Colorectal cancer (CRC) is the second and third leading cause of cancer death in Hawai‘i and Guam respectively with the highest rates among males and Pacific Peoples (PP) (e.g. CHamoru, Filipinos). Colorectal cancer incidence in Hawai‘i is higher than the U.S. with the highest age-adjusted rates among Filipinos. In Guam, CHamoru have the highest age-adjusted mortality rates from CRC compared to other Asian and Pacific Islander groups. Screening and early detection to address CRC disparities in these populations are critical.

This pre-pilot study will conduct in-depth research to examine knowledge and beliefs associated with CRC and screening, recommendations for community and culturally relevant prevention interventions, and the need for age-specific education interventions.

Specific Aims

• Determine the cognitive and cultural perspectives on colorectal cancer and screening among CHamoru and Filipinos living in Guam and Hawai‘i.
• Assess acceptability of and recommendations for colorectal cancer screening education intervention methods among CHamoru and Filipinos.

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