Diaz, J. A.Roberts, M. B.Goldman, RobertaWeitzen, S.Eaton, C. B.2017-04-202008Diaz, J. A., M. B. Roberts, R. E. Goldman, S. Weitzen, and C. B. Eaton. 2008. “Effect of Language on Colorectal Cancer Screening Among Latinos and Non-Latinos.” Cancer Epidemiology Biomarkers & Prevention 17 (8) (August 1): 2169–2173. doi:10.1158/1055-9965.epi-07-2692.1055-9965http://nrs.harvard.edu/urn-3:HUL.InstRepos:32293327BACKGROUND Language barriers among some Latinos may contribute to the lower rates of colorectal cancer (CRC) screening between Latinos and non-Latino Whites. The purpose of this study was to examine the relationship between language and receipt of colorectal cancer screening tests among Latinos and non-Latinos using a geographically diverse, population-based sample of adults. METHODS Cross-sectional analysis of the Behavioral Risk Factor Surveillance System (BRFSS) survey. Analysis included adults 50 years of age and older, who completed the 2006 BRFSS in a state that recorded data from English and Spanish-speaking participants. RESULTS The primary outcome measure was receipt of colorectal screening tests (fecal occult blood testing within prior 12 months and/or lower endoscopy within 10 years). Of the 99,895 respondents included in the study populations, 33% of Latinos responding-in-Spanish reported having had CRC testing, while 51% of Latinos responding-in-English and 62% of English-speaking non-Latinos reported test receipt. In multivariable analysis, compared to non-Latinos, Latinos responding-in-English were 16% less likely (OR,0.84, 95 % CI, 0.73-0.98), and Latinos responding-in-Spanish were 43% less likely to have received colorectal cancer testing (OR,0.57, 95% CI, 0.44-0.74). Additionally, compared to Latinos responding-in-English, Latinos responding-in-Spanish were 36% less likely to have received CRC testing (OR, 0.64; 95% CI, 0.48-0.84) CONCLUSION Latinos responding to the 2006 BRFSS survey in Spanish had a significantly lower likelihood of receiving CRC screening tests compared to non-Latinos and to Latinos responding-in-English. Based on this analysis, Spanish language use is negatively associated with CRC screening and may contribute to disparities in CRC screening.en-USJournal Article2017-02-0720082017-04-2010.1158/1055-9965.EPI-07-2692