Yaghjyan Lusine, Wolin Kathleen, Chang Su-Hsin, Colditz Graham
Department of Epidemiology, College of Public Health and Health Professions and College of Medicine, University of Florida, 2004 Mowry Rd, Gainesville, FL, 32610, USA,
Cancer Causes Control. 2014 May;25(5):605-14. doi: 10.1007/s10552-014-0365-7. Epub 2014 Mar 18.
We investigated racial disparities in healthy behaviors and cancer screening in a large sample from the US population.
This analysis used the data from 2005 National Health Interview Survey and included women at age ≥ 40 years who completed the cancer questionnaires (2,427,075 breast cancer survivors and 57,978,043 women without cancer). Self-reported information on cancer history, healthy behaviors (body mass index, smoking, alcohol use, physical activity, fruit/vegetable consumption, sunscreen use) was collected. We compared distributions of each factor among Caucasian, African American, and Hispanic women with and without breast cancer history.
Caucasian breast cancer survivors as compared to their cancer-free counterparts were less likely to be current smokers (8.3 vs. 16.9 %, p < 0.001) and to have regular mammograms (51.5 vs. 36.9 %, p < 0.05). Differences in associations between cancer survivors and respondents without cancer among African American and Hispanic women did not reach statistical significance.
Certain breast cancer survivor groups can benefit from tailored preventive services that would address concerns related to selected healthy behaviors and screening practices. However, most of the differences are suggestive and do not differ by race.
我们在美国人群的一个大样本中调查了健康行为和癌症筛查方面的种族差异。
本分析使用了2005年全国健康访谈调查的数据，纳入了年龄≥40岁且完成癌症问卷的女性（2427075名乳腺癌幸存者和57978043名无癌症女性）。收集了关于癌症病史、健康行为（体重指数、吸烟、饮酒、体育活动、水果/蔬菜消费、使用防晒霜）的自我报告信息。我们比较了有和没有乳腺癌病史的白人、非裔美国人和西班牙裔女性中各因素的分布情况。
与无癌症的白人女性相比，白人乳腺癌幸存者当前吸烟的可能性较小（8.3%对16.9%，p<0.001），且进行定期乳房X光检查的可能性较小（51.5%对36.9%，p<0.05）。非裔美国人和西班牙裔女性中癌症幸存者与无癌症受访者之间的关联差异未达到统计学显著性。
某些乳腺癌幸存者群体可以从量身定制的预防服务中受益，这些服务将解决与选定的健康行为和筛查做法相关的问题。然而，大多数差异只是提示性的，且不存在种族差异。
