very low food security (aOR 1.62; 95% CI 1.09, 2.40) and medical financial hardship (aOR 1.28; 95% CI 1.09, 1.49) were associated with higher odds of recommendation. Among Hispanic/Latino adults, low (aOR 2.12; 95% CI 1.04, 4.32) and very low food security (aOR 2.86; 95% CI 1.31, 6.23) were associated with recommendation; the food-by-race/ethnicity interaction was not significant (p = 0.09).  Conclusions: Health-related social needs were not uniformly associated with reduced recommendation; food insecurity predicted higher recommendation among Hispanic/Latino adults.
SN  - 2211-3355
ER  -