J Health Care Poor Underserved. 2020;31(4):1595-1611. doi: 10.1353/hpu.2020.0121.
Guatemala lacks cancer prevention strategies and has low screening rates.
To assess the history of chronic conditions, risk factors, and cancer screening uptake among three Indigenous populations of Southwestern Guatemala.
We conducted a health needs assessment.
The assessment was completed by 247 adults. Median age was 40 years old (IR: 28-59). Most participants were female (94.3%), of Mayan descent (95.8%), and did not have a primary health care provider (84.2%). Most have never been screened for colorectal (men=100.0%; women=98.8%), prostate (75.0%), breast (90.9%), or cervical (76.9%) cancer, and all have severe tooth decay. However, most participants reported healthy behaviors including being physically active (women=59.7%; men=92.9%), being nonsmokers (women=99.6%; men=78.6%), and not consuming alcohol (women=82.3%; men=46.7%).
Although most participants reported healthy behaviors, there is a remarkable lack of access to cancer screening. An increase in cancer incidence is expected unless cancer prevention efforts are undertaken.
危地马拉缺乏癌症预防策略，且筛查率较低。
评估危地马拉西南部三个印第安人群体的慢性疾病史、危险因素和癌症筛查情况。
我们进行了一项健康需求评估。
共有 247 名成年人完成了评估。中位年龄为 40 岁（IR：28-59）。大多数参与者为女性（94.3%），为玛雅人后裔（95.8%），且没有初级保健提供者（84.2%）。大多数人从未接受过结直肠癌（男性=100.0%；女性=98.8%）、前列腺癌（75.0%）、乳腺癌（90.9%）或宫颈癌（76.9%）的筛查，所有人都有严重的龋齿。然而，大多数参与者报告了健康行为，包括身体活动（女性=59.7%；男性=92.9%）、不吸烟（女性=99.6%；男性=78.6%）和不饮酒（女性=82.3%；男性=46.7%）。
尽管大多数参与者报告了健康行为，但他们几乎无法获得癌症筛查。除非采取癌症预防措施，否则预计癌症发病率将会增加。
