Department of Urology, University of Arizona, Tucson, AZ, USA.
University of Arizona Cancer Center, 1515 N. Campbell Ave., PO Box 245024, Tucson, AZ, 85724, USA.
J Cancer Educ. 2022 Aug;37(4):915-923. doi: 10.1007/s13187-020-01900-4. Epub 2020 Oct 20.
Cancer screening rates remain low among American Indian men, and cancer screening behaviors and barriers to cancer screening among American Indian men are not well understood. This study evaluated cancer screening behaviors in 102 Hopi men who were 50 years of age or older from the Hopi Survey of Cancer and Chronic Disease. Reported cancer screening frequencies were 15.7%, 45.1%, and 35.3% for fecal occult blood test (FOBT), colonoscopy, and prostate-specific antigen (PSA) test, respectively. Among men who reported having had a FOBT, 81.2% had the test more than 1 year ago. Among men who reported a colonoscopy, 60.8% had colonoscopy within the past 3 years. Similarly, among men who reported having had PSA, 72.3% had PSA within the past 3 years. "No one told me" was the most common answer for not undergoing FOBT (33.7%), colonoscopy (48.2%), and PSA (39.4%). Men who reported having had a PSA or digital rectal exam were three times as likely to also report having a FOBT or colonoscopy (odds ratio [OR] 3.19, 95% confidence interval [CI]: 1.21-8.46). Younger age (< 65) was associated with reduced odds of ever having prostate cancer screening (OR 0.28, 95% CI: 0.10-0.77). Ever having colorectal cancer screening and previous diagnosis of cancer increased odds of ever having prostate cancer screening (OR 3.15, 95% CI: 1.13-8.81 and OR 5.28, 95% CI: 1.15-24.18 respectively). This study illustrates the importance of community cancer education for men to improve cancer screening participation.
美国印第安男性的癌症筛查率仍然较低，人们对美国印第安男性的癌症筛查行为和癌症筛查障碍了解甚少。本研究评估了来自霍皮癌症和慢性病调查的 102 名 50 岁及以上的霍皮男性的癌症筛查行为。粪便潜血试验（FOBT）、结肠镜检查和前列腺特异性抗原（PSA）检测的报告筛查频率分别为 15.7%、45.1%和 35.3%。在报告接受过 FOBT 的男性中，81.2%的人在 1 年以上前接受过该检测。在报告接受过结肠镜检查的男性中，60.8%的人在过去 3 年内接受过结肠镜检查。同样，在报告接受过 PSA 检测的男性中，72.3%的人在过去 3 年内接受过 PSA 检测。“没有人告诉我”是未接受 FOBT（33.7%）、结肠镜检查（48.2%）和 PSA（39.4%）的最常见原因。报告接受过 PSA 或直肠指检的男性接受 FOBT 或结肠镜检查的可能性是未接受过这些检查的男性的三倍（比值比[OR]3.19，95%置信区间[CI]：1.21-8.46）。年龄较轻（<65 岁）与接受前列腺癌筛查的可能性降低相关（OR 0.28，95%CI：0.10-0.77）。既往接受过结直肠癌筛查和癌症诊断会增加接受前列腺癌筛查的可能性（OR 3.15，95%CI：1.13-8.81 和 OR 5.28，95%CI：1.15-24.18）。本研究说明了社区癌症教育对提高男性癌症筛查参与度的重要性。
